Combined transdiaphragmatic MIDCAB with right gastroepiploic artery and abdominal aortic aneurysm repair.
Combined transdiaphragmatic MIDCAB with right gastroepiploic artery and abdominal aortic aneurysm repair.
复制标题
联合经膈 MIDCAB 与胃网膜右动脉和腹主动脉瘤修复术。
DOI：
10.1016/s0967-2109(00)00038-7
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发表时间：
2000
期刊：
影响因子：
--
通讯作者：
C. Yakut
中科院分区：
文献类型：
--
作者：
A. Gürbüz;K. Kırali;A. Tuncer;M. Şişmanoğlu;C. Yakut
腹主动脉瘤合并严重症状性冠状动脉病变的联合手术是一种安全有效的手术方法。一位75岁的男性患者同时接受了微创直接冠状动脉搭桥术和腹主动脉瘤修补术。首先，我们采集右胃网膜动脉，并将其穿过横隔膜，在不停跳的心脏上进行右冠状动脉血运重建。然后，我们使用涤纶管状Y形移植物修复了直径8厘米的腹主动脉瘤。使用动脉移植和非体外循环技术减少了老年腹主动脉瘤患者的手术时间，预防了体外循环并发症的发生，同时缩短了住院时间和费用。
Combined surgical repair for large abdominal aortic aneurysm and severe symptomatic coronary artery disease is a safe and effective procedure. Simultaneous operation for minimally invasive direct coronary artery bypass and abdominal aortic aneurysm repair were performed on a 75-yr-old man. First, we harvested the right gastroepiploic artery and passed it through the diaphragma for the right coronary artery revascularization on the beating heart. We then repaired the large abdominal aortic aneurysm (8 cm in diameter) using a Dacron tubular Y-graft. Using the arterial graft and off-pump technique reduces operation time and prevents complications of cardiopulmonary bypass in elderly patients with large abdominal aortic aneurysm, while the combined approach shortens hospital stay and cost.