Bezon E, Barra J A, Karaterki A, Mansourati J, Mondine P, Boschat J, Blanc J J
Service de chirurgie cardiovasculaire et thoracique, hôpital Augustin-Morvan, Brest.
Arch Mal Coeur Vaiss. 1995 Feb;88(2):197-203.
The one year results of three techniques of bypass grafting of the artery of the left border of the heart were compared in a retrospective study in 120 patients all undergoing left anterior descending bypass grafting with an internal mammary artery. Group I comprised 38 consecutive patients: the left border artery was bypassed with a venous graft. Group II comprised 49 consecutive patients who had the left border artery bypassed by an internal mammary artery in situ. Group III comprised 33 consecutive patients who had the left border artery bypassed by an internal mammary graft issuing from a Y-shaped construction (right internal mammary artery as a free graft reimplanted into the left internal mammary artery). The operative mortality, morbidity and functional results were comparable in the three groups. The rate of angiographic success of the left border artery graft at one year was: 65.7% in group I, 89.5% in group II and 87.8% in group III. The one year patency of internal mammary artery grafting of the artery of the left border was higher than that of venous grafts (p < 0.05).
在一项回顾性研究中，对120例行左前降支冠状动脉搭桥术并使用乳内动脉的患者，比较了三种心脏左缘动脉搭桥技术的一年结果。第一组包括38例连续患者：用静脉移植物绕过左缘动脉。第二组包括49例连续患者，其左缘动脉通过原位乳内动脉搭桥。第三组包括33例连续患者，其左缘动脉通过Y形结构发出的乳内移植物搭桥（右乳内动脉作为游离移植物重新植入左乳内动脉）。三组的手术死亡率、发病率和功能结果相当。左缘动脉移植物一年时的血管造影成功率为：第一组65.7%，第二组89.5%，第三组87.8%。左缘动脉乳内动脉搭桥的一年通畅率高于静脉移植物（p<0.05）。
