Isomura T, Hirano A, Hisatomi H, Hirayasu A, Kawano H, Satou T, Tayama E, Ohhashi M, Kosuga K, Ohishi K
Second Department of Surgery, Kurume University Hospital, Japan.
Kyobu Geka. 1994 Feb;47(2):108-11.
Emergency coronary artery bypass grafting was performed in a 61 year old man who developed acute severe cardiac and respiratory dysfunction after myocardial infarction. At operation cardiac arrest was obtained by warm blood cardioplegia in antegrade intermittent fashion. The left anterior descending artery, diagonal branch, and right coronary artery were revascularized by saphenous vein (SVG). After declamping the aorta, spontaneous heart beating was obtained and postoperative course was uneventful. Postoperative examination showed patent all SVGs and improved cardiac function. Although the delivery of the warm blood cardioplegia was controversial, our recent study revealed that the intermittent antegrade delivery of warm blood cardioplegia showed no ischemic changes of the heart during the procedure.
一名61岁男性在心肌梗死后出现急性严重心脏和呼吸功能障碍，接受了急诊冠状动脉旁路移植术。手术时，通过顺行间断方式使用温血心脏停搏液使心脏停搏。左前降支、对角支和右冠状动脉通过大隐静脉（SVG）进行了血运重建。松开主动脉夹后，心脏恢复自主跳动，术后过程顺利。术后检查显示所有SVG均通畅，心脏功能改善。尽管温血心脏停搏液的输注存在争议，但我们最近的研究表明，顺行间断输注温血心脏停搏液在手术过程中未显示心脏缺血性改变。
