高安氏病合并心绞痛：冠状动脉开口成形术及搭桥术血运重建

Angina pectoris in a case of Takayasu's disease: revascularization by coronary ostioplasty and bypass grafting.

作者信息

Morgan J M, Honey M, Gray H H, Belcher P, Paneth M

机构信息

Department of Cardiology, Brompton Hospital, London, U.K.

出版信息

Eur Heart J. 1987 Dec;8(12):1354-8. doi: 10.1093/oxfordjournals.eurheartj.a062224.

DOI:10.1093/oxfordjournals.eurheartj.a062224

PMID:2893734

Abstract

A young man with Takayasu's disease had severe right and left coronary ostial stenoses. Severe angina was relieved by operation at which the right coronary ostium was enlarged by a pericardial patch extending across the stenosis from aorta to coronary artery; the aortic end of a vein graft to the left coronary artery was attached to this patch. This technique may reduce the risk of recurrence of ostial stenosis or of stenosis at graft origins.

摘要

一名患有大动脉炎的年轻男性出现严重的左右冠状动脉开口狭窄。严重的心绞痛通过手术得到缓解，术中用一块心包补片从主动脉跨越狭窄处延伸至冠状动脉，扩大了右冠状动脉开口；将左冠状动脉静脉移植物的主动脉端连接到该补片上。这种技术可能会降低开口狭窄或移植物起始处狭窄复发的风险。