Toyama Masashi, Nakayama Masato, Abe Tomonobu, Maeda Matsuyoshi, Sato Bunmei, Ohno Osamu
Department of Cardiovascular Surgery, Toyohashi Municipal Hospital,Toyohashi, Aichi, Japan.
Department of Cardiovascular Surgery, Gunma University Hospital, Maebashi, Gunma, Japan.
Ann Vasc Dis. 2019 Jun 25;12(2):236-239. doi: 10.3400/avd.cr.19-00003.
The impact of blood disorders on fibromuscular dysplasia is unknown, and cardiovascular surgery results are also unclear. Furthermore, there are only a few case reports about the association between fibromuscular dysplasia and blood disorders. We report a case of a coronary bypass surgery and an aortic root replacement for a patient who is hypereosinophilic with multisite vasculopathy of fibromuscular dysplasia, including that of the coronary artery and saphenous vein, which was diagnosed by a histopathologic examination after an autopsy was performed 5 months after surgery. The outcome of cardiovascular surgery can be unfavorable for fibromuscular dysplasia. Blood disorders may also have an impact on the outcome.
血液系统疾病对纤维肌性发育异常的影响尚不清楚,心血管手术的结果也不明确。此外,关于纤维肌性发育异常与血液系统疾病之间关联的病例报告仅有少数几例。我们报告了一例因嗜酸性粒细胞增多合并纤维肌性发育异常多部位血管病变(包括冠状动脉和大隐静脉)而行冠状动脉搭桥手术及主动脉根部置换术的病例,该病例在术后5个月进行尸检,经组织病理学检查确诊。对于纤维肌性发育异常患者,心血管手术的结果可能不理想。血液系统疾病也可能对结果产生影响。