一名多发性硬化症患者的非体外循环冠状动脉手术。
Off-pump coronary surgery in a patient with multiple sclerosis.
作者信息
Casati V, Tesler U F, Novelli E, D'Angelo A, Romano A, Stelian E, Scandone M, Guerra F
机构信息
Division of Cardiovascular Anesthesia and Intensive Care, Clinica San Gaudenzio (Policlinico di Monza Group), Novara, Italy.
Division of Cardiac Surgery, Clinica San Gaudenzio (Policlinico di Monza Group), Novara, Italy.
出版信息
Heart Lung Vessel. 2013;5(3):179-82.
Surgery in patients with multiple sclerosis, the most common autoimmune demyelinating disorder of the central nervous system, represents a challenge for surgeons and anesthesiologists because of the reported risk of relapse of the neurologic symptoms in the perioperative period. In this report, we describe the management of a patient with relapsing-remitting multiple sclerosis and critical coronary artery disease, who underwent an uneventful off-pump coronary artery revascularization. The issues pertaining to the performance of coronary surgery revascularization on patients with multiple sclerosis are discussed.
多发性硬化症是中枢神经系统最常见的自身免疫性脱髓鞘疾病，对患有该疾病的患者进行手术，对外科医生和麻醉师来说是一项挑战，因为据报道围手术期存在神经症状复发的风险。在本报告中，我们描述了一名患有复发缓解型多发性硬化症和严重冠状动脉疾病的患者的治疗情况，该患者接受了顺利的非体外循环冠状动脉血运重建术。文中还讨论了对多发性硬化症患者进行冠状动脉血运重建手术时的相关问题。
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