冠状静脉动脉化治疗弥漫性冠状动脉病变五例临床报告  

Arterialization of the Coronary Vein Parallel to the Artery With Diffuse Lesion

作　　者：胡盛寿[1] 王立清[1] 郑哲[1] 胡晓鹏[1] 宋云虎[1] 孙寒松[1] 

机构地区：[1]中国医学科学院中国协和医科大学心血管病研究所阜外心血管病医院心外科,北京市100037

出　　处：《中国循环杂志》2004年第2期136-138,共3页Chinese Circulation Journal

摘　　要：目的 :探索不适合经皮冠状动脉介入治疗和冠状动脉旁路移植术的弥漫性冠状动脉病变病人经静脉血运重建的可行性。方法 :5例具有弥漫性冠状动脉病变的病人 ,在体外循环或非体外循环下旁路移植到该冠状动脉的伴行静脉 ,并结扎该静脉的近端 ,凭借静脉的逆行灌注改善缺血区域的血供。结果 :5例病人均存活 ,旁路流量为 5 1～ 12 0 (平均 78 6)ml/min ,术后心绞痛消失 ,部分病人核素复查显示静脉动脉化后的相关区域灌注改善。结论 :冠状静脉动脉化用于治疗弥漫性冠状动脉病变的技术可行并有疗效。Objective: To assess the feasibility of arterialization of the coronary veins for patients with diffuse coronary artery lesion. Methods: The grafts were anastomosed to the parallel veins of the culprit arteries and the veins cephalad to the grafts were ligated. The flow of the graft and the oxygen saturation of coronary sinus were measured. Results: The mean flow of the grafts was 78.6 ml/min. All patients were followed up,they were asymptomatic in average six months after operation. Three cases underwent SPECT scan and one of them had a significant improved perfusion in the corresponding area. Conclusion: Arterializing the coronary veins parallel to the arteries is a feasible technique for patients with diffuse lesion.

关 键 词：冠状静脉动脉化 治疗 弥漫性冠状动脉病变 临床报告 

分 类 号：R541.4[医药卫生—心血管疾病]