Kahn J K, Fischer J C
Michigan Heart and Vascular Institute, St. Joseph Mercy Hospital, Ann Arbor.
Cathet Cardiovasc Diagn. 1993 Jul;29(3):221-3. doi: 10.1002/ccd.1810290309.
We report a case of failed coronary angioplasty requiring urgent coronary artery bypass graft surgery. The return of angina pectoris early after surgery led to repeat catheterization, demonstrating a rapidly progressive stenosis of the left main coronary artery. This was treated successfully with coronary angioplasty. In patients with recurrent angina early after bypass surgery in whom angioplasty preceded surgery, acceleration of left main disease should be considered.
我们报告一例冠状动脉血管成形术失败后需要紧急进行冠状动脉搭桥手术的病例。术后早期心绞痛复发导致再次进行导管插入术，显示左主干冠状动脉出现快速进展性狭窄。这通过冠状动脉血管成形术得到了成功治疗。对于在搭桥手术后早期复发心绞痛且血管成形术先于手术的患者，应考虑左主干病变加速进展的情况。
