Okamura T, Yokoyama S, Kou E, Inoue N, Kuriyama T, Matsumuro A, Fujita H, Tanaka T, Miyao K
Department of Cardiovascular Surgery, Kyoto Second Red Cross Hospital, Japan.
Kyobu Geka. 1998 Sep;51(10):845-8.
A 57-year-old man was admitted to our hospital because of restenosis of the left main coronary trunk (LMT) after patch angioplasty for the LMT lesion. PTCA was repeated four times during three years after patch angioplasty, but recent coronary angiogram still demonstrated 75% restenosis of the LMT lesion. Double-CABG was performed to LAD and LCX using the left internal thoracic artery and saphenous vein graft. Postoperative coronary angiogram revealed an excellent result. A careful consideration must be given to the indication of the patch angioplasty of the LMT lesion.
一名57岁男性因左主干冠状动脉（LMT）病变行补片血管成形术后再狭窄而入住我院。在补片血管成形术后的三年中，PTCA重复进行了4次，但近期冠状动脉造影仍显示LMT病变有75%的再狭窄。使用左内乳动脉和大隐静脉移植血管对左前降支（LAD）和左旋支（LCX）进行了双冠状动脉旁路移植术（CABG）。术后冠状动脉造影显示效果极佳。对于LMT病变补片血管成形术的适应证必须进行仔细考虑。
