Goldman B S, Ovil Y, Mycyk T
Division of Cardiovascular Surgery, Toronto General Hospital, Ontario, Canada.
J Card Surg. 1987 Dec;2(4):495-8. doi: 10.1111/j.1540-8191.1987.tb00206.x.
A technique is described that provides early reperfusion of acutely ischemic myocardium during the construction of saphenous vein bypass grafts to the coronary arteries. Selective vein graft perfusion provides early and appropriate cooling of the most ischemic zones identified by either electrocardiographic changes or intramyocardial temperature probes and allows warm blood reperfusion during construction of proximal anastomoses. The technique may be applicable to patients who present with acute ischemia and evolving infarction, failed angioplasty, or left main coronary artery stenosis.
本文描述了一种在构建冠状动脉大隐静脉旁路移植术期间为急性缺血心肌提供早期再灌注的技术。选择性静脉移植物灌注可为通过心电图变化或心肌内温度探头确定的最缺血区域提供早期且适当的降温，并允许在构建近端吻合口期间进行温血再灌注。该技术可能适用于出现急性缺血和进行性梗死、血管成形术失败或左主干冠状动脉狭窄的患者。
