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使用右乳内动脉补片对孤立性左主冠状动脉开口狭窄进行解剖重建。

Anatomic reconstruction of isolated left main coronary artery ostial stenosis using a right internal mammary artery patch.

作者信息

Bara Albaraa, Izzat Ahmad Walid, Izzat Mohammad Bashar

机构信息

Department of Surgery, Damascus University Faculty of Medicine, Mazzeh Highway, Damascus, Syria.

出版信息

J Surg Case Rep. 2025 Feb 11;2025(2):rjaf052. doi: 10.1093/jscr/rjaf052. eCollection 2025 Feb.

DOI:10.1093/jscr/rjaf052
PMID:39936023
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11811895/
Abstract

Surgical patch angioplasty is an alternative to classic coronary artery bypass grafting for patients with isolated coronary ostial stenosis and normal distal coronary arteries. We present a case where we successfully used an arterial patch from the right internal mammary artery to restore patency of an isolated ostial left main coronary artery stenosis. This technique is likely to offer more physiological antegrade myocardial perfusion, mimic normal vascular anatomy, and may be associated with an improved outcome.

摘要

对于孤立性冠状动脉开口狭窄且远端冠状动脉正常的患者，手术贴片血管成形术是经典冠状动脉旁路移植术的一种替代方法。我们报告一例成功使用右乳内动脉的动脉贴片来恢复孤立性左主干冠状动脉开口狭窄通畅的病例。该技术可能会提供更符合生理的顺行性心肌灌注，模拟正常血管解剖结构，并且可能与更好的预后相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1761/11811895/530d1e8651e6/rjaf052f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1761/11811895/194cdda87b13/rjaf052f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1761/11811895/87924d9a6661/rjaf052f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1761/11811895/530d1e8651e6/rjaf052f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1761/11811895/194cdda87b13/rjaf052f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1761/11811895/87924d9a6661/rjaf052f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1761/11811895/530d1e8651e6/rjaf052f3.jpg

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J Surg Case Rep. 2025 Feb 11;2025(2):rjaf052. doi: 10.1093/jscr/rjaf052. eCollection 2025 Feb.
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Surgical patch angioplasty of the left main coronary artery.左主干冠状动脉的外科补丁血管成形术。
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J Card Surg. 2008 Nov-Dec;23(6):743-6. doi: 10.1111/j.1540-8191.2008.00661.x.
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Ann Surg. 1965 Oct;162(4):590-601. doi: 10.1097/00000658-196510000-00005.
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