Kumagai Kazuya, Kin Hajime, Mukaida Masayuki, Oyama Kotaro, Takahashi Shin, Sato Yoko, Okabayashi Hitoshi
Department of Cardiovascular Surgery, Iwate Medical University Memorial Heart Center, Morioka, Japan.
Kyobu Geka. 2010 Jun;63(6):466-9.
A 14-year-old girl was admitted to our hospital with a history of syncope and chest pain on exercise. Multi-slice coronary computed tomography (CT) demonstrated ostial stenosis of the left main trunk as well as wall thickening in the ascending aorta. Magnetic resonance imaging (MRI) also showed occlusion of the left carotid artery. She was diagnosed as having angina pectoris caused by aortitis syndrome. We performed off-pump coronary artery bypass grafting (OPCAB) with the left internal thoracic artery to the left anterior descending artery. The postoperative course was uneventful and coronary CT demonstrated good graft patency. We herein report successful OPCAB in a patient with left coronary main trunk ostial stenosis with aortitis syndrome.
一名14岁女孩因运动时晕厥和胸痛病史入住我院。多层冠状动脉计算机断层扫描（CT）显示左主干开口狭窄以及升主动脉壁增厚。磁共振成像（MRI）也显示左颈动脉闭塞。她被诊断为大动脉炎综合征引起的心绞痛。我们采用左胸廓内动脉至左前降支进行非体外循环冠状动脉旁路移植术（OPCAB）。术后过程顺利，冠状动脉CT显示移植血管通畅良好。我们在此报告一例大动脉炎综合征合并左冠状动脉主干开口狭窄患者成功进行OPCAB的病例。
