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通过旧的大隐静脉移植血管进行冠状动脉血管成形术:这是一种安全的手术吗?

Coronary angioplasty through an old saphenous vein graft: is it a safe procedure?

作者信息

Büchler J R, Braga S L, Sousa J E

出版信息

Int J Cardiol. 1987 Aug;16(2):208-11. doi: 10.1016/0167-5273(87)90254-3.

DOI:10.1016/0167-5273(87)90254-3
PMID:2957327
Abstract

A 60-year-old man had myocardial revascularization 13 years ago by means of coronary by-pass surgery. During the described admission, he underwent coronary angioplasty to the marginal branch of the left circumflex artery using the saphenous vein graft as the means of approach. After the procedure, thrombosis occurred within the venous segment with severe reduction of flow despite the atherosclerotic lesion itself being successfully dilated. The patient died one hour later.

摘要

一名60岁男性13年前通过冠状动脉搭桥手术进行了心肌血运重建。在此次所述的住院期间,他利用大隐静脉移植作为入路方式,对左旋支动脉的边缘分支进行了冠状动脉血管成形术。术后,尽管动脉粥样硬化病变本身成功扩张,但静脉段内仍发生血栓形成,血流严重减少。患者1小时后死亡。

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