使用经胸骨上途径的静脉移植进行腋动脉-冠状动脉搭桥术。

IF 0.7 Q3 Medicine

ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2024-11-01 Epub Date: 2024-11-25 DOI:10.1177/02184923241301109

Hideki Isa, Masahiro Tsutsui, Fumitaka Suzuki, Ryohei Ushioda, Shingo Kunioka, Hiroyuki Kamiya

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引用次数: 0

摘要

原位右胸内动脉移植至左前降支动脉后，重新进行冠状动脉旁路移植手术具有挑战性。对于这样一位有纵隔炎病史的 52 岁男性患者，我们使用大隐静脉移植物和剑突切除术，经胸骨上途径重新进行了右冠状动脉旁路移植术，以左侧腋动脉作为入流源，并且移植物是通畅的。腋动脉是主动脉无法进入的患者的血流来源。将胸骨上途径与剑突切除术相结合，提供了一种保外方案。

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Axillary-coronary artery bypass using a vein graft via the suprasternal route.

Redo coronary artery bypass grafting after an in-situ right internal thoracic artery graft to the left anterior descending artery is challenging. For such a 52-year-old male patient with a history of mediastinitis, we performed redo bypass grafting of the right coronary artery using a saphenous vein graft and xiphoid resection via the suprasternal route with the left axillary artery as the inflow source and the graft were patent. The axillary artery is an inflow source for patients with inaccessible aorta. Combining the suprasternal route with a xiphoid resection provides a bail-out option.

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来源期刊

ASIAN CARDIOVASCULAR & THORACIC ANNALS Multiple-

CiteScore

1.30

自引率

0.00%

发文量

期刊介绍： The Asian Cardiovascular and Thoracic Annals is an international peer-reviewed journal pertaining to cardiovascular and thoracic medicine. Besides original clinical manuscripts, we welcome research reports, product reviews, reports of new techniques, and findings of special significance to Asia and the Pacific Rim. Case studies that have significant novel original observations, are instructive, include adequate methodological details and provide conclusions. Workshop proceedings, meetings and book reviews, letters to the editor, and meeting announcements are encouraged along with relevant articles from authors.