主动脉全弓置换联合冠状动脉旁路移植术的早期治疗效果  

Clinical early outcomes of total aortic arch replacement with coronary artery bypass grafting

作　　者：郑铁[1] 齐瑞东[1] 丁浩[1] 朱帅[1] 乔志钰[1] 胡海鸥[1] 陈雷[1] 朱俊明[1] 刘永民[1] 孙立忠[1] 

机构地区：[1]首都医科大学附属北京安贞医院心血管外科 北京市心肺血管疾病研究所 北京市大血管疾病诊疗中心,100029

出　　处：《中国医药》2016年第9期1290-1292,共3页China Medicine

基　　金：国家科技支撑计划（2015BAI12B03）;国家卫生和计划生育委员会公益性行业科研专项项目（201402009）

摘　　要：目的探讨主动脉全弓置换手术（TAR）联合冠状动脉旁路移植术（CABG）的早期治疗效果。方法回顾性分析2009年1月至2011年12月于首都医科大学附属北京安贞医院择期行TAR联合CABG的50例患者的病历资料。分析患者手术资料和TAR联合CABG的临床效果。结果所有患者手术时间（230±78）min，体外循环时间（153±52）min，冠状动脉远端吻合（2．1±1．1）次。患者手术死亡3例，分别于术后1d死于心室颤动、术后3d死于围术期心肌梗死、术后16d死于多器官功能衰竭，主要并发症10例。术后早期移植物通畅率为100％。结论TAR联合CABG可以安全地进行并有良好的术后早期临床效果。Objective To analyze clinical characteristics and effieacy of total aortic arch replacement （TAR） combined with coronary artery bypass grafting（CABG）. Methods Totally 50 patients who had TAR and CABG from January 2009 to December 2011 in Beijing Anzhen Hospital, Capital Medical University were retrospectively enrolled. Operation data and postoperative efficacy were analyzed. Results Operation duration was （230±78）min; eardiopulmonary bypass duration was （153 ± 52）min; the occurrence of coronary artery distal anastomosis was （2.1± 1.1 ） times. There were 3 death cases, including 1 ease of ventrieular fibrillation 1 d after operation, 1 ease of perioperative myocardial infarction 3 d after operation and 1 case of multiple organ failure 16 d after operation. There were 10 cases of major complications. Postoperative early graft patency rate was 100%. Conclusion TAR combined with CABG is safe and effective.

关 键 词：主动脉全弓置换手术 冠状动脉旁路移植术 临床结局 

分 类 号：R654[医药卫生—外科学]