先天性心包缺如患者的非体外循环冠状动脉搭桥术

Off-pump coronary artery bypass in congenital absence of pericardium.

作者信息

Reddy C Sukesh Kumar, Ali Syed Nasheed, Raamaanuhadaasudu C Kodhandapani, Parimi Srinivas S, Reddy T Ramakrishna, Reddy Vijay Kumar

机构信息

Department of Cardiothoracic Surgery, Mediciti Hospitals, Hyderabad, Andhra Pradesh, India.

出版信息

Asian Cardiovasc Thorac Ann. 2013 Aug;21(4):473-5. doi: 10.1177/0218492312458428. Epub 2013 Jul 9.

DOI:10.1177/0218492312458428

PMID:24570536

Abstract

Off-pump coronary artery bypass involves precise manipulations for proper positioning the heart without causing hemodynamic compromise. Pericardial stay sutures exerting appropriate traction play an important role in off-pump surgery. We report a rare case in which a congenital pericardial defect was discovered after sternotomy in a patient undergoing off-pump coronary artery bypass.

摘要

非体外循环冠状动脉旁路移植术需要精确操作，以便在不引起血流动力学不稳定的情况下正确放置心脏。心包牵引缝线施加适当的牵引力在非体外循环手术中起着重要作用。我们报告了一例罕见病例，一名接受非体外循环冠状动脉旁路移植术的患者在开胸术后发现先天性心包缺损。