Salerno T A, West R O, Lynn R B, Charrette E J
Can J Surg. 1982 May;25(3):349-50.
Three patients who had had epicardiectomy, and internal mammary artery and omental grafts implanted as part of myocardial revascularization, recently underwent a second operation for coronary artery bypass grafting. All internal mammary artery implants were patent and appeared to revascularize the myocardium distal to the occluded segment of the coronary artery, as determined by angiography. Although adhesions were present at operation, there was no evidence of the free omental graft in two patients. The pedicled omental graft was present and viable in the remaining patient, but did not appear to have vascular communication with the epicardiectomized myocardium.
三名患者曾接受心外膜切除术,并植入了乳内动脉和网膜移植物作为心肌血运重建的一部分,最近又接受了冠状动脉搭桥术的二次手术。所有乳内动脉植入物均畅通,血管造影显示,这些植入物似乎使冠状动脉闭塞段远端的心肌重新获得了血供。尽管手术时存在粘连,但两名患者未发现游离网膜移植物的迹象。其余一名患者的带蒂网膜移植物存在且存活,但似乎与心外膜切除的心肌没有血管连通。