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Coronary Artery Bypass Grafting in an Infant after an Arterial Switch Operation

机译:动脉开关操作后婴儿冠状动脉旁路嫁接

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摘要

Coronary artery bypass grafting (CABG) is rarely performed in infants because of its technical difficulty and unclear long-term results. A 90-day-old male infant weighing 3.5 kg who underwent an arterial switch operation (ASO) for transposition of the great arteries developed left coronary artery insufficiency despite augmentation and reimplantation of the left coronary button. On-pump beating heart CABG was performed using an internal mammary artery graft to revascularize the left anterior descending artery. Postoperative computed tomography angiography revealed that the graft was patent. At 7 months postoperatively, the patient weighed 8.5 kg, and echocardiography revealed good ventricular function. CABG can be an alternative treatment for post-ASO coronary complications in early infancy.
机译:由于其技术难度和不明确的结果,冠状动脉旁路移植(CABG)很少在婴儿中进行。一个90天历史的男性婴幼儿,重3.5公斤,经历了动脉开关操作(ASO)的动脉开关操作(ASO),仍然产生了左冠状动脉按钮的增强和再造成的左冠状动脉功能不全。使用内部乳腺动脉移植物进行泵浦击打心脏CABG,以血运重建左前期下降动脉。术后计算断层造影血管造影显示移植物是专利。术后7个月,患者重8.5千克,超声心动图显示出良好的心室功能。 CABG可以是初期初期后冠状动脉复杂性的替代治疗方法。

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