Ushijima Teruaki, Kikuchi Yujiro, Ikeda Chikako, Takata Munehisa, Yamamoto Yoshitaka, Watanabe Go
Division of Cardiac Surgery, Tokyo Medical University, Tokyo, Japan.
Ann Thorac Cardiovasc Surg. 2011;17(3):320-2. doi: 10.5761/atcs.cr.10.01534.
We report the case of an 82-year-old man who underwent triple coronary artery bypass grafting with arterial grafts, who 20 years previously underwent left pneumonectomy for lung cancer. Computed tomography (CT) presented a marked shift of the heart and great vessels into the left hemithorax. Off-pump coronary artery bypass grafting was performed through a left thoracotomy, in which the left internal thoracic, right gastroepiploic, and radial arteries were used. He was extubated 1 hour post-operatively and had an uneventful recovery.
我们报告了一例82岁男性患者，该患者接受了动脉搭桥的冠状动脉旁路移植术，20年前因肺癌接受了左肺切除术。计算机断层扫描（CT）显示心脏和大血管明显向左半胸移位。通过左胸廓切开术进行非体外循环冠状动脉旁路移植术，术中使用了左胸廓内动脉、右胃网膜动脉和桡动脉。患者术后1小时拔管，恢复顺利。
