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[主动脉炎综合征所致不稳定型心绞痛的冠状动脉旁路移植术;1例报告]

[Coronary artery bypass grafting for unstable angina pectoris with aortitis syndrome; report of a case].

作者信息

Tobe S, Yoshida K, Omura A, Fukase K, Tanimura N, Hino H, Yamaguchi M

机构信息

Department of Cardiovascular Surgery, Akashi Medical Center, Akashi, Japan.

出版信息

Kyobu Geka. 2008 Aug;61(9):797-801.

PMID:18697463
Abstract

A 78-year-old male with aortitis syndrome was referred to our hospital for the treatment of unstable angina pectoris with ischemic mitral regurgitation, which was diagnosed by transthoracic echocardiography and coronary artery angiography. Computed tomography showed segmental wall thickness of thoracic and abdominal aorta He underwent an emergent coronary artery bypass grafting. The postoperative course was uneventful without any neurological complications. Postoperative echocardiogram and coronary artery angiography showed good mitral valve function and all patent bypass grafts. He was discharged 33 days after surgery. At 26 months after surgery, he is well without limitation of daily activities and any evidence of myocardial ischemia.

摘要

一名患有大动脉炎综合征的78岁男性因不稳定型心绞痛合并缺血性二尖瓣反流被转诊至我院,经胸超声心动图和冠状动脉造影确诊。计算机断层扫描显示胸主动脉和腹主动脉节段性壁厚。他接受了急诊冠状动脉搭桥术。术后过程顺利,无任何神经并发症。术后超声心动图和冠状动脉造影显示二尖瓣功能良好,所有搭桥血管通畅。他在术后33天出院。术后26个月,他情况良好,日常活动不受限,无任何心肌缺血迹象。

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