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大隐静脉旁路移植血管的静脉痉挛现象：不明原因术后心绞痛复发或静脉旁路移植血管早期或晚期闭塞的可能原因。

Venospastic phenomena of saphenous vein bypass grafts: possible causes for unexplained postoperative recurrence of angina or early or late occlusion of vein bypass grafts.

作者信息

Maleki M, Manley J C

机构信息

St Luke's Hospital, Milwaukee, Wisconsin.

出版信息

Br Heart J. 1989 Jul;62(1):57-60. doi: 10.1136/hrt.62.1.57.

DOI:10.1136/hrt.62.1.57
PMID:2788002
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1216731/
Abstract

Angina recurred in a 54 year old white man after multivessel coronary artery bypass surgery. Fourteen months after operation the frequency and intensity of his mixed angina increased and cardiac stress testing was positive. Repeat cardiac catheterisation showed that all the bypass grafts were widely patent; however, spasms of a vein graft to right coronary artery system were clearly seen. Treatment with calcium blocking agents and long acting nitrates abolished the symptoms during 16 months of clinical follow up.

摘要

一名54岁白人男性在接受多支冠状动脉搭桥手术后心绞痛复发。术后14个月，他混合性心绞痛的发作频率和强度增加，心脏负荷试验呈阳性。再次进行心导管检查显示，所有搭桥血管均通畅；然而，右冠状动脉系统的一支静脉桥血管出现明显痉挛。在16个月的临床随访期间，使用钙通道阻滞剂和长效硝酸盐治疗使症状消失。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9222/1216731/9c32d972eb43/brheartj00067-0067-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9222/1216731/251d358caaab/brheartj00067-0066-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9222/1216731/9c32d972eb43/brheartj00067-0067-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9222/1216731/251d358caaab/brheartj00067-0066-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9222/1216731/9c32d972eb43/brheartj00067-0067-a.jpg

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1
Venospastic phenomena of saphenous vein bypass grafts: possible causes for unexplained postoperative recurrence of angina or early or late occlusion of vein bypass grafts.大隐静脉旁路移植血管的静脉痉挛现象：不明原因术后心绞痛复发或静脉旁路移植血管早期或晚期闭塞的可能原因。
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引用本文的文献

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A rare case of late onset saphenous vein graft spasm.一例罕见的迟发性隐静脉移植血管痉挛病例。
J Community Hosp Intern Med Perspect. 2017 Oct 13;7(5):332-335. doi: 10.1080/20009666.2017.1379851. eCollection 2017.

本文引用的文献

1
Acute spasm of vein bypass graft and recipient artery in the immediate postoperative period.术后即刻静脉搭桥移植物和受体动脉的急性痉挛
Tex Heart Inst J. 1984 Jun;11(2):198-203.
2
Is coronary arterial spasm a risk factor for coronary atherosclerosis?冠状动脉痉挛是冠状动脉粥样硬化的危险因素吗？
Am J Cardiol. 1980 Apr;45(4):901-3. doi: 10.1016/0002-9149(80)90138-1.
3
Spasm of a saphenous vein bypass graft. A possible mechanism for occlusion of the venous graft.大隐静脉旁路移植血管痉挛。静脉移植血管闭塞的一种可能机制。
Chest. 1981 Oct;80(4):413-5. doi: 10.1378/chest.80.4.413.
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Changes in contractility, compliance and elasticity in experimental arterial vein-autografts.实验性动脉静脉自体移植中收缩性、顺应性和弹性的变化。
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Central nervous system stimulation and cardiac ischemic changes in monkeys.猴子的中枢神经系统刺激和心脏缺血性变化。
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The incidence and clinical implications of coronary artery spasm.冠状动脉痉挛的发病率及临床意义。
Circulation. 1975 Dec;52(6):972-8. doi: 10.1161/01.cir.52.6.972.
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Postoperative changes in autologous vein grafts.
Ann Surg. 1978 Jul;188(1):1-15. doi: 10.1097/00000658-197807000-00001.
8
Ergonovine maleate provocative test for coronary arterial spasm.马来酸麦角新碱激发试验用于检测冠状动脉痉挛。
Am J Cardiol. 1978 Apr;41(4):631-40. doi: 10.1016/0002-9149(78)90810-x.
9
Coronary artery spasm: an important mechanism in the pathophysiology of ischemic heart disease.冠状动脉痉挛：缺血性心脏病病理生理学中的一个重要机制。
Curr Probl Cardiol. 1979 Jul;4(4):1-70. doi: 10.1016/0146-2806(79)90004-5.
10
Reoperation for coronary graft failure: clinical and angiographic results in 43 patients.冠状动脉移植失败后的再次手术：43例患者的临床及血管造影结果
Ann Thorac Surg. 1979 Apr;27(4):328-34. doi: 10.1016/s0003-4975(10)63308-5.