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Use of extracorporeal life support for emergency coronary artery bypass grafting.体外生命支持在急诊冠状动脉旁路移植术中的应用。
Interact Cardiovasc Thorac Surg. 2013 Jun;16(6):897-9. doi: 10.1093/icvts/ivt082. Epub 2013 Mar 10.
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Surgery for anomalous origin of the left main coronary artery from the right sinus of Valsalva, in association with left main stenosis.瓦氏窦右窦起源的左冠状动脉异常伴左主干狭窄的手术治疗
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Coronary artery bypass grafting experience in the setting of an anomalous origin of the right coronary artery from the left sinus of Valsalva: Midterm results.瓦氏窦左窦右冠状动脉异常起源情况下的冠状动脉搭桥手术经验：中期结果
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Coronary artery bypass graft for anomalous right coronary artery.异常右冠状动脉的冠状动脉旁路移植术
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Minimally invasive direct coronary artery bypass--a surgical approach for anomalous right coronary artery from left aortic sinus of Valsalva.微创直接冠状动脉旁路移植术——一种治疗发自左主动脉窦的异常右冠状动脉的手术方法。
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Sudden Cardiac Death Associated with Anomalous Origin of the Left Main Coronary Artery from the Right Sinus, with an Intramural Course.左冠状动脉起源于右冠状动脉窦并走行于心肌内导致的心脏性猝死
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Aortic valve replacement and concomitant coronary artery bypass grafting in a patient with infective endocarditis and anomalous origin of the right coronary artery from the opposite sinus of valsalva.一名患有感染性心内膜炎且右冠状动脉起源于对侧主动脉窦的患者接受主动脉瓣置换术及同期冠状动脉旁路移植术。
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Protective effect of extracorporeal membrane oxygenation on intestinal mucosal injury after cardiopulmonary resuscitation in pigs.体外膜肺氧合对猪心肺复苏后肠黏膜损伤的保护作用
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本文引用的文献

1
Anomalous coronary artery from the wrong sinus of Valsalva: a physiologic repair strategy.起源于错误瓦尔萨尔瓦窦的异常冠状动脉：一种生理性修复策略。
Ann Thorac Surg. 2007 Apr;83(4):1472-6. doi: 10.1016/j.athoracsur.2006.10.071.
2
ECMO for left ventricular assist in a newborn with critical aortic stenosis.体外膜肺氧合用于患有严重主动脉瓣狭窄的新生儿的左心室辅助。
Pediatr Cardiol. 1994 Jan-Feb;15(1):38-40. doi: 10.1007/BF00797005.
3
Use of extracorporeal membrane oxygenation to maintain oxygenation during pediatric interventional cardiac catheterization.在小儿介入性心导管插入术中使用体外膜肺氧合来维持氧合。
Am Heart J. 1995 Sep;130(3 Pt 1):619-20. doi: 10.1016/0002-8703(95)90376-3.

体外生命支持在急诊冠状动脉旁路移植术中的应用。

Use of extracorporeal life support for emergency coronary artery bypass grafting.

作者信息

Panda Biswa Ranjan, Prabhu Anil, Provenzano Sylvio, Karl Tom

机构信息

Department of Paediatric Cardiac Surgery, Mater Children's Hospital, South Brisbane, Queensland, Australia.

出版信息

Interact Cardiovasc Thorac Surg. 2013 Jun;16(6):897-9. doi: 10.1093/icvts/ivt082. Epub 2013 Mar 10.

DOI:10.1093/icvts/ivt082
PMID:23478345
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3653486/
Abstract

A 14-year old boy was admitted with an anomalous origin of the right coronary artery (RCA) from the left sinus of Valsalva, with an interarterial course of the narrow proximal segment. He underwent coronary ostial augmentation and main pulmonary artery translocation to the left pulmonary artery. In the post-cardiopulmonary bypass (CPB) period, he developed thrombotic occlusion of the RCA resulting in arrhythmia and ventricular dysfunction, requiring extracorporeal life support (ECLS) in the form of extracorporeal membrane oxygenation rather than CPB. After confirming this complication by cardiac catheterization, the right coronary artery territory was revascularized with a pedicled right internal thoracic artery graft. The entire procedure was performed on a beating heart using a stabilizer during ECLS. This strategy may be useful in situations with unstable haemodynamics and a low risk of blood loss.

摘要

一名14岁男孩因右冠状动脉（RCA）起源于左冠窦且近端狭窄段走行于动脉间而入院。他接受了冠状动脉开口扩大术以及主肺动脉向左肺动脉移位术。在体外循环（CPB）期间，他出现了右冠状动脉血栓性闭塞，导致心律失常和心室功能障碍，需要以体外膜肺氧合形式的体外生命支持（ECLS）而非CPB。经心导管检查确认这一并发症后，用带蒂右胸廓内动脉移植物对右冠状动脉区域进行了血运重建。整个手术在ECLS期间使用稳定器在跳动的心脏上进行。这种策略在血流动力学不稳定且失血风险低的情况下可能有用。