心肌桥旁路移植术：一种广泛心肌桥的新型手术方法。
Myocardial Bridge Bypass Graft: A Novel Surgical Procedure for Extensive Myocardial Bridges.
机构信息
Department of Cardiovascular Surgery, Xi'an International Medical Center, Northwest University, Xi'an, China.
School of Energy and Power Engineering, Xi`an Jiaotong University, Xi'an, China.
出版信息
Ann Thorac Surg. 2021 Aug;112(2):e115-e117. doi: 10.1016/j.athoracsur.2020.11.055. Epub 2021 Jan 20.
In patients with myocardial bridges (MBs) and insufficient medical management, the optimal surgical strategy remains undetermined. Based on computer simulations we developed a novel procedure, MB bypass grafting, that showed better hemodynamics compared with coronary artery bypass grafting in a simulation study. In this novel procedure the left internal mammary artery was used to connect the proximal and distal ends of the MB. For the first time we used MB bypass grafting to treat a patient with extensive MB. The patient recovered well after surgery, and the left internal mammary artery graft remained patent 3 months postoperatively.
对于存在心肌桥（MB）且药物治疗效果不佳的患者，其最佳手术策略仍未确定。基于计算机模拟，我们开发了一种新的手术方法，即 MB 旁路移植术，与冠状动脉旁路移植术相比，在模拟研究中显示出更好的血液动力学效果。在该新手术中，左内乳动脉用于连接 MB 的近端和远端。我们首次使用 MB 旁路移植术治疗一名广泛 MB 患者。患者术后恢复良好，左内乳动脉移植物术后 3 个月仍保持通畅。
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