Chen Wei-Guang, Wang Ye-Yang, Wang Da-Peng, Fan Zhan-Wei, Jiang Yong-Ri, Wang Si-Qing, Wang Bai-Chun
Department of Cardiovascular Surgery, The Fourth Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
J Card Surg. 2021 Mar;36(3):1140-1143. doi: 10.1111/jocs.15299. Epub 2021 Jan 24.
For three patients with isolated right coronary artery disease who had drug resistance and were intolerant to interventional therapy, simple transabdominal small incision bypass grafting of the right gastroepiploic artery and the posterior descending branch of the right coronary artery was conducted without cardiopulmonary. All three patients were discharged smoothly without complications, and were followed up for three months, during which time the myocardial bridges were unobstructed and the cardiac functions were good. The surgery needs no thoracotomy and the injury is small, and avoids influences of sternum and pericardium adhesion on other cardiac surgery in the future. The risk of median sternotomy can be avoided for patients undergoing reoperation for coronary artery bypass surgery.
对于3例单纯右冠状动脉病变且存在药物抵抗、不耐受介入治疗的患者，在非体外循环下经腹行小切口胃网膜右动脉与右冠状动脉后降支搭桥术。3例患者均顺利出院，无并发症发生，术后随访3个月，心肌桥无梗阻，心功能良好。该手术无需开胸，创伤小，避免了胸骨及心包粘连对未来其他心脏手术的影响。对于冠状动脉搭桥手术再次手术的患者可避免正中开胸的风险。
