Tanaka Satona, Miyairi Takeshi, Shimada Shogo, Miura Sumio, Kigawa Ikutaro, Fukuda Sachito
Division of Cardiovascular Surgery, Mitsui Memorial Hospital, Kandaizumicho-1, Chiyoda-ku, Tokyo, 101-8643, Japan.
Gen Thorac Cardiovasc Surg. 2008 Dec;56(12):592-4. doi: 10.1007/s11748-008-0308-x. Epub 2008 Dec 16.
Werner's syndrome is a rare hereditary disorder that is characterized by premature aging. We report a case of off-pump coronary artery bypass grafting (OPCAB) in a 56-year-old man with Werner's syndrome. We used an endoscopic vessel-harvesting system to harvest great saphenous vein grafts (SVGs) because this system helps minimize surgical wounds. This is important because poor wound healing is a prominent feature of Werner's syndrome. Revascularization of the coronary arteries in this case was thought to improve his prognosis, although he had already outlived the average life-span of Werner's syndrome. A detailed examination of the cardiovascular system should be performed in patients with this disorder.
韦纳综合征是一种罕见的遗传性疾病，其特征为早衰。我们报告了一例56岁患有韦纳综合征男性患者的非体外循环冠状动脉旁路移植术（OPCAB）。我们使用内镜血管采集系统获取大隐静脉移植物（SVG），因为该系统有助于将手术伤口最小化。这很重要，因为伤口愈合不良是韦纳综合征的一个突出特征。尽管该患者已超过韦纳综合征的平均寿命，但此次冠状动脉血运重建被认为可改善其预后。应对患有这种疾病的患者进行详细的心血管系统检查。
