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Transplantation of Pulmonary Valve Using a Mouse Model of Heterotopic Heart Transplantation
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Published on: July 23, 2014

从肺动脉产生异常的左冠状动脉. 一个八年的血管造影随访后,沙芬静脉旁路移植接种.

B R Chaitman, M G Bourassa, J Lespérance

    Circulation
    |March 1, 1975
    PubMed
    概括

    这项研究介绍了已知的最长的血管学随访异常的左冠状动脉从肺动脉治疗绕道手术. 调查结果显示,在手术8年后,出现了专利贪污和发展的抵押品流通.

    科学领域:

    • 心脏病学 心脏病学
    • 血管外科 血管外科
    • 遗传性心脏病是一种先天性心脏病.

    背景情况:

    • 从肺动脉产生的异常左冠状动脉 (ALCAPA) 是一种罕见的先天性心脏缺陷.
    • 手术纠正,通常是冠状动脉旁路移植,是生存所必需的.
    • 对于ALCAPA的绕道手术后的长期结果和血管学变化需要进一步调查.

    研究的目的:

    • 报告ALCAPA患者的长期血管学发现,该患者接受了冠状动脉旁路移植.
    • 为了在长时间内评估旁路移植的通透性和功能.
    • 为了评估外科手术后冠状动脉附带循环的发展.

    主要方法:

    • 在术后7周和8年进行序列血管造影随访.
    • 对左前下降动脉的冠状动脉旁路移植的评估.
    • 对本土冠状动脉的评估,包括右冠状动脉和附带血管形成.

    主要成果:

    • 动脉冠状动脉旁路移植在8年内仍然是专利的,并且运行良好.
    • 没有观察到右冠状动脉大小的显著术后变化.
    • 新的附带血管在遥远的左前下降和左环动脉之间发展,右和左环动脉之间的现有附带血管持续存在.

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    结论:

    • 动脉冠状动脉旁路移植可以在ALCAPA患者中提供持久的长期通透性和功能改善.
    • 附带循环的发展可能在长期维持心肌输液方面发挥作用.
    • 这一案例凸显了ALCAPA手术纠正后长期血管学监测的重要性.