Parashara D K, Kotler M N, Ledley G S, Yazdanfar S
Department of Medicine, Albert Einstein Medical Center, Temple University School of Medicine, Philadelphia, Pennsylvania 19141.
Cathet Cardiovasc Diagn. 1994 Aug;32(4):343-5. doi: 10.1002/ccd.1810320411.
The role of routine selective angiography of the internal mammary artery prior to myocardial revascularization is controversial. We report a patient with coronary artery disease and peripheral vascular disease in whom the left internal mammary artery supplied blood flow to the left external iliac artery via a collateral network. Thus, selective angiography of the internal mammary artery did play a major role in the proper management of this patient who required coronary bypass surgery. A major potential postoperative complication of left lower extremity ischemia may have been prevented.
在心肌血运重建术前常规选择性进行乳内动脉血管造影的作用存在争议。我们报告了一名患有冠状动脉疾病和外周血管疾病的患者，其左乳内动脉通过一个侧支网络为左髂外动脉供血。因此，乳内动脉选择性血管造影在该需要冠状动脉搭桥手术的患者的恰当治疗中确实发挥了重要作用。左下肢缺血这一主要的潜在术后并发症可能得以避免。
