Kuo Chia-Cheng, Hsing Chung-Hsi, Chen Chun-I, Lee Chen-Hui, Cheng Bor-Chih
Division of Cardiovascular Surgery, Department of Surgery, Chi Mei Medical Center, Tainan, Taiwan.
Department of Medical Education, Taipei Veteran General Hospital, Taipei, Taiwan.
J Thorac Dis. 2017 Dec;9(12):E1060-E1063. doi: 10.21037/jtd.2017.10.102.
Isolated ostial stenosis (IOS) is a rare disease that encroaches on aorto-coronary junction of uncertain etiology. All distal coronary vessels present normally. IOS occurs predominantly in premenopausal young women with few risk factors for atherosclerotic disease. Here, we report a 40-year-old woman who had experienced crescendo angina for 4 months. Surgical revascularization was achieved by robotic totally endoscopic coronary artery bypass (TECAB) with left internal thoracic artery (LITA) graft. She resumed her daily tasks without difficulties 1 week after the operation. Postoperative computed tomographic angiography disclosed good opacification of the LITA graft and distal runoff. Robotic TECAB is a potentially feasible alternative for IOS patients, particularly in premenopausal young woman, with obvious benefits of cosmetic appearance and speedy recovery.
孤立性开口狭窄（IOS）是一种罕见疾病，侵犯病因不明的主动脉-冠状动脉交界处。所有远端冠状动脉血管均正常。IOS主要发生在绝经前的年轻女性中，她们几乎没有动脉粥样硬化疾病的危险因素。在此，我们报告一名40岁女性，她经历了4个月的进行性心绞痛。通过机器人全内镜冠状动脉搭桥术（TECAB）使用左胸廓内动脉（LITA）移植实现了手术血运重建。术后1周，她顺利恢复日常活动。术后计算机断层血管造影显示LITA移植血管和远端血流灌注良好。机器人TECAB对于IOS患者是一种潜在可行的替代方法，特别是对于绝经前的年轻女性，具有明显的美观和快速恢复优势。
