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无名动脉-冠状动脉搭桥术治疗一例钙化性主动脉炎患者

Innominate artery-coronary artery bypass graft in a patient with calcific aortitis.

作者信息

Weinstein G, Killen D A

出版信息

J Thorac Cardiovasc Surg. 1980 Feb;79(2):312-3.

PMID:6986005
Abstract

Calcification of the ascending thoracic aorta may make aortic cross-clamping dangerous and aorta-coronary artery bypass grafting impossible. A patient with a severely calcified ascending aorta owing to syphilitic aortitis presented such a problem. Sequential saphenous vein grafting was done to three coronary arteries, the proximal anastomosis being made to the noncalcified innominate artery. This technique may offer a practical solution to this problem.

摘要

胸段升主动脉钙化可能会使主动脉交叉钳夹术变得危险,且无法进行主动脉冠状动脉旁路移植术。一名因梅毒性主动脉炎导致胸段升主动脉严重钙化的患者就出现了这样的问题。对三条冠状动脉进行了序贯大隐静脉移植,近端吻合口位于未钙化的无名动脉。该技术可能为这一问题提供一个切实可行的解决方案。

相似文献

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Innominate artery-coronary artery bypass graft in a patient with calcific aortitis.无名动脉-冠状动脉搭桥术治疗一例钙化性主动脉炎患者
J Thorac Cardiovasc Surg. 1980 Feb;79(2):312-3.
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[Coronary revascularization using profound hypothermia with elective ventricular fibrillation and total circulatory arrest].[使用深度低温、选择性心室颤动和完全循环停止进行冠状动脉血运重建]
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引用本文的文献

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Surgical strategies for severely atherosclerotic (porcelain) aorta during coronary artery bypass grafting.冠状动脉搭桥术中严重动脉粥样硬化(瓷化)主动脉的手术策略。
World J Cardiol. 2021 Aug 26;13(8):309-324. doi: 10.4330/wjc.v13.i8.309.
2
Extraanatomical coronary artery bypass grafting in patients with severely atherosclerotic (Porcelain) aorta.严重动脉粥样硬化(瓷化)主动脉患者的解剖外冠状动脉旁路移植术
J Cardiothorac Surg. 2013 Apr 15;8:86. doi: 10.1186/1749-8090-8-86.
3
Combined aortic valve replacement and coronary artery bypass grafting for a calcified ascending aorta.
钙化升主动脉的主动脉瓣置换术联合冠状动脉旁路移植术
Gen Thorac Cardiovasc Surg. 2012 Apr;60(4):228-31; discussion 232. doi: 10.1007/s11748-011-0893-y.
4
Coronary revascularization in a calcified ascending aorta: using the right gastroepiploic artery.钙化升主动脉中的冠状动脉血运重建:使用胃网膜右动脉。
Tex Heart Inst J. 1992;19(1):62-4.
5
Atheroemboli complicating the pre- and postoperative course of aortocoronary bypass (the trash heart): case report with comment.动脉粥样硬化栓子并发于主动脉冠状动脉旁路移植术的术前及术后过程(“垃圾心”):病例报告及评论
Tex Heart Inst J. 1985 Mar;12(1):87-91.
6
Coronary-pulmonary arteriovenous fistula used as proximal anastomotic site for saphenous vein grafts in patient with porcelain aorta.冠状动脉-肺动静脉瘘用作瓷化主动脉患者大隐静脉移植的近端吻合部位。
Tex Heart Inst J. 2003;30(2):143-5.
7
Axillocoronary bypass in a patient with a severely atherosclerotic aorta.
Jpn J Thorac Cardiovasc Surg. 2000 Oct;48(10):652-4. doi: 10.1007/BF03218222.
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A no-touch technique for calcified ascending aorta during coronary artery surgery.冠状动脉手术中钙化升主动脉的非接触技术
Tex Heart Inst J. 1998;25(2):120-3.
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Concomitant carotid and coronary artery reconstruction.同期颈动脉和冠状动脉重建术。
Ann Surg. 1982 Jun;195(6):712-20. doi: 10.1097/00000658-198206000-00006.
10
Central nervous system damage following surgery using cardiopulmonary bypass--a retrospective analysis of 1386 cases.
Jpn J Surg. 1991 Jan;21(1):25-31. doi: 10.1007/BF02470862.