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放射治疗后冠状动脉狭窄的搭桥移植术。

Bypass graft for coronary arterial stenosis following radiation therapy.

作者信息

Iqbal S M, Hanson E L, Gensini G G

出版信息

Chest. 1977 May;71(5):664-6. doi: 10.1378/chest.71.5.664.

DOI:10.1378/chest.71.5.664
PMID:300671
Abstract

A 48-year-old man developed symptoms of progressive angina pectoris leading to myocardial infarction 12 years after two large doses of radiation for treatment of superior vena caval syndrome. Angiographic studies showed an isolated critical stenosis in the left anterior descending coronary artery, for which a successful surgical procedure for saphenous vein bypass graft was was performed. Coronary arterial stenosis following radiation therapy has been reported rarely, but this case supports the thesis that such lesion can be treated surgically.

摘要

一名48岁男性在接受两次大剂量放疗以治疗上腔静脉综合征12年后,出现进行性心绞痛症状并导致心肌梗死。血管造影研究显示左前降支冠状动脉存在孤立的严重狭窄,为此成功实施了大隐静脉搭桥手术。放疗后冠状动脉狭窄的报道很少见,但该病例支持这种病变可通过手术治疗的观点。

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1
Bypass graft for coronary arterial stenosis following radiation therapy.放射治疗后冠状动脉狭窄的搭桥移植术。
Chest. 1977 May;71(5):664-6. doi: 10.1378/chest.71.5.664.
2
Use of the internal mammary artery for myocardial revascularization in a patient with radiation-induced coronary artery disease.在一名患有放射性冠状动脉疾病的患者中使用乳内动脉进行心肌血运重建。
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Surgical treatment of isolated left anterior descending coronary stenosis. Comparison of left internal mammary artery and venous autograft at 18 to 20 years of follow-up.孤立性左前降支冠状动脉狭窄的外科治疗。18至20年随访中左乳内动脉与自体静脉移植物的比较。
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Conduit choice for coronary artery bypass grafting after mediastinal radiation.纵隔放疗后冠状动脉旁路移植术的管道选择
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Severe coronary artery disease after radiation therapy of the chest and mediastinum: clinical presentation and treatment.胸部和纵隔放疗后严重冠状动脉疾病:临床表现与治疗
Br Heart J. 1993 Jun;69(6):496-500. doi: 10.1136/hrt.69.6.496.
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[Coronary artery stenoses close to the ostia after mediastinal irradiation].纵隔放疗后靠近开口处的冠状动脉狭窄
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Superior caval vein stenosis due to giant aneurysm of the right coronary artery.右冠状动脉巨大动脉瘤导致上腔静脉狭窄。
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[Radiation-induced coronary ostial stenosis, a case of redo coronary bypass for the restenosis following patch angioplasty].[放射性冠状动脉开口狭窄,一例因补片血管成形术后再狭窄而行再次冠状动脉搭桥术的病例]
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Has the in situ right internal thoracic artery been overlooked? An angiographic study of the radial artery, internal thoracic arteries and saphenous vein graft patencies in symptomatic patients.原位右胸廓内动脉是否被忽视了?一项对有症状患者的桡动脉、胸廓内动脉和大隐静脉移植血管通畅情况的血管造影研究。
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Patency rate of the internal thoracic artery to the left anterior descending artery bypass is reduced by competitive flow from the concomitant saphenous vein graft in the left coronary artery.来自左冠状动脉中同时存在的大隐静脉移植物的竞争性血流会降低胸廓内动脉至左前降支动脉搭桥的通畅率。
Eur J Cardiothorac Surg. 2008 Oct;34(4):833-8. doi: 10.1016/j.ejcts.2008.07.011. Epub 2008 Aug 23.

引用本文的文献

1
Severe coronary artery disease after radiation therapy of the chest and mediastinum: clinical presentation and treatment.胸部和纵隔放疗后严重冠状动脉疾病:临床表现与治疗
Br Heart J. 1993 Jun;69(6):496-500. doi: 10.1136/hrt.69.6.496.
2
Radiotherapy, left-sided breast cancer, and ischaemic heart disease.放射治疗、左侧乳腺癌与缺血性心脏病。
Br Heart J. 1993 Jun;69(6):483-4. doi: 10.1136/hrt.69.6.483.
3
Coronary ostial stenosis after radiotherapy: angioplasty or coronary artery surgery?放疗后冠状动脉开口狭窄:血管成形术还是冠状动脉手术?
Br Heart J. 1989 Feb;61(2):208-11. doi: 10.1136/hrt.61.2.208.