Atoui Rony, Mohammadi Siamak, Shum-Tim Dominique
Division of Cardiothoracic Surgery, Department of Surgery, McGill University Health Center, 1650 Cedar Avenue, Montreal, Quebec, H3G 1A4, Canada.
Interact Cardiovasc Thorac Surg. 2009 Oct;9(4):736-8. doi: 10.1510/icvts.2009.210633. Epub 2009 Jul 29.
In this current 'stent era', cardiac surgeons are faced with a rapidly increasing number of patients in whom previous percutaneous coronary interventions (PCIs) have been performed before they are finally referred for coronary artery bypass surgery. We herein describe a technique of surgical revascularization in two patients with diffusely diseased left anterior descending arteries (LAD), covered with multiple overlapping stents extending to their distal portion. The pertinent literature is reviewed and the technical steps and clinical presentation are discussed.
在当前这个“支架时代”，心脏外科医生面临着越来越多这样的患者：他们在最终被转诊接受冠状动脉旁路移植手术之前，已经接受过经皮冠状动脉介入治疗（PCI）。我们在此描述了两名左前降支（LAD）弥漫性病变患者的外科血运重建技术，这些病变部位覆盖着多个延伸至远端的重叠支架。我们回顾了相关文献，并讨论了技术步骤和临床表现。
