Kitamura S, Inoue K, Kawachi K, Morita R, Seki T, Taniguchi S, Kawata T
Department of Surgery III, Nara Medical College, Nara, Japan.
Ann Thorac Surg. 1993 Jul;56(1):157-9. doi: 10.1016/0003-4975(93)90423-f.
Vascular complications associated with the use of the internal thoracic artery as a conduit for coronary artery bypass are infrequent. However, acute limb-threatening ischemia can occur after the use of the internal thoracic artery for myocardial revascularization when this vessel forms an important collateral to an obstructed aortoiliac artery system. Although this is a rare complication, the consequences are devastating. Due to the risk of peripheral vascular insufficiency, we now perform simultaneous revascularization of the myocardium and the lower extremity when an internal thoracic artery that appears to be a major collateral to the ipsilateral aortoiliac system is used.
与使用胸廓内动脉作为冠状动脉旁路移植的管道相关的血管并发症并不常见。然而，当该血管形成阻塞性主-髂动脉系统的重要侧支时，在使用胸廓内动脉进行心肌血运重建后可能会发生急性肢体威胁性缺血。虽然这是一种罕见的并发症，但其后果是毁灭性的。由于存在外周血管功能不全的风险，当使用似乎是同侧主-髂动脉系统主要侧支的胸廓内动脉时，我们现在同时进行心肌和下肢的血运重建。
