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Does wrapping of the right internal thoracic artery to the left anterior descending artery always protect?

机译:将右胸内动脉包裹到左前降支动脉是否始终可以保护?

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摘要

We report about a 72-year-old woman with coronary artery disease. Surgical revascularization was performed using three grafts. One of them was the right internal thoracic artery (RITA) to left anterior descending. This graft was covered by a PRECLUDE IMA Sleeve. Wound healing was impaired and became to a chronic sternal osteomyelitis and mediastinitis. Thirty-three months after the primary operation, the PRECLUDE IMA Sleeve was explanted, the sternum was partially resected and the resulting cavity reconstructed with an omentum flap. During that operation, the RITA bypass was damaged. Interposition of a venous segment was necessary to reconstitute the graft.
机译:我们报道了一名72岁的冠心病患者。使用三个移植物进行外科血管重建。其中之一是右胸内动脉(RITA)至左前降支。该移植物被PRECLUDE IMA套管覆盖。伤口愈合受损,并发展为慢性胸骨骨髓炎和纵隔炎。初次手术后的33个月,植入PRECLUDE IMA套管,部分切除胸骨,并用网膜瓣重建所形成的腔。在该操作过程中,RITA旁路已损坏。静脉段的插入对于重建移植物是必要的。

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