Takayasu 动脉炎患者的冠状动脉开口处斑块血管成形术伴股动脉入路。

Coronary Ostial Patch Angioplasty With Femoral Artery in Takayasu Arteritis.

机构信息

Department of Cardiovascular Surgery, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University, Tokyo, Japan.

出版信息

Ann Thorac Surg. 2020 Nov;110(5):e427-e430. doi: 10.1016/j.athoracsur.2020.03.098. Epub 2020 May 4.

DOI:10.1016/j.athoracsur.2020.03.098

PMID:32376353

Abstract

Takayasu arteritis (TA) occasionally involves the coronary ostium leading to myocardial ischemia. Although surgical coronary ostial angioplasty is desirable for ostial stenosis, the patch materials and long-term results are controversial. We used femoral artery (FA) as a patch material for coronary ostial angioplasty in 3 TA patients. Coronary ostial enlargement with a longitudinal incision followed by rectangular FA patch augmentation was performed to extend the narrowing coronary ostium. In all patients, coronary ostial stenosis was successfully repaired. Ostial angioplasty using an FA patch would be a reasonable surgical strategy to treat coronary ostial stenosis in TA.

摘要

Takayasu 动脉炎（TA）偶尔会累及冠状动脉口，导致心肌缺血。尽管对于口部狭窄，手术冠状动脉口扩张术是理想的选择，但贴片材料和长期结果存在争议。我们在 3 例 TA 患者中使用股动脉（FA）作为冠状动脉口扩张术的贴片材料。对冠状动脉口进行纵向切口，然后用矩形 FA 贴片增强，以扩大狭窄的冠状动脉口。在所有患者中，冠状动脉口狭窄均成功修复。使用 FA 贴片进行的口部扩张术可能是治疗 TA 中冠状动脉口狭窄的合理手术策略。