Okamura Y, Sugita Y, Mochizuki Y, Iida H, Mori H, Yamada Y, Shimada K, Tabuchi T, Yamamoto H, Yagi S
Department of Thoracic Surgery, Dokkyo University School of Medicine, Tochigi, Japan.
Kyobu Geka. 1994 Dec;47(13):1079-82.
A rare case of coronary artery bypass grafting in a patient with right aortic arch was presented. A 62-year-old man was admitted to our hospital with angina pectoris. Coronary angiography revealed total obstruction of left anterior descending artery and jeopardized collateral from right coronary artery. Aortography disclosed right aortic arch associated with retroesophageal anomalous left subclavian artery. As the symptom of neither the vascular ring nor the subclavian steal syndrome was recognized, left internal thoracic artery along with the saphenous vein was used for bypass conduit. The patient is doing well without any troubles 7 months after the operation. Attention should be made to use left internal thoracic artery in a patient with right aortic arch.
本文报道了一例右位主动脉弓患者行冠状动脉旁路移植术的罕见病例。一名62岁男性因心绞痛入院。冠状动脉造影显示左前降支完全阻塞，右冠状动脉侧支循环受到威胁。主动脉造影显示右位主动脉弓合并食管后异常左锁骨下动脉。由于未发现血管环或锁骨下动脉窃血综合征的症状，采用左乳内动脉和大隐静脉作为旁路移植管道。术后7个月患者情况良好，无任何问题。对于右位主动脉弓患者，应注意使用左乳内动脉。
