有功能的乳内动脉移植物患者的主动脉瓣置换术
Aortic Valve Replacement for Patients with Functioning Internal Mammalian Artery Grafts.
作者信息
Masaki Naoki, Ogasawara Takashi, Kawarai Shun-Ichi, Matsuki Katsuo
机构信息
Division of Cardiovascular Surgery, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan.
Department of Cardiovascular Surgery, Hachinohe City Hospital, Hachinohe, Aomori, Japan.
出版信息
Ann Thorac Cardiovasc Surg. 2018 Apr 20;24(2):103-105. doi: 10.5761/atcs.cr.17-00098. Epub 2017 Sep 26.
Abstract
Aortic valve replacement (AVR) for patients with functioning internal mammalian artery (ITA) grafts is technically challenging, and the optimal treatment strategy for these situations remains controversial. Here, we report five cases of AVR with ITA graft using continuous retrograde cardioplegia in addition to moderate hypothermia without the clamping of ITA and discuss the management of these cases.
摘要
对于具有功能良好的内乳动脉（ITA）移植物的患者进行主动脉瓣置换（AVR）在技术上具有挑战性，并且针对这些情况的最佳治疗策略仍存在争议。在此，我们报告5例使用连续逆行心脏停搏液并联合中度低温，且不夹闭ITA进行ITA移植物主动脉瓣置换的病例，并讨论这些病例的处理方法。
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本文引用的文献
1
The "no-dissection" technique is safe for reoperative aortic valve replacement with a patent left internal thoracic artery graft.“不解剖”技术对于再次行主动脉瓣置换术且伴有左内乳动脉桥通畅的患者是安全的。
J Thorac Cardiovasc Surg. 2012 Nov;144(5):1036-40. doi: 10.1016/j.jtcvs.2012.07.057. Epub 2012 Aug 20.
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Do you need to clamp a patent left internal thoracic artery-left anterior descending graft in reoperative cardiac surgery?在再次心脏手术中，是否需要钳夹通畅的左胸廓内动脉-左前降支移植物？
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Aortic valve surgery after previous coronary artery bypass grafting with functioning internal mammary artery grafts.既往冠状动脉旁路移植术且乳内动脉移植血管仍通畅时的主动脉瓣手术。
Ann Thorac Surg. 2002 Mar;73(3):779-84. doi: 10.1016/s0003-4975(01)03456-7.
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Aortic valve replacement after previous coronary artery bypass grafting.既往冠状动脉旁路移植术后的主动脉瓣置换术。
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