动脉调转术后晚期冠状动脉灌注不足的小儿冠状动脉搭桥术

Paediatric coronary artery bypass grafting for coronary hypoperfusion late after arterial switch operation.

作者信息

Bakhtiary Farhad, Bellinghausen Wilfried, Kostelka Martin

机构信息

Department of Cardiac Surgery, University of Leipzig, Heart Centre, Strümpelstrasse 39, Leipzig,Germany.

出版信息

Cardiol Young. 2011 Aug;21(4):460-1. doi: 10.1017/S1047951111000138. Epub 2011 Mar 17.

DOI:10.1017/S1047951111000138

PMID:21411027

Abstract

A case of left main coronary artery stenosis is presented in a boy late after an arterial switch operation, with significant ischaemia during exercise with good collateralisation through the right coronary artery. The problem was successfully managed with minimally invasive off-pump coronary artery bypass through median re-sternotomy.

摘要

本文介绍了一例动脉调转术术后晚期的男孩左冠状动脉主干狭窄病例，其运动时存在明显缺血，通过右冠状动脉有良好的侧支循环。该问题通过经正中再次开胸的微创非体外循环冠状动脉搭桥术成功解决。