Walther Thomas, Dähnert Ingo, Kiefer Herbert, Falk Volkmar, Kostelka Martin, Mohr Friedrich W
Klinik für Herzchirurgie, Herzzentrum, Universität Leipzig, Leipzig, Germany.
Ann Thorac Surg. 2005 Jun;79(6):2151-3. doi: 10.1016/j.athoracsur.2003.12.044.
A 6-week-old patient weighing 4 kg was admitted for surgical correction of anomalous left coronary artery from the pulmonary artery. Reimplantation of the coronary artery with cardiopulmonary bypass was impossible because the patient also had hereditary spherocytosis, which put him at risk for hemolytic anemia. Thus, closure of the left main stem and left internal mammary artery-left anterior descending coronary artery bypass grafting were performed successfully with the heart beating.
一名6周大、体重4千克的患者因肺动脉起源异常左冠状动脉而入院接受手术矫正。由于该患者还患有遗传性球形红细胞增多症,存在溶血性贫血风险,因此无法在体外循环下进行冠状动脉再植术。于是,在心脏跳动的情况下成功进行了左主干闭合术和左乳内动脉-左前降支冠状动脉搭桥术。