Fernández de Caleya D, Duarte J, Eguren A, Torrente N, Lozano A, Nuche J
Department of Cardiovascular Surgery, Hospital de la Princesa, Madrid, Spain.
Thorac Cardiovasc Surg. 1993 Apr;41(2):127-9. doi: 10.1055/s-2007-1013838.
The association of aortic coarctation and ischaemic cardiopathy is rare. We present a case of such an association in a 58-year-old patient with established spinal-cord damage and describe a one-stage surgical approach for the correction of both pathologies. Coarctation is solved by means of a supracoeliac to thoracic aortic bypass, and then coronary bypass grafting is performed under CPB. In this case grafts were carried out using the left internal mammary artery (IMA) even though it was hypertrophied. There were no postoperative complications and at 10 months the patient was asymptomatic.
主动脉缩窄与缺血性心脏病的关联较为罕见。我们报告一例58岁已确诊脊髓损伤患者存在这种关联的病例，并描述一种一期手术方法来矫正这两种病症。通过腹腔干至胸主动脉旁路解决缩窄问题，然后在体外循环下进行冠状动脉旁路移植术。在该病例中，尽管左乳内动脉肥厚仍使用其进行移植。术后无并发症，10个月时患者无症状。
