Off-pump coronary artery bypass grafting for a left main lesion due to cardiac llograt vasculopathy in Japan: first report of a case
Off-pump coronary artery bypass grafting for a left main lesion due to cardiac llograt vasculopathy in Japan: first report of a case
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日本因心脏血管病变而进行非体外循环冠状动脉旁路移植术治疗左主干病变：首例病例报告
DOI：
10.1007/s00595-013-0651-0
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发表时间：
2014
期刊：
影响因子：
2.5
通讯作者：
Nakatani T
中科院分区：
文献类型：
--
作者：
Fujita T;Kobayashi J;Hata H;Murata Y;Seguchi O;Yanase M;Shimahara Y;Sato S;Nakatani T
同种异体心脏移植血管病变（CAV）是移植后死亡的主要原因。我们治疗了一位44岁女性，在心脏移植4年后行非体外循环冠状动脉旁路移植术（OPCAB）。年度检查，包括冠状动脉造影和静脉超声（IVUS），显示左主干严重病变。左乳内动脉与左前降支无泵吻合成功。由于CAV的性质，为了确保患者在心脏移植后有良好的长期预后，常规检查，包括IVUS，是至关重要的。对于由CAV引起的左主干病变，OPCAB是一个很好的选择。
Cardiac allograft vasculopathy (CAV) is a major cause of mortality after transplantation. We treated a 44-year-old female with off-pump coronary artery bypass grafting (OPCAB) 4 years after heart transplantation. Annual examinations, including coronary angiography and intravenous ultrasound (IVUS), revealed a severe lesion in the left main trunk. The left internal mammary artery was successfully anastomosed to the left anterior descending artery in an off-pump manner. To ensure that patients have a good long-term outcome after heart transplantation, routine examinations, including IVUS, are crucial, because of the nature of CAV. OPCAB is a good option for a left main trunk lesion due to CAV.