Mukhaini Mohammed, Panduranga Prashanth
Department of Cardiology, Royal Hospital, Muscat, Oman.
J Saudi Heart Assoc. 2010 Oct;22(4):215-7. doi: 10.1016/j.jsha.2010.06.001. Epub 2010 Jul 1.
Composite graft replacement of the aortic root and coronary reimplantation with or without coronary artery bypass surgery is the standard treatment for a variety of aortic root pathologies. Previously, percutaneous coronary intervention of either reimplanted coronary arteries or left/right coronary artery through cabrol graft has been described in post-Bentall patients. We describe percutaneous coronary intervention of a saphenous vein graft ostial stenosis in a patient with previous Bentall procedure and a vein graft to right coronary artery, which was complex and challenging.
主动脉根部复合移植及冠状动脉再植入术,无论是否进行冠状动脉搭桥手术,都是治疗多种主动脉根部病变的标准方法。此前,已报道过在Bentall术后患者中,对再植入的冠状动脉或通过Cabrol移植血管对左/右冠状动脉进行经皮冠状动脉介入治疗。我们描述了1例既往接受Bentall手术且有一条大隐静脉移植血管至右冠状动脉的患者,对其大隐静脉移植血管开口处狭窄进行经皮冠状动脉介入治疗的过程,该过程复杂且具有挑战性。