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Internal mammary arteries as major blood supply to lower limb in coronary artery disease with peripheral vascular disease.在合并周围血管疾病的冠心病中，乳内动脉作为下肢的主要血液供应来源。
Indian J Thorac Cardiovasc Surg. 2022 May;38(3):325-327. doi: 10.1007/s12055-021-01275-1. Epub 2021 Nov 13.
2
Internal thoracic artery-inferior epigastric artery as a collateral pathway in aortoiliac occlusive disease.胸廓内动脉-腹壁下动脉作为主髂动脉闭塞性疾病的一条侧支循环途径。
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本文引用的文献

1
Internal thoracic artery-inferior epigastric artery as a collateral pathway in aortoiliac occlusive disease.胸廓内动脉-腹壁下动脉作为主髂动脉闭塞性疾病的一条侧支循环途径。
J Vasc Surg. 2006 Apr;43(4):707-13. doi: 10.1016/j.jvs.2005.12.042.
2
Limb ischemia due to use of internal thoracic artery in coronary bypass.冠状动脉搭桥术中使用胸廓内动脉导致的肢体缺血。
Asian Cardiovasc Thorac Ann. 2002 Sep;10(3):254-5. doi: 10.1177/021849230201000315.
3
The use of internal thoracic arteries for myocardial revascularization may produce acute leg ischemia in patients with concomitant Leriche's syndrome.使用胸廓内动脉进行心肌血运重建可能会在合并勒里什综合征的患者中导致急性下肢缺血。
J Vasc Surg. 1996 Oct;24(4):698. doi: 10.1016/s0741-5214(96)70087-3.
4
Doppler assessment of the inferior epigastric artery flow patterns as a screening test for aortoiliac obstruction.将腹壁下动脉血流模式的多普勒评估作为主髂动脉梗阻的筛查试验。
Am J Surg. 1979 Feb;137(2):250-1. doi: 10.1016/0002-9610(79)90156-9.

在合并周围血管疾病的冠心病中，乳内动脉作为下肢的主要血液供应来源。

Internal mammary arteries as major blood supply to lower limb in coronary artery disease with peripheral vascular disease.

作者信息

Ibrahim Baraa J, Khdour Issa, Darwazah Ahmad K

机构信息

Department of Cardiac Surgery, Ramallah Hospital, Ramallah, 600-2556 Palestine.

出版信息

Indian J Thorac Cardiovasc Surg. 2022 May;38(3):325-327. doi: 10.1007/s12055-021-01275-1. Epub 2021 Nov 13.

DOI:10.1007/s12055-021-01275-1
PMID:35529013
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9023619/
Abstract

We describe a case of severe peripheral vascular disease in a patient presenting for coronary artery bypass grafting (CABG). There was an occlusion of the abdominal aorta with collaterals from the internal mammary arteries (IMA) and inferior epigastric arteries (IEA) supplying the lower limb. Off-pump CABG was carried out without harvesting the IMA. In presence of concomitant severe peripheral vascular disease, lower limb blood flow should be evaluated with Doppler ultrasound, and in selected cases, computed tomography angiogram should be performed to rule out IMA-IEA collaterals dependent limb perfusion.

摘要

我们描述了一例因冠状动脉旁路移植术（CABG）就诊的患者发生严重外周血管疾病的病例。腹主动脉闭塞，由胸廓内动脉（IMA）和腹壁下动脉（IEA）的侧支循环供应下肢。在未采集IMA的情况下进行了非体外循环冠状动脉旁路移植术。对于合并严重外周血管疾病的患者，应使用多普勒超声评估下肢血流，在某些选定病例中，应进行计算机断层血管造影以排除依赖IMA-IEA侧支循环的肢体灌注情况。