Off-pump axillo-coronary artery bypass grafting with porcelain aorta
Off-pump axillo-coronary artery bypass grafting with porcelain aorta
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DOI：
10.1111/j.1540-8191.2005.00125.x
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发表时间：
2005-11-01
影响因子：
1.6
通讯作者：
Ohgi, S
中科院分区：
文献类型：
--
作者：
Matsuda, N;Kamihira, S;Ohgi, S
严重升主动脉病变患者行冠状动脉旁路移植术（CABG）与动脉粥样硬化栓塞引起脑血管意外的高风险相关。在这种情况下，主动脉无接触技术被广泛应用为预防这些并发症的最重要的手术策略。本文报告一例75岁男性心力绞痛合并瓷状升主动脉。他成功地接受了非泵送腋冠状动脉旁路移植术和隐静脉移植，并在随访期间保持平稳。非体外循环腋冠状动脉旁路移植术似乎是冠状动脉重建术的一种合适的方法。
Coronary artery bypass grafting (CABG) in patients with severely diseased ascending aorta has been associated with high risk for cerebral vascular accidents due to atheromatous embolism. In this situation, aortic no-touch techniques are widely employed as most important surgical strategy to prevent these complications. A case of 75-year-old man with effort angina associated with porcelain ascending aorta was reported here. He successfully underwent off-pump axillo-coronary bypass grafting with saphenous vein graft and has remained uneventful during his follow-up period. The off-pump axillo-coronary artery bypass grafting seemed to be an appropriate procedure for coronary revascularization with severely diseased ascending aorta.