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婴儿非体外循环心脏跳动下心肌血运重建术

Beating heart off-pump myocardial revascularization in an infant.

作者信息

Walther Thomas, Dähnert Ingo, Kiefer Herbert, Falk Volkmar, Kostelka Martin, Mohr Friedrich W

机构信息

Klinik für Herzchirurgie, Herzzentrum, Universität Leipzig, Leipzig, Germany.

出版信息

Ann Thorac Surg. 2005 Jun;79(6):2151-3. doi: 10.1016/j.athoracsur.2003.12.044.

DOI:10.1016/j.athoracsur.2003.12.044
PMID:15919335
Abstract

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.

摘要

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。

相似文献

1
Beating heart off-pump myocardial revascularization in an infant.婴儿非体外循环心脏跳动下心肌血运重建术
Ann Thorac Surg. 2005 Jun;79(6):2151-3. doi: 10.1016/j.athoracsur.2003.12.044.
2
Off-pump coronary artery bypass grafting for a patient with anomalous origin of the right coronary artery from the pulmonary artery.为一名右冠状动脉起源于肺动脉的患者进行非体外循环冠状动脉旁路移植术。
Ann Thorac Cardiovasc Surg. 2006 Dec;12(6):432-4.
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Off-pump bypass of the left anterior descending coronary artery: 23- to 34-year follow-up.左前降支冠状动脉非体外循环搭桥术:23至34年随访
J Thorac Cardiovasc Surg. 2007 Jun;133(6):1499-503. doi: 10.1016/j.jtcvs.2007.01.071.
4
On-pump beating-heart coronary artery bypass grafting after acute myocardial infarction has lower mortality and morbidity.急性心肌梗死后不停跳冠状动脉搭桥术的死亡率和发病率较低。
J Thorac Cardiovasc Surg. 2008 Mar;135(3):521-6. doi: 10.1016/j.jtcvs.2007.10.006.
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Intracoronary shunt prevents ischemia in off-pump coronary artery bypass surgery.冠状动脉内分流术可预防非体外循环冠状动脉搭桥手术中的缺血情况。
Ann Thorac Surg. 2009 Jan;87(1):54-60. doi: 10.1016/j.athoracsur.2008.08.032.
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Impact of isolated bypass grafting of the left internal thoracic artery to the left anterior descending coronary artery in high-risk patients with three-vessel coronary artery disease.在高危三支血管冠状动脉疾病患者中,左胸廓内动脉至左前降支冠状动脉单独搭桥术的影响。
Rev Port Cardiol. 2008 Oct;27(10):1239-47.
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[Totally robotic internal mammary artery harvest and beating heart coronary artery bypass].[全机器人胸廓内动脉获取及不停跳冠状动脉搭桥术]
Zhonghua Wai Ke Za Zhi. 2007 Oct 15;45(20):1414-6.
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Off-pump coronary artery bypass is an alternative to conventional cardiopulmonary bypass when repair of traumatic coronary artery injuries is indicated.
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Resection of left anterior descending coronary artery aneurysm on a beating heart.在跳动心脏上切除左前降支冠状动脉瘤
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Early and late outcome after off-pump coronary artery bypass graft surgery with coronary endarterectomy: a single-center 10-year experience.非体外循环冠状动脉旁路移植术联合冠状动脉内膜切除术的早期和晚期结果:单中心10年经验
Ann Thorac Surg. 2006 May;81(5):1691-6. doi: 10.1016/j.athoracsur.2005.12.028.

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Hemolysis during open heart surgery in patients with hereditary spherocytosis - systematic review of the literature and case study.遗传性球形红细胞增多症患者心脏直视手术期间的溶血——文献系统综述与病例研究
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