INTERNAL MAMMARY ARTERY BYPASS GRAFT FOR IMPAIRED CORONARY PERFUSION AFTER NEONATAL ARTERIAL SWITCH OPERATION

被引:14
作者
GRABITZ, RG [1 ]
MESSMER, BJ [1 ]
SEGHAYE, MC [1 ]
ENGELHARDT, W [1 ]
MUHLER, E [1 ]
VONBERNUTH, G [1 ]
机构
[1] RHEIN WESTFAL TH AACHEN,THORAX HERZ & GEFASSCHIRURG KLIN,DEPT THORAC & CARDIOVASC SURG,W-5100 AACHEN,GERMANY
关键词
ARTERIAL SWITCH; NEONATE; MAMMARY ARTERY BYPASS;
D O I
10.1016/1010-7940(92)90178-Z
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Myocardial ischaemia caused by perfusion impairment of translocated coronary arteries is the major cause of perioperative mortality after neonatal arterial switch operation for transposition of the great arteries. We report the successful use of the right internal mammary artery as a bypass graft to a dominant right coronary artery to treat insufficient perfusion of this artery in a newborn. Eight months later, coronary angiography showed a full blood supply of the right coronary artery across the internal mammary anastomosis. After a follow-up period of more than 30 months, somatic development, electrocardiogram and echocardiographically determinated contractility of both ventricles are practically normal indicating regular function of the bypass graft.
引用
收藏
页码:388 / 390
页数:3
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