Soots G, Warembourg H, Stankowiak C, Watel A, Espriet G, Devulder B, Bertrand M
Sem Hop. 1982 Jan 28;58(4):213-9.
Aorto-coronary by pass, widely accepted in the treatment of patients with coronary artery disease is still controversial in the treatment of Prinzmetal variant angina. Recurrence of attacks, occlusion of grafts and post-operative infarction were frequent by described and seem to be related with the persistence of coronary spasm. Authors propose the association of myocardial revascularization and coronary denervation by resection of periaortic plexi. Results of 50 surgical plexectomies associated with coronary by pass appear far better than by pass alone (mortality 4%, myocardial necrosis 4%, persistence of attacks 4%).
主动脉冠状动脉搭桥术在冠状动脉疾病患者的治疗中已被广泛接受，但在普林兹金属变异型心绞痛的治疗中仍存在争议。据描述，发作复发、移植物闭塞和术后梗死很常见，似乎与冠状动脉痉挛的持续存在有关。作者建议通过切除主动脉周围神经丛将心肌血运重建与冠状动脉去神经支配相结合。50例与冠状动脉搭桥术相关的手术性神经丛切除术的结果似乎远比单纯搭桥术要好（死亡率4%，心肌坏死4%，发作持续存在4%）。
