Izumi Yuichi, Yoshida Hiroki, Shimizu Noriyuki, Kubota Hiroshi
Department of Thoracic and Cardiovascular Surgery, Nayoro City Hospital, Hokkaido, Japan.
Ann Thorac Cardiovasc Surg. 2004 Jun;10(3):195-7.
We report an emergent operation on a 37-year-old man presenting with acute myocardial infarction with an aneurysm of the left main coronary artery. A preoperative coronary angiogram revealed a large saccular aneurysm of the left main coronary artery and complete occlusion of the left anterior descending artery. Emergent coronary artery bypass graftings to the left anterior descending artery with the left internal thoracic artery and the circumflex artery with the saphenous vein were performed, followed by the ligation and exclusion of the aneurysm of the left main coronary artery. The postoperative course was uncomplicated and the patient did well. Although the etiology of the aneurysm was not investigated, it was suspected to be a congenital aneurysm.
我们报告了一例对一名37岁男性进行的急诊手术，该患者表现为急性心肌梗死合并左主干冠状动脉瘤。术前冠状动脉造影显示左主干冠状动脉有一个大的囊状动脉瘤，左前降支动脉完全闭塞。使用左胸廓内动脉对左前降支动脉以及使用大隐静脉对回旋支动脉进行了急诊冠状动脉旁路移植术，随后结扎并排除了左主干冠状动脉瘤。术后病程顺利，患者恢复良好。尽管未对动脉瘤的病因进行调查，但怀疑是先天性动脉瘤。
