在一条主动脉-冠状动脉大隐静脉移植血管中出现的异常坚硬病变，对标准球囊血管成形术无效。

An unusually hard lesion in an aortocoronary saphenous vein graft refractory to standard balloon angioplasty.

作者信息

Kyriakidis M, Trikas A, Triposkiadis F, Toutouzas P

机构信息

Department of Cardiology, University of Athens Medical School, Greece.

出版信息

Int J Cardiol. 1995 Nov 24;52(2):115-7. doi: 10.1016/0167-5273(95)02460-e.

DOI:10.1016/0167-5273(95)02460-e

PMID:8749870

Abstract

We report a case of a hard lesion in the body of an aortocoronary saphenous vein graft, which developed 3 years after bypass surgery and was not amenable to dilation during percutaneous coronary angioplasty, despite multiple balloon inflations at pressures reaching 13 atm. Hard lesions in aortocoronary saphenous vein grafts are rare but may lead to balloon angioplasty failure necessitating alternative angioplasty options.

摘要

我们报告一例主动脉冠状动脉大隐静脉移植血管体部出现硬病变的病例，该病变在搭桥手术后3年出现，尽管在经皮冠状动脉腔内血管成形术期间多次以高达13个大气压的压力进行球囊扩张，但仍无法扩张。主动脉冠状动脉大隐静脉移植血管中的硬病变很少见，但可能导致球囊血管成形术失败，需要采用其他血管成形术方案。