Witkop J, Dillemans B R, Grandjean J G, Bams J L, Ebels T
Department of Cardiothoracic Surgery, University Hospital Groningen, The Netherlands.
Ann Thorac Surg. 1994 Oct;58(4):1170-1. doi: 10.1016/0003-4975(94)90483-9.
In coronary artery bypass grafting, we prefer the right gastroepiploic artery as an adjunct to the internal mammary arteries, due to its comparable size to the mammary artery, flow, length, freedom of atherosclerosis, pharmacologic responses, and patency rate. No major gastric complications after the use of the gastroepiploic artery have been reported yet. We report gastric perforation due to excessive coagulation of side branches of the gastroepiploic artery supplying the greater curvature of the stomach.
在冠状动脉旁路移植术中，我们更倾向于选用胃网膜右动脉作为胸廓内动脉的辅助血管，因为它在管径、血流量、长度、无动脉粥样硬化、药理反应及通畅率等方面与胸廓内动脉相当。目前尚未有使用胃网膜动脉后出现严重胃部并发症的报道。我们报告了一例因对供应胃大弯的胃网膜动脉分支过度电凝而导致的胃穿孔病例。
