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通过乳内动脉植入和网膜移植治疗多发性冠状动脉闭塞：两例人体病例报告。

The treatment of multiple coronary occlusions by internal mammary artery implantation and omental graft: report on two human cases.

作者信息

VINEBERG A, PIFARRE B, KATO Y

出版信息

Can Med Assoc J. 1963 Mar 9;88(10):499-504.

PMID:13997362
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1921071/
Abstract

The importance of triple coronary artery disease was evident in 125 patients undergoing internal mammary artery implantation, when some patients died from right coronary artery occlusion. This occurred even when the internal mammary artery was patent and revascularizing the left ventricle.In 1961 the free omental graft operation was developed to revascularize both right and left ventricles. In animals this operation has proved most effective in preventing death after application of Ameroid constrictors to all three coronary arteries. Arteriolar or larger-sized vessels rapidly formed between the aorta and omentum and the pericardium and omentum and the heart and omentum.Two patients with triple coronary artery disease underwent internal mammary artery implantation and free omental graft early in December 1962. Postoperative convalescence was uneventful. They have returned home and appear to be improved. Wrapping the entire heart with the free omental graft has produced little reaction, suggesting that, as in the animal, the grafts are surviving.

摘要

125例接受乳内动脉植入术的患者中，三支冠状动脉疾病的重要性显而易见，当时一些患者死于右冠状动脉阻塞。即使乳内动脉通畅且左心室已实现血管重建，这种情况仍会发生。1961年，游离大网膜移植手术得以开展，用于左右心室的血管重建。在动物实验中，该手术已被证明在对所有三支冠状动脉应用阿梅罗伊德缩窄器后预防死亡方面最为有效。小动脉或更大尺寸的血管在主动脉与大网膜之间、心包与大网膜之间以及心脏与大网膜之间迅速形成。1962年12月初，两名患有三支冠状动脉疾病的患者接受了乳内动脉植入术和游离大网膜移植术。术后恢复顺利。他们已返回家中，且情况似乎有所改善。用游离大网膜包裹整个心脏几乎未产生不良反应，这表明与动物实验一样，移植的大网膜存活了下来。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dc9/1921071/089b0c9caa0f/canmedaj00986-0013-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dc9/1921071/be95574117de/canmedaj00986-0010-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dc9/1921071/1307a398615b/canmedaj00986-0011-a.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dc9/1921071/9a2b29a0fbe0/canmedaj00986-0012-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dc9/1921071/b2341bd660ca/canmedaj00986-0012-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dc9/1921071/b6194aab14f7/canmedaj00986-0012-d.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dc9/1921071/e95fb5ff3c04/canmedaj00986-0013-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dc9/1921071/089b0c9caa0f/canmedaj00986-0013-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dc9/1921071/be95574117de/canmedaj00986-0010-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dc9/1921071/1307a398615b/canmedaj00986-0011-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dc9/1921071/b46f78cd72fc/canmedaj00986-0012-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dc9/1921071/9a2b29a0fbe0/canmedaj00986-0012-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dc9/1921071/b2341bd660ca/canmedaj00986-0012-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dc9/1921071/b6194aab14f7/canmedaj00986-0012-d.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dc9/1921071/e95fb5ff3c04/canmedaj00986-0013-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dc9/1921071/089b0c9caa0f/canmedaj00986-0013-b.jpg

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1
The treatment of multiple coronary occlusions by internal mammary artery implantation and omental graft: report on two human cases.通过乳内动脉植入和网膜移植治疗多发性冠状动脉闭塞：两例人体病例报告。
Can Med Assoc J. 1963 Mar 9;88(10):499-504.
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引用本文的文献

1
RESULTS OF 14 YEARS' EXPERIENCE IN THE SURGICAL TREATMENT OF HUMAN CORONARY ARTERY INSUFFICIENCY.人类冠状动脉供血不足外科治疗14年经验的结果
Can Med Assoc J. 1965 Feb 13;92(7):325-32.

本文引用的文献

1
An operation designed to promote the growth of new coronary arteris, using a detached omental graft: a preliminary report.一项使用游离网膜移植促进新冠状动脉生长的手术：初步报告。
Can Med Assoc J. 1962 Jun 16;86(24):1116-8.