de Villiers W H, Meyer J M, Neethling W M, Kleynhans P H, Marx D
S Afr Med J. 1984 Feb 4;65(5):174-6.
Diffuse obstructive disease of the left anterior descending coronary artery presents a new challenge to the surgeon especially if the heart and septal muscle supplied by this vessel is ischaemic but viable. Venous skips were utilized in the past to overcome this problem, but recently extensive endarterectomy of this system has been advocated. The case studies of 5 patients are presented who have undergone extensive endarterectomy of the left anterior descending artery and coronary bypass grafting.
左前降支冠状动脉弥漫性阻塞性疾病给外科医生带来了新的挑战，尤其是当由该血管供血的心脏和间隔肌存在缺血但仍存活的情况时。过去曾采用静脉搭桥术来克服这一问题，但最近有人主张对该系统进行广泛的内膜切除术。本文介绍了5例接受左前降支动脉广泛内膜切除术及冠状动脉搭桥术的患者的病例研究。
