小儿心脏外科冠状动脉旁路移植术一例：强调胸内动脉使用的重要性。

IF 1.5 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Journal of Cardiothoracic Surgery Pub Date : 2025-07-09 DOI:10.1186/s13019-024-03197-6

Burak Bozkurt, Murat Çiçek, Fatih Ozdemir, Okan Yurdakök, Numan Ali Aydemir

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引用次数: 0

摘要

冠状动脉旁路移植术（CABG）在儿童心脏手术中是一种非常罕见的手术，主要是因为这一人群的冠状动脉疾病发病率低。然而，当有指示时，使用胸内动脉（ITA）作为移植物对于确保长期成功至关重要。本病例报告描述了一位冠状动脉异常的患者，右冠状动脉从左主冠状动脉出发，沿右心室流出道横贯。患者在Rastelli手术后出现晚期冠状动脉压迫，突出了ITA移植物在手术治疗中的关键作用。

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A rare case of coronary artery bypass grafting in pediatric cardiac surgery: emphasizing the importance of internal thoracic artery usage.

Coronary artery bypass grafting (CABG) is an exceedingly rare procedure in pediatric cardiac surgery, primarily due to the low incidence of coronary artery disease in this population. However, when indicated, the use of the internal thoracic artery (ITA) as a graft is crucial for ensuring long-term success. This case report describes a patient with a coronary artery anomaly where the right coronary artery is taking its origin from the left main coronary artery and transversing along the right ventricle outflow tract. The patient experienced late coronary compression after Rastelli operation, highlighting the critical role of ITA grafts in the surgical treatment.

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来源期刊

Journal of Cardiothoracic Surgery 医学-心血管系统

CiteScore

2.50

自引率

6.20%

发文量

286

审稿时长

4-8 weeks

期刊介绍： Journal of Cardiothoracic Surgery is an open access journal that encompasses all aspects of research in the field of Cardiology, and Cardiothoracic and Vascular Surgery. The journal publishes original scientific research documenting clinical and experimental advances in cardiac, vascular and thoracic surgery, and related fields. Topics of interest include surgical techniques, survival rates, surgical complications and their outcomes; along with basic sciences, pediatric conditions, transplantations and clinical trials. Journal of Cardiothoracic Surgery is of interest to cardiothoracic and vascular surgeons, cardiothoracic anaesthesiologists, cardiologists, chest physicians, and allied health professionals.