Srivastava Vivek, More Ranjit, Tang Augustine
Department of Cardiothoracic Surgery, Lancashire Cardiac Centre, Victoria Hospital, Blackpool, UK.
J Cardiothorac Surg. 2011 May 18;6:75. doi: 10.1186/1749-8090-6-75.
Poland Syndrome is a congenital disorder characterised by hypoplasia of the pectoral muscles along with upper extremity deformities. We encountered a patient with Poland syndrome associated with dextrocardia and also failed pectus excavatum repairs who presented to us with symptomatic ischaemic heart disease requiring intervention. He underwent successful off-pump coronary artery bypass surgery (OPCABG). As far as we are aware, this is the first case report of OPCABG in a case of Poland syndrome with dextrocardia. We describe here the management of this complex patient and wish to emphasise that the off-pump option is feasible in dextrocardia with some technical modifications.
波兰综合征是一种先天性疾病，其特征为胸肌发育不全以及上肢畸形。我们遇到一名患有波兰综合征且合并右位心以及漏斗胸修复失败的患者，该患者因有症状的缺血性心脏病前来就诊，需要进行干预。他接受了成功的非体外循环冠状动脉搭桥手术（OPCABG）。据我们所知，这是首例关于患有右位心的波兰综合征患者行非体外循环冠状动脉搭桥手术的病例报告。我们在此描述该复杂患者的治疗情况，并希望强调，通过一些技术改进，非体外循环手术方案在右位心患者中是可行的。
