Noda H, Tanimoto Y, Yoshimura K, Fujita N, Ichiyama M, Yamagata T, Ueyama T, Tomosawa N, Moritani K, Esato K
Department of Cardiology, Ehime Rohsai Hospital, Niihama, Japan.
Kyobu Geka. 1996 Feb;49(2):135-8.
Coronary artery bypass surgery in a 67-year-old male with severe calcified ascending aorta was performed without cardiopulmonary bypass under beating heart, utilizing the left internal thoracic artery graft. No neurological complication was observed and postoperative angiogram showed good graft patency. We think coronary revascularization without cardiopulmonary bypass can be one of the safe and reliable methods to avoid complications associated with aortic cross clamping and aortic cannulation with severely calcified aorta.
一名67岁患有严重钙化升主动脉的男性接受了冠状动脉搭桥手术，手术在心脏跳动下非体外循环进行，使用左胸廓内动脉移植物。未观察到神经并发症，术后血管造影显示移植物通畅良好。我们认为，对于严重钙化的主动脉，非体外循环冠状动脉血运重建可以是避免与主动脉阻断和主动脉插管相关并发症的安全可靠方法之一。
