Darwazah Ahmad K, Shehadeh Saleh M, Sharabati Barakat, Abu Sham'a Raed A H
Department of Cardiac Surgery, Makassed Hospital, Jerusalem, Israel.
Ann Thorac Surg. 2008 Dec;86(6):1991-4. doi: 10.1016/j.athoracsur.2008.05.034.
Atherosclerosis of the internal mammary artery is a rare disease. We describe a case in which a 41-year-old man underwent coronary artery bypass surgery 23 years after repair of aortic coarctation. The diseased mammary artery was used to graft the left anterior descending coronary artery after intraoperative confirmation of good patency. Early graft occlusion occurred a few days after the operation. This case demonstrates that atherosclerosis affects mammary arteries after long-term repair of aortic coarctation. Such conduits should not be used, even in the presence of good blood flow.
胸廓内动脉粥样硬化是一种罕见疾病。我们描述了一例病例，一名41岁男性在主动脉缩窄修复术后23年接受了冠状动脉搭桥手术。术中确认病变胸廓内动脉通畅良好后，将其用于移植左前降支冠状动脉。术后几天发生了早期移植血管闭塞。该病例表明，主动脉缩窄长期修复后，粥样硬化会影响胸廓内动脉。即使血流良好，也不应使用此类血管移植物。
