Department of Cardiothoracic Surgery, University Hospital of South Manchester, Wythenshawe, United Kingdom.
Ann Thorac Surg. 2011 Aug;92(2):733-5. doi: 10.1016/j.athoracsur.2011.01.098.
The great saphenous vein remains the most commonly used conduit for coronary artery bypass grafting. The endoscopic vein harvesting technique is widely used due to reduced postoperative complications. We present the case of 5 patients with a history of inguinal hernia undergoing coronary artery bypass grafting, which resulted in CO2 infiltration through the deep inguinal ring and into the scrotum leading to acute scrotal enlargement. Due to the risk of impediment of vascular blood supply and necrosis, endoscopic vein harvesting was withdrawn, and the vein was harvested by using the bridging technique. Postoperatively, severe contusion, inflammation, and erythematous vesicular eruption resulted in a lengthened hospital stay.
大隐静脉仍然是冠状动脉旁路移植术最常用的移植物。由于术后并发症减少，内镜静脉采集技术得到了广泛应用。我们报告了 5 例腹股沟疝病史的患者行冠状动脉旁路移植术的病例，这导致 CO2 通过腹股沟深环渗透到阴囊，导致急性阴囊增大。由于血管血液供应受阻和坏死的风险，内镜静脉采集被撤回，并采用桥接技术采集静脉。术后，严重的瘀伤、炎症和红斑水疱疹导致住院时间延长。
