成人主动脉缩窄修复术后的胸廓内动脉粥样硬化

Internal thoracic artery atherosclerosis after coarctation repair in an adult.

作者信息

Castaño M, Silva J, Fortuny R, López J, Vallejo J L

机构信息

Department of Cardiovascular Surgery, Hospital General Universitario Gregorio Marañón, Madrid, Spain.

出版信息

Ann Thorac Surg. 1998 Oct;66(4):1424-6. doi: 10.1016/s0003-4975(98)00721-8.

DOI:10.1016/s0003-4975(98)00721-8

Abstract

We report a rare case of a patient with an unsuitable grossly atherosclerotic and extensively calcified right internal thoracic artery found during a coronary bypass grafting operation. He had undergone an aortic coarctation repair 35 years before, with long-term systemic hypertension previous to the operation and sustained after it. It is advisable to be alert to the possibility of atherosclerotic degeneration of the internal thoracic artery in these patients.

摘要

我们报告了一例罕见病例，该患者在冠状动脉搭桥手术中发现右胸廓内动脉严重动脉粥样硬化且广泛钙化，不适合使用。他在35年前接受了主动脉缩窄修复手术，术前有长期系统性高血压，术后仍持续存在。对于这些患者，应警惕胸廓内动脉发生动脉粥样硬化退变的可能性。

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