创伤性冠状动脉损伤的管理：非体外循环冠状动脉搭桥术的优势
Management of Traumatic Coronary Artery Injuries: Advantages of Off-Pump Coronary Artery Bypass.
作者信息
Atkins B Zane, Salomone Jeffrey P, Subramanian Anuradha, Burke J Ryan, Vercruysse Gary A
机构信息
Department of Surgery, Durham Veterans Affairs Medical Center, Surgical Services, Durham, NC, USA.
Department of Surgery, Uniformed Services University of Health Sciences, Bethesda, MD, USA.
出版信息
Eur J Trauma Emerg Surg. 2010 Aug;36(4):380-4. doi: 10.1007/s00068-009-9063-7. Epub 2009 Sep 17.
Coronary artery injuries are rare but highly lethal. Debate exists as to the best treatment for this complex set of injuries, with historical treatment favoring arterial ligation. Although conventional coronary artery bypass grafting using cardiopulmonary bypass has been used somewhat successfully, enthusiasm for off-pump CABG (OPCAB) has grown more recently. We report two unique cases of left anterior descending coronary arterial injuries managed successfully with OPCAB.
冠状动脉损伤虽罕见但致死率极高。对于这类复杂损伤的最佳治疗方法存在争议，传统治疗倾向于动脉结扎。尽管使用体外循环的传统冠状动脉搭桥术已取得一定成功，但近年来非体外循环冠状动脉搭桥术（OPCAB）越来越受到青睐。我们报告了两例采用OPCAB成功治疗左前降支冠状动脉损伤的独特病例。
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