非体外循环冠状动脉旁路移植术同期行房间隔缺损封堵术

Off-pump coronary artery bypass grafting and atrial septal defect closure for coronary artery disease combined with atrial septal defect

目的:探讨不停跳冠状动脉旁路移植术同期行房间隔缺损封堵术的可行性及临床效果。方法:非体外循环下冠状动脉旁路移植术同期行房间隔缺损封堵术5例。结果:5例患者均痊愈出院。冠状动脉旁路移植9例次,释放国产房间隔缺损封堵器5枚,封堵器直径8～38mm。住院时间13～33d,平均16d。5例患者术后随访6～38个月,无心绞痛复发,无脑卒中发生。超声心动图检查未见封堵器移位和房间隔缺损残余分流。结论:不停跳冠状动脉旁路移植术同期行房间隔缺损封堵术安全可行。

Objective To study the feasibility and clinical therapeutic effect of off-pump coronary artery bypass grafting and atrial septal defect closure. Methods Off-pump coronary artery bypass grafting and atrial septal defect closure were performed in 5 cases. Results The operation was carried out successfully in all these 5 cases. Nine grafts were performed in 5 patients. Five atrial septal defect occluder devices domestically made were implanted successfully. The diameter of the oecluder device was between 8 and 38 mm. The length of hospital stay was from 13 to 33 days, averagely 16 days. All cases were followed up for 6 to 38 months. No angina or stroke occurred. Echocardiography showed no dislocation of the atrial septal defect occluder device or residual shunt. Conclusion Off-pump coronary artery bypass grafting and atrial septal defect closure are safe and feasible for coronary artery disease combined with atrial septal defect.