[经左胸廓切开术重新进行冠状动脉旁路移植术]

Q4 Medicine
Taishi Kawahata, Mayuko Kitao, Keisuke Nakamura, Hirohito Terada, Hirofumi Nakagawa, Hiroshi Okuyama, Akihiro Nabuchi
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引用次数: 0

摘要

八名患者在接受冠状动脉旁路移植术(CABG)后,通过左侧胸廓切开术进入左冠状动脉区域。手术选择了左锁骨下动脉作为入路吻合部位,大隐静脉作为移植物。平均手术时间为187分钟,住院时间为12.2天。所有患者都完成了体外循环冠状动脉置换术。住院期间无死亡病例,确诊病例的移植物均为专利。我们认为,左侧胸廓切开术避免了因重新做胸骨切开术而导致的移植物损伤等问题,降低了死亡率和并发症发生率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Redo Coronary Artery Bypass Grafting Performed via Left Thoracotomy].

Eight patients underwent coronary artery bypass grafting( CABG) by left thoracotomy approach to the left coronary artery territory after CABG. The left subclavian artery was selected as an inflow anastomosis site, and the greater saphenous vein was used as a graft. The average operative time was 187 minutes, and the hospital stay was 12.2 days. Off-pump CABG was complete in all patients. There were no cases of mortality during hospitalization, and grafts were patent in the confirmed cases. We believe that the left thoracotomy approach avoids problems such as injury of the patent graft due to redo sternotomy, and reduces the mortality and complication rate.

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