Cardiothoracic and Vascular Surgery Department, Chhatrapati Shahuji Maharaj Medical University, Lucknow, India.
Ann Thorac Surg. 2012 Feb;93(2):682-3. doi: 10.1016/j.athoracsur.2011.09.067.
Significant hemodynamic alterations often occur during off-pump coronary artery bypass operations. Historically, left main coronary artery stenosis has been excluded from off-pump coronary artery bypass operations because of this concern. Many articles in recent times support off-pump operations in left main coronary artery (LMCA) stenosis. We describe here a safe and effective method to reduce the incidence of hemodynamic changes during beating heart surgery in patients with LMCA stenosis.
在非体外循环冠状动脉旁路移植术中经常会发生显著的血液动力学改变。由于这种担忧,历史上左主干冠状动脉狭窄已被排除在非体外循环冠状动脉旁路移植术之外。最近有许多文章支持在左主干冠状动脉(LMCA)狭窄的情况下进行非体外循环手术。我们在此描述了一种安全有效的方法,可降低 LMCA 狭窄患者在心脏跳动手术期间发生血液动力学变化的发生率。