经腋动脉逆行血流重建术治疗同时合并冠状动脉旁路移植术的锁骨下动脉盗血综合征

Reversal of flow in the mammary artery to treat subclavian steal syndrome in conjunction with coronary bypass surgery.

机构信息

Department of Heart Surgery, Schuechtermann Clinic, Bad Rothenfelde, Germany.

出版信息

Ann Thorac Surg. 2011 Jan;91(1):283-5. doi: 10.1016/j.athoracsur.2010.06.119.

DOI:10.1016/j.athoracsur.2010.06.119

Abstract

Occasionally patients with multi-vessel disease present with coronary stenoses and subclavian steal syndrome. A novel surgical approach for the treatment of these vascular problems is described. The in situ left internal mammary artery was used to create an aortosubclavian shunt, thus restoring antegrade vertebral flow and vein grafts were used for coronary revascularization.

摘要

偶尔，有多支血管病变的患者会出现冠状动脉狭窄和锁骨下动脉窃血综合征。本文介绍了一种治疗这些血管问题的新手术方法。原位左内乳动脉用于创建主动脉-锁骨下旁路，从而恢复向颅内的血流，静脉移植物用于冠状动脉血运重建。