Yoshida K, Ohshima H, Murakami F, Matsuura A, Hibi M, Kawamura M
Division of Cardiovascular Surgery, Owari Prefectural Hospital, Aichi, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1997 Jan;45(1):64-6.
We report two cases of coronary artery bypass grafting following radical mastectomy using bilateral internal thoracic arterial grafts. One was a 68-year-old woman with angina pectoris, and the other was a 71-year-old woman with old myocardial infarction. Dissection of the internal thoracic arterial pedicles from the chest wall was not so difficult in both cases. The pedicles had good patency and each free flow of them was enough. They had no postoperative complications. It may be a useful method to use the internal thoracic arterial grafts for a case of coronary artery bypass grafting after radical mastectomy.
我们报告了两例在根治性乳房切除术后使用双侧胸廓内动脉移植物进行冠状动脉旁路移植术的病例。一例是一名68岁患有心绞痛的女性，另一例是一名71岁患有陈旧性心肌梗死的女性。在这两例病例中，从胸壁游离胸廓内动脉蒂并不困难。这些蒂通畅良好，每一根的血流都充足。它们没有术后并发症。对于根治性乳房切除术后进行冠状动脉旁路移植术的病例，使用胸廓内动脉移植物可能是一种有用的方法。
