网络编辑平台

编辑出版

《中国临床医学》编辑部

  地址:上海市枫林路179号18号楼501室

  邮编:200032

  电话:021-60267570

  邮箱:(1)zglcyx@126.com; (2)zglcyxfb@126.com

作者园地

在线调查

您喜欢的投稿方式调查


相关下载

您所在位置:首页->过刊浏览->第18卷第6期


论著:非体外循环冠状动脉旁路移植术治疗心肌桥13例分析
Clinical Analysis of the Treatment of Coronary Myocardial Bridge by Off-Pump Coronary Artery Bypass for 13 Patients
姜文升 娄德剑 杨军 史玉波 张杰
点击:1356次 下载:0次
作者单位:山东省烟台市烟台山医院心胸外科
中文关键字:心肌桥;非体外循环冠状动脉旁路移植术;外科治疗
英文关键字:Myocardial Bridge;Off-Pump Coronary Artery Bypass;Surgery
中文摘要:目的:探讨非体外循环冠状动脉旁路移植术治疗心肌桥的临床效果。方法:2004年4月—2009年1月狭窄程度Noble分级在3级以上的13例心肌桥患者,均接受非体外循环冠状动脉旁路移植术治疗。采用Genzyme心脏血管稳定器,心脏不停跳下切开心肌桥远端(冠状动脉钻出心肌处)心肌表面脂肪组织,取左内乳动脉搭桥至心肌桥远端。结果:13例患者均顺利完成手术。术后随访6~50个月,均无心绞痛发作,患者生活质量满意。结论:非体外循环冠状动脉旁路移植术是治疗Noble 3级以上心肌桥的有效方法。
英文摘要:Objective: Myocardial bridges are a relatively uncommon congenital anomaly of the coronary artery, this study aims to evaluate the treatment of coronary myocardial bridge by off- pump coronary artery bypass. Methods: A total of 13 patients who underwent surgery from April 2004 to January 2009 were included in this study. Mean age was 48 years. There were 5 men and 8 women. All of the 13 patients had had angina pectoris preoperatively, They were myocardial bridges only. Conventional coronary angiography prior to surgery demonstrated myocardial bridging of the left anterior descending artery in all patients. Patients were clinically symptomatic despite β-blocker therapy. They underwent off-pump supraarterial decompression myotomy of the LAD and coronary artery bypass grafting by using internal mammary artery. Results: No patient was convert to cardiopulmonary bypass, All patients survived the operation and recovered uneventfully. Follow-up of all patients ranged from 6 months to 50 months and showed no late death, readmission, or angina complaint. There was no hospital death. Complete recovery was achieved in the postoperative period in all patients. Conclusions: Excellent early surgical results are obtained in all patients. Off-pump coronary artery bypass grafting are appropriate alternatives to PTCA, endovascular stent placement in the management of symptomatic myocardial bridging.
读者评论

      读者ID: 密码:   
我要评论:
主办单位:复旦大学附属中山医院
联系地址:上海市枫林路179号18号楼501室 邮编:200032
联系电话:021-60267570 E-Mail:(1)zglcyx@126.com; (2)zglcyxfb@126.com
版权所有©2009-2010 《中国临床医学》杂志编辑部 沪ICP备1103249号
本系统由北京菲斯特诺科技有限公司设计开发
您是本站第1269991名访问者