Suma H, Nishimoto T, Kawakami M, Morita H
Nihon Kyobu Geka Gakkai Zasshi. 1989 Jun;37(6):1194-6.
A 57-year-old female underwent coronary artery bypass reoperation successfully by utilizing the free gastroepiploic artery (GEA) graft in combination with the in situ left internal mammary artery (IMA) graft. The left IMA was anastomosed to the left anterior descending artery and the "free" GEA was anastomosed to the left IMA proximally and to the first diagonal branch distally. The patient recovered well with a disappearance of angina. Postoperative angiogram at 6 weeks showed good patency of both grafts and improvement of left ventricular contraction was obtained. Thus, GEA can be utilized not only as an "in situ" graft, but also as a "free" graft, effectively.
一名57岁女性成功接受了冠状动脉搭桥再次手术，术中使用了游离胃网膜动脉（GEA）移植物联合原位左乳内动脉（IMA）移植物。左IMA与左前降支动脉吻合，“游离”GEA近端与左IMA吻合，远端与第一对角支吻合。患者恢复良好，心绞痛消失。术后6周的血管造影显示两个移植物均通畅良好，左心室收缩功能得到改善。因此，GEA不仅可以作为“原位”移植物有效使用，也可以作为“游离”移植物有效使用。
