van Putte B P, Vink A, De Bruin P C, Defauw J J A
Department of Cardiothoracic Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands.
J Cardiovasc Surg (Torino). 2007 Apr;48(2):247-8.
Selective antegrade coronary artery perfusion is a commonly used procedure to obtain myocardial preservation during cardiac surgery. This report describes a patient operated for severe aortic valve stenosis and insufficiency, mitral valve and tricuspid insufficiency. Cardioplegia was administered by selective antegrade coronary artery blood perfusion. Antegrade blood cardioplegia was complicated by dissection of the left coronary main stem. The dissection induced a myocardial infaction and the patient finally died due to heart failure.
选择性冠状动脉顺行灌注是心脏手术中常用的心肌保护方法。本报告描述了一名因严重主动脉瓣狭窄和关闭不全、二尖瓣和三尖瓣关闭不全而接受手术的患者。通过选择性冠状动脉顺行血液灌注给予心脏停搏液。顺行血液心脏停搏液导致左冠状动脉主干夹层。该夹层引发心肌梗死，患者最终因心力衰竭死亡。
