Tarr F, Somogyi A, Tomcsányi J
Haynal University of Health Sciences Internal Medicine and Cardiovascular Centre, Department of Cardiovascular Clinic, Budapest, Hungary.
Panminerva Med. 1997 Jun;39(2):136-40.
Authors present the case report of a young man with advanced coronary artery disease of the left main trunk, and the large tributaries of the left coronary system, leading to sudden onset of many ventricular fibrillation, associated with unconsciousness requiring several reanimation. The condition was treated with coronary artery surgery with the use 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 activity as well as the documents of the early postoperative course and of the 1 month follow-up are described.
作者报告了一例年轻男性患者的病例,该患者患有左主干及左冠状动脉系统主要分支的晚期冠状动脉疾病,导致多次突发心室颤动,并伴有意识丧失,需要多次复苏。该病症采用冠状动脉手术治疗,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。文中描述了手术过程的详细情况以及术后早期病程和1个月随访的相关资料。