老年心脏病学杂志(英文版)2008,Vol.5Issue(3):186-189,4.
Minimally invasive direct coronary artery bypass plus coronary stent for acute coronary syndrome: a case report
Minimally invasive direct coronary artery bypass plus coronary stent for acute coronary syndrome: a case report
Caiyi Lu 1Gang Wang 2Qi Zhou 2Jinwen Tian 1Lei Gao 1Shenhua Zhou 1Jinyue Zhai 1Rui Chen 1Zhongren Zhao 1Cangqing Gao 3Shiwen Wang 1Yuxiao Zhang 1Ming Yang 3Qiao Xue 1Cangsong Xiao 1Wei Gao 1Yang Wu3
作者信息
- 1. Institute of Geriatric Cardiology
- 2. Department of Annesthesiology,PLA General Hospital,Beijingl00853.China
- 3. Department of Cardiac Surgery
- 折叠
摘要
Abstract
A 69-year old female patient was admitted because of 3 days of worsened chest pain.Coronary angiography showed60% stenosis of distal left main stem,chronic total occlusion of left anterior descending (LAD),70% stenosis at the ostium of a smallleft circumflex,70-90%stenosis at the paroxysmal and middle part of a dominant fight coronary artery (RCA),and a normal left internalmammary artery (LIMA) with normal origination and orientation.Percutaneous intervention was attempted but failed on the occludedlesion of LAD.The patient received minimally invasive direct coronary artery bypass (MIDCAB) with left LIMA isolation by Davincirobot.Eleven days later,the RCA lesion was treated by Sirolimus Rapamicin eluting stents implantation percutaneously.Then thepatient was discharged uneventfully after 3 days hospitalization.Our experience suggests that two stop shops of hybrid technique befeasible and safe in the treatment of elderly patient with multiple coronary diseases.关键词
coronary artery disease/coronary artery bypass/percutaneous coronary interventionKey words
coronary artery disease/coronary artery bypass/percutaneous coronary intervention引用本文复制引用
Caiyi Lu,Gang Wang,Qi Zhou,Jinwen Tian,Lei Gao,Shenhua Zhou,Jinyue Zhai,Rui Chen,Zhongren Zhao,Cangqing Gao,Shiwen Wang,Yuxiao Zhang,Ming Yang,Qiao Xue,Cangsong Xiao,Wei Gao,Yang Wu..Minimally invasive direct coronary artery bypass plus coronary stent for acute coronary syndrome: a case report[J].老年心脏病学杂志(英文版),2008,5(3):186-189,4.