- 期刊
The Use of Right Gastroepiploic Artery for the Bypass of Left Anterior Descending Coronary Artery - Case Reports
以右胃網膜動脈吻合左前降枝冠狀動脈繞道手術－病例報告
摘要
右骨網膜動脈乃骨十二指腸動脈之分枝，供應骨大彎附近之血流營養，若經適當之分離，可與心臟外側及後方之動脈作吻合手術，過去文獻報告右骨網膜動膜通常吻合在右冠狀動脈或左側迴旋枝冠狀動脈。本篇報告兩例缺血性心臟病例，以右貄網膜動脈與病人預後最要重的左前降枝冠狀動脈作吻合手術。術後核醫心功能檢查發現，吻合處可提供左前降枝冠狀動脈該區域足夠之血流。如此，在冠狀動脈繞道手術中，右骨網動脈可做為與左前降枝冠狀動脈吻合可信賴之移植動脈血管。
關鍵字
無資料並列摘要
The right gastroepiploic artery (RGEA), a branch of the gastroduodenal artery, supplies the greater curvature of the stomach. It is capable of easily reaching the posterior and lateral surface of the heart as a reliable arterial conduit when appropriately harvested. In the previous reports, it has usually been anastomosed to the right coronary artery (RCA) or left circumflex coronary artery (LCX). Here, we present two cases of ischemic heart disease undergoing coronary ravascularizaton. The RGEA was anastomosed to the left anterior decending coronary artery (LAD), which is the most important coronary artery in terms of patient outcome. Thallium-201 myocardial scintigraphy has proven that the RGEA can provide sufficient blood flow to the territory of the LAD. Thus, in coronary artery bypass grafting (CABG), the RGEA is a reliable arterial conduit for LAD revascularization.
延伸閱讀
- Li, C. H., Chang, W. K., Chou, C. L., Chu, H. C., Chao, Y. C., & Hsieh, T. Y. (2008). 經皮內視鏡胃空腸造瘻術運用於胃排空遲緩的病人. 臺灣消化醫學雜誌, 25(1), 1-5. https://doi.org/10.6557/GJT.200803_25(1).0001
- Yu, J. M., Tsai, T. P., Yang, W. Y., & Wu, Y. L. (2004). 不停跳心臓及微創冠狀動脈繞動手術使用右胃綱膜動脈之改良手術方法. 中山醫學雜誌, 15(1), 9-12. https://doi.org/10.30096/CSMJ.200406.0002
- 鄭文傑、林佳美、陳儀男、廖大富、呂嘉偉（2017）。利用血管攝影cone-beam CT引導經皮穿胃造瘻術－病例報告。中華放射線技術學雜誌，41(4)，209-212。https://www.airitilibrary.com/Article/Detail?DocID=16849418-201712-201801260004-201801260004-209-212
- 何錄滄、林榮一（1978）。食道靜脈曲張破裂之治療新法－經胸賁門切除，下食道上胃部血管斷離術。當代醫學，(60)，895-898。https://doi.org/10.29941/MT.197810.0006
- Li, C. H., Hsien, T. Y., Lin, H. H., Chu, H. C., Shih, M. L., & Chang, W. K. (2007). 經皮內視鏡胃造瘻術後併發腹腔游離氣：一病例報告. 臺灣消化醫學雜誌, 24(4), 395-399. https://doi.org/10.6557/GJT.200712_24(4).0005