Ichihara T, Nabuchi A, Suma H
Department of Cardiovascular Surgery, Shonan Kamakura Hospital, Kanagawa, Japan.
Kyobu Geka. 1994 Jul;47(8):633-5.
We report a case of 50-year-old male underwent reoperative coronary artery bypass grafting (CABG) through the left thoracotomy. He had undergone primary CABG with a saphenous vein graft to the left anterior descending coronary artery (LAD) to revascularize the left main trunk lesion a year ago, which was occluded, and recurred angina. The second operation was performed through the left thoracotomy under the the hypothermic cardiopulmonary bypass. The left internal thoracic artery was anastomosed to LAD, and a new saphenous vein was anastomosed to the descending aorta proximally, and to the left circumflex artery distally, under a hypothermic circulatory arrest (9 minutes and 8 minutes for each anastomosis). He recovered well without any major complications, and postoperative angiogram showed two new grafts patent.
我们报告一例50岁男性患者，通过左胸切口接受再次冠状动脉旁路移植术（CABG）。一年前，他曾接受过一次冠状动脉旁路移植术，使用大隐静脉移植至左前降支冠状动脉（LAD），以对左主干病变进行血运重建，但该病变现已闭塞，并再次出现心绞痛。第二次手术在低温体外循环下通过左胸切口进行。左内乳动脉与LAD吻合，一条新的大隐静脉近端与降主动脉吻合，远端与左旋支动脉吻合，在低温循环停止下进行（每次吻合分别为9分钟和8分钟）。他恢复良好，无任何重大并发症，术后血管造影显示两条新移植血管通畅。
