中国临床医学2011，Vol.18Issue(6)：780-782,3.
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 1娄德剑 1杨军 1史玉波 1张杰1
作者信息
- 1. 山东省烟台市烟台山医院心胸外科,山东烟台 264001
- 折叠
摘要
Abstract
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 (3-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.关键词
心肌桥/非体外循环冠状动脉旁路移植术/外科治疗Key words
Myocardial Bridge -, Off-Pump Coronary Artery Bypass/ Surgery分类
医药卫生引用本文复制引用
姜文升,娄德剑,杨军,史玉波,张杰..非体外循环冠状动脉旁路移植术治疗心肌桥13例分析[J].中国临床医学,2011,18(6):780-782,3.
