梅毒患者冠状动脉狭窄的全动脉原位旁路移植术
All-Arterial In Situ Bypass for Coronary Artery Stenosis in a Patient With Syphilis.
作者信息
Matsubayashi Yuji, Suzuki Tomoaki, Kimura Masahiro, Miyashita Fumihiro
机构信息
Department of Cardiovascular Surgery, Koto Memorial Hospital, Higashiomi, Shiga, Japan.
Department of Cardiovascular Surgery, Shiga University of Medical Science, Setatsukinowa-cho, Otsu, Shiga, Japan.
出版信息
Ann Thorac Surg Short Rep. 2023 Jun 14;1(4):635-637. doi: 10.1016/j.atssr.2023.05.019. eCollection 2023 Dec.
A 61-year-old man with syphilis was diagnosed with 3-vessel coronary artery disease. Syphilis causes aortitis, which progresses over time, even with appropriate treatment of the syphilis infection itself. Aortitis leads to coronary ostial stenosis and failure of the bypass graft to the ascending aorta. The patient underwent off-pump coronary artery bypass with an all-arterial in situ graft, and he recovered uneventfully. We herein present the ideal bypass design and follow-up results after surgical procedure in a patient with syphilis.
一名患有梅毒的61岁男性被诊断出患有三支血管冠状动脉疾病。梅毒会引发主动脉炎，即便梅毒感染本身得到了恰当治疗，主动脉炎仍会随时间发展。主动脉炎会导致冠状动脉开口狭窄以及升主动脉旁路移植失败。该患者接受了非体外循环冠状动脉搭桥手术，采用全动脉原位移植，术后恢复顺利。我们在此呈现了一名梅毒患者手术过程中的理想搭桥设计及术后随访结果。
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