[1]杨航 凌云鹏** 郭丽君①.左胸小切口双侧乳内动脉双支全动脉化旁路移植联合经皮冠状动脉介入治疗冠状动脉多支病变1例报告[J].中国微创外科杂志,2016,16(05):452-454.
　Yang Hang*,Ling Yunpeng*,Guo Lijun..Minimally Invasive Coronary Bypass by Using Bilateral Internal Mammary Arteries Combine with Percutaneous Coronary Intervention for Multivessel Coronary Artery Disease: Case Report[J].Chinese Journal of Minimally Invasive Surgery,2016,16(05):452-454.
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左胸小切口双侧乳内动脉双支全动脉化旁路移植联合经皮冠状动脉介入治疗冠状动脉多支病变1例报告()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
16
期数:
2016年05期
页码:
452-454
栏目:
技术改进
出版日期:
2016-08-17

文章信息/Info

Title:
Minimally Invasive Coronary Bypass by Using Bilateral Internal Mammary Arteries Combine with Percutaneous Coronary Intervention for Multivessel Coronary Artery Disease: Case Report
作者:
杨航 凌云鹏** 郭丽君①
（北京大学第三医院心脏外科，北京100083）
Author(s):
Yang Hang*;  Ling Yunpeng*;  Guo Lijun.
*Department of Cardiac Surgery, Peking University Third Hospital, Beijing 100083, China
关键词:
微创冠状动脉旁路移植; 双侧乳内动脉; 杂交技术
Keywords:
Minimally invasive direct coronary artery bypass; Bilateral internal mammary artery; Hybrid technique
文献标志码:
B
摘要:
本文报道1例60岁男性患者因急性胸痛就诊于我院，冠状动脉造影提示严重的冠状动脉三支病变，行微创冠状动脉旁路移植联合冠状动脉支架置入。通过左胸壁2个切口获取双侧乳内动脉并吻合成为Y型桥，然后分别将左、右乳内动脉远端吻合至前降支和中间支，手术时间306 min，术中出血50 ml，5 d后对右状动冠状病变进行冠状动脉介入支架治疗。术后第8天顺利出院。随访1个月患者未再有胸痛症状发作。我们认为对于复杂冠状动脉多支病变，这种杂交技术是微创而有效的。
Abstract:
A 60-year-old man was admitted with main complaint of chest pain on exertion. Coronary angiogram showed severe triple vessel disease. He underwent the hybrid technique of treatment through two left minithoracotomy incisions. Both internal thoracic arteries were harvested under direct vision. The left internal mammary artery(LIMA) and right internal mammary artery(RIMA) compositing Y grafts was constructed. The LIMA was anastomosed to the left anterior descending branch and the RIMA was anastomosed to the ramus intermedius. The operation time was 306 min. The amount of bleeding during operation was 50 ml. Five days later he underwent percutaneous coronary intervention at right coronary artery lesion successfully. He was discharged from hospital 8 days after operation,and didn’t complain of chest pain during fellow-up for one month. This technique demonstrates to be an effective and minimally invasive alternative to treat patients with multivessel coronary artery disease.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目：北京大学第三医院临床重点项目培育探索项目**通讯作者,E-mail：micsling@163.com①心内科
更新日期/Last Update: 2016-08-17