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1
Coronary artery bypass grafting with internal thoracic arteries may cause bilateral brachiocephalic vein occlusion, complicating pacemaker implantation.使用胸廓内动脉进行冠状动脉旁路移植术可能导致双侧头臂静脉闭塞，使起搏器植入复杂化。
BMJ Case Rep. 2016 Oct 25;2016:bcr2016217291. doi: 10.1136/bcr-2016-217291.
2
Early experience with minimally invasive direct coronary artery bypass grafting with the internal thoracic artery.使用胸廓内动脉进行微创直接冠状动脉旁路移植术的早期经验。
J Thorac Cardiovasc Surg. 1999 May;117(5):873-80. doi: 10.1016/S0022-5223(99)70366-1.
3
Single versus bilateral internal thoracic artery grafts with concomitant saphenous vein grafts for multivessel coronary artery bypass grafting: effects on mortality and event-free survival.单支与双支胸廓内动脉移植物联合大隐静脉移植物用于多支冠状动脉旁路移植术：对死亡率和无事件生存率的影响。
J Thorac Cardiovasc Surg. 2004 May;127(5):1408-15. doi: 10.1016/j.jtcvs.2003.10.006.
4
Abdominal CT findings when the superior vena cava, brachiocephalic vein, or subclavian vein is obstructed.上腔静脉、头臂静脉或锁骨下静脉梗阻时的腹部CT表现。
AJR Am J Roentgenol. 1996 Dec;167(6):1457-63. doi: 10.2214/ajr.167.6.8956577.
5
Gastroepiploic artery grafting does not improve the late outcome in patients with bilateral internal thoracic artery grafting.胃网膜动脉移植术并不能改善双侧胸廓内动脉移植患者的远期疗效。
Ann Thorac Surg. 2007 Mar;83(3):1024-9. doi: 10.1016/j.athoracsur.2006.10.020.
6
Long-term survival after use of internal thoracic artery in octogenarians is gender related.在 80 岁以上人群中，使用内乳动脉的长期存活率与性别有关。
J Thorac Cardiovasc Surg. 2015 Oct;150(4):891-9. doi: 10.1016/j.jtcvs.2015.07.052. Epub 2015 Jul 26.
7
[Late results of coronary revascularization with saphenous vein and internal thoracic artery grafts].[大隐静脉和胸廓内动脉移植冠状动脉血运重建的远期结果]
Medicina (Kaunas). 2009;45(9):688-92.
8
Has the in situ right internal thoracic artery been overlooked? An angiographic study of the radial artery, internal thoracic arteries and saphenous vein graft patencies in symptomatic patients.原位右胸廓内动脉是否被忽视了？一项对有症状患者的桡动脉、胸廓内动脉和大隐静脉移植血管通畅情况的血管造影研究。
Eur J Cardiothorac Surg. 2005 May;27(5):870-5. doi: 10.1016/j.ejcts.2005.01.027.
9
Risk factors for wound infection after off-pump coronary artery bypass grafting: should bilateral internal thoracic arteries be harvested in patients with diabetes?非体外循环冠状动脉旁路移植术后伤口感染的危险因素：糖尿病患者是否应双侧取乳内动脉？
J Thorac Cardiovasc Surg. 2008 Mar;135(3):540-5. doi: 10.1016/j.jtcvs.2007.11.008.
10
Acute occlusion of left internal mammary artery graft during dual-chamber pacemaker implantation.双腔起搏器植入过程中左乳内动脉移植血管急性闭塞
Catheter Cardiovasc Interv. 2000 Sep;51(1):65-8. doi: 10.1002/1522-726x(200009)51:1<65::aid-ccd15>3.0.co;2-n.

本文引用的文献

1
Stenting of the Brachiocephalic Vein Following Occlusion After Coronary Artery Bypass Surgery.冠状动脉搭桥术后头臂静脉闭塞后的支架置入术。
J Card Surg. 2016 Jul;31(7):432-4. doi: 10.1111/jocs.12765. Epub 2016 Jun 10.
2
A case report of successful permanent pacemaker implantation via the iliac vein.经髂静脉成功植入永久性起搏器的病例报告。
J Arrhythm. 2016 Apr;32(2):151-3. doi: 10.1016/j.joa.2015.08.004. Epub 2015 Nov 11.
3
Percutaneous Implantation of an Entirely Intracardiac Leadless Pacemaker.经皮植入全心腔内无导线起搏器。
N Engl J Med. 2015 Sep 17;373(12):1125-35. doi: 10.1056/NEJMoa1507192. Epub 2015 Aug 30.
4
Comprehensive surgical management of the competitive athlete with effort thrombosis of the subclavian vein (Paget-Schroetter syndrome).锁骨下静脉用力性血栓形成（佩吉特-施罗特综合征）竞技运动员的综合外科治疗
J Vasc Surg. 2008 Apr;47(4):809-820; discussion 821. doi: 10.1016/j.jvs.2007.10.057. Epub 2008 Feb 14.
5
Coronary bypass surgery with internal-thoracic-artery grafts--effects on survival over a 15-year period.采用胸廓内动脉移植的冠状动脉搭桥手术——15年期间对生存率的影响
N Engl J Med. 1996 Jan 25;334(4):216-9. doi: 10.1056/NEJM199601253340402.

使用胸廓内动脉进行冠状动脉旁路移植术可能导致双侧头臂静脉闭塞，使起搏器植入复杂化。

Coronary artery bypass grafting with internal thoracic arteries may cause bilateral brachiocephalic vein occlusion, complicating pacemaker implantation.

作者信息

Nakabayashi Keisuke, Kato Hiroko, Sugiura Ryo, Oka Toshiaki

机构信息

Department of Cardiology, Seirei Hamamatsu General Hospital, Hamamatsu, Shizuoka, Japan.

出版信息

BMJ Case Rep. 2016 Oct 25;2016:bcr2016217291. doi: 10.1136/bcr-2016-217291.

DOI:10.1136/bcr-2016-217291
PMID:27797883
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5093751/
Abstract

The number of patients with arrhythmia and ischaemic heart diseases is increasing. Patients with pacemaker implantation sometimes have brachiocephalic vein occlusion, and several aetiologies have been reported. However, coronary artery bypass grafting using the internal thoracic arteries is not fully discussed in the literature. We present a case of failed percutaneous pacemaker implantation due to bilateral brachiocephalic vein occlusion 8 years after coronary artery bypass grafting using the bilateral internal thoracic arteries. There were rich collateral veins consisting of hemiazygos and azygos veins. We then performed surgical implantation instead. Contrast CT or venography for such patients might be considered.

摘要

心律失常和缺血性心脏病患者的数量正在增加。植入起搏器的患者有时会出现头臂静脉闭塞，并且已经报道了多种病因。然而，文献中对使用胸廓内动脉进行冠状动脉旁路移植术的讨论并不充分。我们报告一例在使用双侧胸廓内动脉进行冠状动脉旁路移植术8年后，因双侧头臂静脉闭塞导致经皮起搏器植入失败的病例。存在由半奇静脉和奇静脉组成的丰富侧支静脉。然后我们改为进行手术植入。对于此类患者，可能需要考虑进行对比CT或静脉造影。