巨大冠状动脉瘤的外科治疗：一种改良方法。

Surgical treatment of a giant coronary artery aneurysm: a modified approach.

作者信息

Agarwal Richa, Jeevanandam Valluvan, Jolly Neeraj

机构信息

Section of Cardiology, The University of Chicago, Chicago, Illinois, USA.

出版信息

Ann Thorac Surg. 2007 Oct;84(4):1392-4. doi: 10.1016/j.athoracsur.2007.05.067.

DOI:10.1016/j.athoracsur.2007.05.067

PMID:17889012

Abstract

A common surgery for giant coronary artery aneurysms includes aneurysmal ligation and coronary artery bypass grafting. We report a patient with such an aneurysm involving the left main trunk in whom the aneurysmal characteristics precluded this approach. Surgical strategy was modified and the aneurysmal sac was dissected open to define the coronary vasculature before ligating the aneurysm and completing the bypass operation.

摘要

巨大冠状动脉瘤的一种常见手术包括动脉瘤结扎和冠状动脉旁路移植术。我们报告了一名患有累及左主干的此类动脉瘤的患者，该动脉瘤的特征排除了这种手术方法。手术策略进行了修改，在结扎动脉瘤并完成旁路手术之前，先切开动脉瘤囊以明确冠状动脉血管系统。