Hochberg M S, Austen W G
Ann Thorac Surg. 1980 Jun;29(6):578-8. doi: 10.1016/s0003-4975(10)61712-2.
The theoretical concept of delivering oxygenated blood to an ischemic myocardium by way of the coronary venous system antedated by many decades the present widespread utilization of coronary artery bypass grafting. Diffuse arterial atherosclerosis has limited the effectiveness of coronary artery bypass grafting in about 15% of patients seen with significant angina pectoris. Consequently, there has been renewed interest in selectively reversing the flow in certain coronary veins through coronary venous bypass grafts. This collective review details the physiology and anatomy of the coronary venous system. It then discusses the early attempts to globally retroperfuse the entire coronary venous system through the coronary sinus. Finally, the current experimental and clinical attempts to selectively retroperfuse just one region of the coronary venous system are presented and reviewed.
通过冠状静脉系统向缺血心肌输送含氧血液的理论概念比目前广泛应用的冠状动脉搭桥术早了几十年。弥漫性动脉粥样硬化使约15%患有严重心绞痛的患者中冠状动脉搭桥术的有效性受到限制。因此，人们重新对通过冠状静脉搭桥术选择性地逆转某些冠状静脉内的血流产生了兴趣。这篇综述详细阐述了冠状静脉系统的生理学和解剖学。接着讨论了早期通过冠状窦对整个冠状静脉系统进行整体逆向灌注的尝试。最后，介绍并回顾了目前选择性地仅对冠状静脉系统的一个区域进行逆向灌注的实验和临床尝试。
