Yoshida K, Ohshima H, Murakami F, Tomida Y, Matsuura A, Hibi M, Kawamura M, Notoya A
Division of Cardiovascular Surgery, Owari Prefectural Hospital, Aichi, Japan.
Surg Today. 1997;27(7):664-5. doi: 10.1007/BF02388227.
We report herein the unusual case of a patient in whom postoperative angiography following coronary artery bypass grafting (CABG) revealed a lateral origin of the right internal thoracic artery (ITA) and a normal origin of the left ITA, both of which were demonstrated to be patent and did not follow a tortuous course. The CABG had involved revascularization of the left anterior descending artery (LAD) with the right ITA, and the obtuse marginal artery with the left ITA. The patient had an uneventful postoperative course and developed no respiratory symptoms.
我们在此报告一例罕见病例，该患者在冠状动脉旁路移植术（CABG）后行血管造影显示，右胸廓内动脉（ITA）起源于外侧，左ITA起源正常，二者均显示通畅且走行不迂曲。CABG手术中，使用右ITA对左前降支动脉（LAD）进行了血运重建，使用左ITA对钝缘支动脉进行了血运重建。该患者术后恢复顺利，未出现呼吸系统症状。
