Suma H, Wanibuchi Y, Terada Y, Fukuda S, Saito T, Isshiki T, Yamaguchi T
Department of Cardiovascular Surgery, Mitsui Memorial Hospital, Tokyo, Japan.
J Cardiovasc Surg (Torino). 1991 Mar-Apr;32(2):268-70.
Bovine internal thoracic artery grafts (Bioflow) were successfully utilized in two patients for emergency coronary artery bypass grafting (CABG). One patient was an 80-year-old man with severe varicose veins and a calcified ascending aorta. Heart failure occurred after triple CABG with bilateral internal thoracic and gastroepiploic arteries. The addition of a Bioflow graft to the circumflex artery restored good cardiac function. The second case was a 54-year-old man whose patent old saphenous vein graft was accidentally injured at reoperation. Emergency use of the Bioflow to bypass the right coronary artery in combination with the right gastroepiploic artery graft to the anterior descending artery resulted in an excellent outcome. The two Bioflow grafts were patent at the 20th and 10th postoperative days, respectively. These cases strongly suggest the efficacy of Bioflow during emergency situations in CABG.
牛胸廓内动脉移植物(Bioflow)成功用于两名患者的急诊冠状动脉旁路移植术(CABG)。一名患者是一位80岁男性,患有严重静脉曲张和升主动脉钙化。在使用双侧胸廓内动脉和胃网膜动脉进行三联CABG后出现心力衰竭。在回旋支动脉上加用Bioflow移植物恢复了良好的心功能。第二例是一名54岁男性,其通畅的陈旧大隐静脉移植物在再次手术时意外受损。紧急使用Bioflow绕过右冠状动脉,并将右胃网膜动脉移植物用于前降支动脉,结果非常理想。两根Bioflow移植物分别在术后第20天和第10天保持通畅。这些病例有力地表明了Bioflow在CABG急诊情况下的有效性。