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低位小切口下右冠状动脉异常主动脉起源的再植入术

The reimplantation of anomalous aortic origin of the right coronary artery under lower mini-sternotomy.

作者信息

Maekawa Koki, Yamanaka Shota, Onga Yohe, Takahashi Shu, Kanamori Taro

机构信息

Department of Cardiovascular Surgery, Kawaguchi Cardiovascular and Respiratory Hospital, 1-1-51, Maekawa, Kawaguchi, Saitama 333-0842, Japan.

出版信息

J Surg Case Rep. 2024 Aug 23;2024(8):rjae528. doi: 10.1093/jscr/rjae528. eCollection 2024 Aug.

DOI:10.1093/jscr/rjae528
PMID:39183792
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11341146/
Abstract

The patient was 28-year-old male. He was suffered from chest pain at rest. He was diagnosed with AAORCA (anomalous aortic origin of the right coronary artery) by emergency catheter. Myocardial scintigraphy indicated ischemic changes in the right coronary artery region, so surgery was the plan. Reimplantation was selected because the coronary artery computed tomography showed little intramural travel and mild coronary artery stenosis. The surgery was performed under lower mini-sternotomy to facilitate early return to work. The patient had a good postoperative course, and was discharged from the hospital postoperative Day 11 after rehabilitation. We report a case of the right coronary artery reimplantation with lower mini-sternotomy for AAORCA.

摘要

该患者为28岁男性。他在静息时出现胸痛。通过急诊导管检查诊断为右冠状动脉异常起源于主动脉（AAORCA）。心肌闪烁显像显示右冠状动脉区域有缺血性改变，因此计划进行手术。由于冠状动脉计算机断层扫描显示壁内走行少且冠状动脉轻度狭窄，所以选择了再植术。手术在低位小切口胸骨切开术下进行，以利于早日恢复工作。患者术后恢复良好，康复后于术后第11天出院。我们报告一例采用低位小切口胸骨切开术治疗AAORCA进行右冠状动脉再植的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb6/11341146/f3eeeba905c4/rjae528f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb6/11341146/01a770f4f0aa/rjae528f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb6/11341146/eddd99f2a847/rjae528f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb6/11341146/f6a0d31966ca/rjae528f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb6/11341146/f3eeeba905c4/rjae528f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb6/11341146/01a770f4f0aa/rjae528f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb6/11341146/eddd99f2a847/rjae528f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb6/11341146/f6a0d31966ca/rjae528f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb6/11341146/f3eeeba905c4/rjae528f4.jpg

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