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[1例降主动脉瘤合并同期经左外侧开胸主动脉冠状动脉旁路移植术的外科病例]

[A surgical case of descending aortic aneurysm combined with simultaneous aortocoronary bypass grafting through a left lateral thoracotomy].

作者信息

Yamanaka J, Takeuchi Y, Gomi A, Torii S, Koyanagi T, Nakatani H, Gohongi M

机构信息

Department of Cardiovascular Surgery, Kanto Teishin Hospital, Tokyo, Japan.

出版信息

Kyobu Geka. 1995 May;48(5):401-4.

PMID:7745866
Abstract

A 71-year-old man with a descending aortic aneurysm was admitted to the hospital because of abnormal chest CT. Aortogram revealed an aneurysm of the descending aorta. His coronary angiogram showed 75% stenosis at LCX (Seg II). The graft replacement of descending aortic aneurysm and coronary artery bypass grafting (CABG) were performed through a left lateral thoracotomy. Postoperative course was good. Postoperative angiogram demonstrated successful reconstruction of the descending aorta and a patent bypass graft. The patient discharged healthy without any complications.

摘要

一名患有降主动脉瘤的71岁男性因胸部CT异常入院。主动脉造影显示降主动脉瘤。他的冠状动脉造影显示左旋支(第二分支)有75%的狭窄。通过左外侧开胸手术进行了降主动脉瘤的人工血管置换和冠状动脉旁路移植术(CABG)。术后过程顺利。术后血管造影显示降主动脉重建成功且旁路移植血管通畅。患者健康出院,无任何并发症。

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