摘要
有数种不同的外科技术可用来修复急性A型主动脉夹层,其中一种称为Cabrol手术,该技术将Dacron管植入以再次贴附在自体冠状动脉上。这种移植物与自体冠状动脉吻合处的狭窄被公认为是该操作的并发症,需行经皮介入治疗。但是,需掌握与Cabrol修复有关的复杂解剖学知识才有可能成功实施介入治疗。本文报道1例Cabrol移植物与自体左主干吻合处发生临界狭窄的患者接受介入治疗。
There are several different surgical techniques used to repair acute type-A aortic dissections. One such technique is called the Cabrol procedure which uses a Dacron tube graft to reattach the native coronary arteries. Stenosis of this graft-native coronary anastamosis is a recognized complication of the procedure and one amenable to percutaneous intervention. However, knowledge of the complex anatomy involved with the Cabrol repair is required in order to potentially carry out successful intervention. We report one such case involving a critical stenosis at the anastomosis of the Cabrol graft with the native left main stem.
