Division of Cardiothoracic Surgery, University of California Davis Medical Center, Sacramento, California, USA.
Division of Cardiology, University of California Davis Medical Center, Sacramento, California, USA.
J Card Surg. 2022 Sep;37(9):2900-2902. doi: 10.1111/jocs.16685. Epub 2022 Jun 14.
High-risk patients that are not candidates for conventional coronary artery bypass grafting surgery can undergo coronary artery revascularization through less invasive procedures. Hybrid approaches have emerged to address coronary artery disease in this subset of patients. This case report highlights the successful application of a multidisciplinary heart team approach for hybrid coronary revascularization in a very high-risk patient with complex coronary anatomy, who would not otherwise be a candidate for conventional modalities of revascularization. The optimal workup, selection criteria based on anatomy, anticoagulation strategies, and timing of intervention of hybrid coronary revascularization are outlined in this case report.
不适合常规冠状动脉旁路移植术的高危患者可通过微创手术进行冠状动脉血运重建。对于这部分患者，出现了一些混合治疗方法来治疗冠状动脉疾病。本病例报告重点介绍了多学科心脏团队方法在一名非常高危、伴有复杂冠状动脉解剖结构的患者中成功应用于混合冠状动脉血运重建的情况，该患者不适合进行常规血运重建。本病例报告中概述了混合冠状动脉血运重建的最佳检查、基于解剖结构的选择标准、抗凝策略以及干预时机。
