| 摘要: |
| 17例主动脉-冠状动脉傍路移植术(搭桥术)全部存活。全组均有心绞痛史。选择性冠状动脉及左心室电影造影示1支冠状动脉狭窄者2例,2支狭窄者3例,3支狭窄者10例,4支狭窄者2例;左心室射血分数(EF)均在0.30以上。17例共搭桥25根,其中直接搭桥12根,序贯式搭桥13根。共作46支冠状动脉远端吻合口,平均每位病人作2.7支。术后心绞痛均消失。高龄病人并非作为搭桥术的严格限制条件。术前选择EF在0.30以上;术中血运重建满意;木后有Swan-Ganz导管的血液动力学监护,均能取得良好的结果。本文并介绍蛇形搭桥的优点和适应症。 |
| 关键词: 主动脉冠状动脉傍路手术,心血管荧光电影照相术,射血分数,心肌血运重建,漂浮导管,序贯式移植手术 |
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| AORTOCORONARY BYPASS GRAFTING:A REPORT OF 17 CASES |
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| Abstract: |
| Seventeen patients underwent coronary artery bypassgrafiting (CABG) whithout mortality. All cases had a history of angina pectoris preope- ratively. A selected coronary artery and left ventricular cineangiocardiography was performed in each patient. A sin |
| Key words: Aortocoronary bypass,Cineangiocardiography,Ejection fraction,Myocardial revascularization,Swan-Ganz catheter,Sequential grafting |