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使用原位右胸廓内动脉并保留其侧支进行右冠状动脉血运重建。

Right coronary revascularization using the right internal thoracic artery in situ with persisting side branches.

作者信息

Forte Antonio J V, Lobo Filho José G, Leitão Maria C A

机构信息

Department of Heart Surgery of the Institute of Heart and Lung, ICORP - Fortaleza, Ceará, Brazil.

出版信息

J Card Surg. 2007 Mar-Apr;22(2):158-60. doi: 10.1111/j.1540-8191.2007.00371.x.

DOI:10.1111/j.1540-8191.2007.00371.x
PMID:17338757
Abstract

There is a controversy about flow steal when the internal thoracic artery is used, with its remnant branches, to revascularize the coronary system. We report a case of a 64-year-old man who was submitted to revascularization using an in situ right internal thoracic artery, with persisting side branches, to supply the right coronary system. Angiography, Doppler echocardiography, and echocardiography at rest and under stress were performed. We found no evidence of flow steal.

摘要

当使用胸廓内动脉及其残留分支对冠状动脉系统进行血运重建时,关于窃血现象存在争议。我们报告一例64岁男性患者,其接受了使用原位右胸廓内动脉(伴有持续存在的侧支分支)对右冠状动脉系统进行血运重建的手术。进行了血管造影、多普勒超声心动图以及静息和负荷状态下的超声心动图检查。我们未发现窃血现象的证据。

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