Hayashi S, Sasaki M, Kawamoto J
Department of Cardiovascular Surgery, Chugoku Rosai General Hospital, Kure, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1996 Oct;44(10):1941-4.
CABG operation was conducted using only arterial grafts for patients with hypothyroidism. Case 1 was a 75-year-old woman in a hypothyroid state following radioactive iodine therapy for Basedow's disease. I're-operative thyroid function could not be corrected. CABG (RITA-->#7, LITA-->#14, RGEA-->#3) was thus carried out. The post-operative course was slightly unstable. Transient conduction disturbance appeared. Case 2 was a 57-year-old man with primary hypothyroidism. Pre-operative thyroid function could be corrected, and CABG (LITA-->#7, RITA-->#9, RGEA-->#4 PD) was carried out, the post-operative course was very good. CABG with only arterial graft was thus concluded applicable to the patients with hypothyroidism.
对于甲状腺功能减退患者，冠状动脉旁路移植术（CABG）仅使用动脉移植物进行。病例1是一名75岁女性，因格雷夫斯病接受放射性碘治疗后处于甲状腺功能减退状态。术前甲状腺功能无法纠正。因此进行了CABG（右胸廓内动脉至第7号血管，左胸廓内动脉至第14号血管，右胃网膜动脉至第3号血管）。术后病程略有不稳定。出现了短暂性传导障碍。病例2是一名57岁男性，患有原发性甲状腺功能减退。术前甲状腺功能可以纠正，进行了CABG（左胸廓内动脉至第7号血管，右胸廓内动脉至第9号血管，右胃网膜动脉至第4号血管，后降支），术后病程非常良好。因此得出结论，仅使用动脉移植物的CABG适用于甲状腺功能减退患者。
