Tamaki S, Tanaka M, Matsumoto Y, Sawazaki M, Hirate Y, Hosokawa S, Mizuno S, Maseki T, Watanabe T, Takeuchi E
Kyobu Geka. 1989 Dec;42(13):1135-8.
A 59-year-old patient with atrial septal defect (ASD) and angina pectoris due to 99% stenosis of the anterior descending coronary artery (LAD) was successfully treated by closure of ASD and coronary artery bypass grafting (CABG) to the LAD #7 with a saphenous vein graft. Preoperatively, the right ventricle was overloaded with high pulmonary arterial pressure (52 mmHg) and anterior segmental wall motion of the left ventricle was reduced probably due to myocardial ischemia. Combined operation, ASD closure and CABG, made these impairments normal and resulted in disappearance of the chest pain and reinstatement to his former job.
一名59岁的患者，患有房间隔缺损（ASD），因前降支冠状动脉（LAD）99%狭窄而患有心绞痛，通过闭合ASD以及使用大隐静脉移植对LAD #7进行冠状动脉旁路移植术（CABG）成功治疗。术前，右心室因高肺动脉压（52 mmHg）而负荷过重，左心室前壁节段性运动减弱，可能是由于心肌缺血所致。ASD闭合和CABG联合手术使这些损害恢复正常，胸痛消失，并使其恢复了原工作。
