Tarr F, Somogyi A, Tomcsányi J
Haynal Imre Egészségtudományi Egyetem, Budapest, Belgyógyászati és Kardiovaszkuláris Centrum.
Orv Hetil. 1996 Jul 7;137(27):1485-8.
Authors present the case report of a young man with advanced coronary artery disease of the left main trunk and the big branches of the left coronary system leading to sudden onset of many ventricular fibrillations associated with unconsciousness requiring several reanimations. The condition was treated with coronary artery surgery with the usage of three different arterial conduits (right radial artery, right gastroepiploic artery as free grafts and the left internal mammary artery in situ) with an additional saphenous vein bypass graft. Details of surgical procedures as well as the documents of the early postoperative course and of the 1 month follow up are given.
作者报告了一例年轻男性病例,该患者患有左主干及左冠状动脉系统大分支的晚期冠状动脉疾病,导致多次室颤突然发作并伴有意识丧失,需要多次复苏。采用冠状动脉手术进行治疗,使用了三种不同的动脉血管移植物(右桡动脉、游离移植的右胃网膜动脉和原位左乳内动脉),并额外进行了大隐静脉旁路移植。文中给出了手术过程的详细信息以及术后早期病程和1个月随访的资料。