Carter M J
Aust N Z J Surg. 1987 May;57(5):317-21. doi: 10.1111/j.1445-2197.1987.tb01365.x.
Thirty consecutive patients with angina pectoris undergoing coronary artery bypass grafting using the proximally attached right gastro-epiploic artery are described. Posterior coronary arteries were grafted using the right gastro-epiploic artery, and grafts to the left coronary artery were done using predominantly internal mammary artery grafts. The right gastro-epiploic artery graft is mobilized along the greater curvature of the stomach, and transected distally. With cardiopulmonary bypass and blood cardioplegic arrest for myocardial preservation during cross-clamping of the aorta, the distal end of the artery is anastomosed end-to-side to the posterior descending artery or a postero-lateral branch, or to both, using a sequential technique. Twenty-five of the patients complained of symptoms suggestive of angina early postoperatively but are currently symptom-free with normal exercise tolerance. Thirteen patients had postoperative exercise tests: eight were normal, two were inconclusive, and three were abnormal. Nine grafted coronary arteries were re-angiogrammed, and seven were judged to be patent. It is concluded that, as an alternative resource, the right gastro-epiploic artery can be used to bypass coronary obstructions expeditiously and with results comparable to those obtained with the saphenous vein or internal mammary artery.
本文描述了30例接受冠状动脉搭桥术的心绞痛患者，术中使用了近端相连的右胃网膜动脉。右冠状动脉后支使用右胃网膜动脉进行搭桥，而左冠状动脉搭桥则主要使用乳内动脉。右胃网膜动脉移植物沿着胃大弯游离，并在远端切断。在主动脉交叉阻断期间，通过体外循环和冷血心脏停搏液进行心肌保护，动脉远端使用序贯技术与后降支动脉或后外侧分支或两者进行端侧吻合。25例患者术后早期出现提示心绞痛的症状，但目前无症状且运动耐量正常。13例患者进行了术后运动试验：8例正常，2例结果不确定，3例异常。对9条移植的冠状动脉进行了再次血管造影，其中7条被判定通畅。结论是，作为一种替代资源，右胃网膜动脉可用于快速绕过冠状动脉阻塞，其结果与使用大隐静脉或乳内动脉相当。
