肺切除术后完全动脉非体外循环冠状动脉旁路移植术
Totally arterial off-pump coronary artery bypass grafting after pneumonectomy.
作者信息
Ushijima Teruaki, Kikuchi Yujiro, Ikeda Chikako, Takata Munehisa, Yamamoto Yoshitaka, Watanabe Go
机构信息
Division of Cardiac Surgery, Tokyo Medical University, Tokyo, Japan.
出版信息
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。
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