乳内动脉冠状动脉旁路移植术后心肌梗死1例

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL
E. A. Zakharyan, D. V. Shatov, P. E. Grigoriev, M. S. Radkovskaya
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引用次数: 0

摘要

冠状动脉旁路移植术(CABG)是多支冠状动脉疾病和严重进展型冠状动脉疾病的首选心肌血运重建方法。左前降支(LADA) CABG的材料选择是乳腺内动脉(IMA)。然而,即使使用IMA作为冠脉搭桥导管,也应注意移植物衰竭的可能性,这表明需要对这类患者保持警惕。冠状动脉血管内介入治疗可以有效、安全地对闭塞的旁路移植术进行血运重建,最大限度地降低现有风险,提高患者的生活质量和生存率。本文报道一例因乳腺移植物阻塞LADA而发生复发性前路心肌梗死的临床病例。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A clinical case of myocardial infarction after coronary artery bypass grafting using the internal mammary artery
Coronary artery bypass grafting (CABG) is the most preferred method of myocardial revascularization in multivessel coronary artery disease and severe progressive forms of the disease. The material of choice for CABG of the left anterior descending artery (LADA) is the internal mammary artery (IMA). However, even when using IMA as a conduit for CABG, one should be aware of a possibility of graft failure, which indicates a need for constant vigilance in this category of patients. Endovascular interventions on coronary arteries make it possible to efficiently and safely revascularize an occluded bypass graft, minimizing existing risks and improving both the quality of life of patients and their subsequent survival. The article considers a clinical case of the development of recurrent anterior myocardial infarction in the patient due to occlusion of the mammary graft to the LADA.
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来源期刊
Byulleten Sibirskoy Meditsiny
Byulleten Sibirskoy Meditsiny MEDICINE, GENERAL & INTERNAL-
CiteScore
0.70
自引率
50.00%
发文量
102
审稿时长
8 weeks
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