Kurup Rahul, Sridhar Kumar
Division of Cardiology, Department of Medicine, Western University, London Health Sciences Centre, London, Ontario, Canada.
CJC Open. 2022 Apr 12;4(7):660-662. doi: 10.1016/j.cjco.2022.03.010. eCollection 2022 Jul.
We describe an unusual case of an angiographically patent saphenous vein graft to the left anterior descending artery at 51 years post coronary artery bypass grafting surgery in a patient who presents with exertional dyspnea and only relatively recent tobacco-smoking cessation. Factors associated with improved saphenous vein graft patency include the target vessel used for grafting, good distal run-off, and the use of optimal medical therapy alongside aggressive cardiovascular risk-factor modification.
我们描述了一例不同寻常的病例，一名患者在冠状动脉旁路移植术后51年，其左前降支的大隐静脉移植血管在血管造影上显示通畅。该患者表现为劳力性呼吸困难，且近期才戒烟。与大隐静脉移植血管通畅性改善相关的因素包括用于移植的目标血管、良好的远端血流以及在积极改变心血管危险因素的同时使用最佳药物治疗。
