Iwahashi Kazuhiko, Omura Atsushi, Kawahira Toshihiro, Okada Masayoshi
Department of Cardiovascular Surgery, Saiseikai Nakatsu Hospital, Osaka, 530-0012, Japan.
Gen Thorac Cardiovasc Surg. 2008 Dec;56(12):599-601. doi: 10.1007/s11748-008-0312-1. Epub 2008 Dec 16.
A 46-year-old man with anomalous origin of the left coronary artery from the pulmonary artery (Bland-White-Garland syndrome) is reported. We successfully performed coronary artery bypass grafting with the use of bilateral internal thoracic arteries and ligation of the anomalous left coronary artery. The patient was discharged from the hospital after an uneventful postoperative course and postoperative coronary angiography, which revealed patent internal thoracic arteries and no leakage of blood flow from the anomalous left coronary artery to the pulmonary artery. This surgical procedure is technically simple and useful for adult patients with Bland-White-Garland syndrome. To our knowledge, this is one of only a few reports on coronary artery bypass grafting with bilateral internal thoracic arteries as a treatment of Bland-White-Garland syndrome.
报告了一名46岁男性，其左冠状动脉起源于肺动脉（布兰德-怀特-加兰综合征）。我们成功地使用双侧胸廓内动脉进行了冠状动脉旁路移植术，并结扎了异常的左冠状动脉。患者术后过程平稳，术后冠状动脉造影显示胸廓内动脉通畅，异常左冠状动脉无血流漏入肺动脉，随后出院。该手术操作技术简单，对布兰德-怀特-加兰综合征成年患者有用。据我们所知，这是仅有的几篇关于使用双侧胸廓内动脉进行冠状动脉旁路移植术治疗布兰德-怀特-加兰综合征的报告之一。
