左侧乳内动脉Y型桥OPCAB40例近期疗效观察.docVIP

左侧乳内动脉Y型桥OPCAB40例近期疗效观察 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：左侧乳内动脉Y型桥OPCAB40例近期疗效观察 1 1 资料与方法 3 2 结果 4 3 讨论 5 文2：左侧乳内动脉Y型桥OPCAB40例近期疗效观察 6 1 资料与方法 8 2 结果 9 3 讨论 10 参考文摘引言： 11 原创性声明（模板） 13 文章致谢（模板） 13 正文 左侧乳内动脉Y型桥OPCAB40例近期疗效观察 文1：左侧乳内动脉Y型桥OPCAB40例近期疗效观察 [Abstract] Objective To summarize the efficacy and security of off-pump Y-bridge coronary artery bypass grafting with left internal mammary artery and radial From January 2005 to October 2008,40 patients with coronary atherosclerotic heart disease underwent off-pump coronary artery bypass grafting with left internal mammary artery and radial semiskeletonization left internal mammary artery and radial artery with pedicles composed the Y graft by end-to-side anastomosis was Butterfly flowmeter was used to measure and record blood flow of graft vessel and pulsatility index(PI).Results Onehundred and nine grafts were conducted for 40 patients, on average per grafts were unobstructed,as indicated by recorded graft flow during and PI of left internal mammary artery are 33±6 ml/min and ± respectively while those of radial artery are 41±11 ml/min and ± the period either before or after operation,perioperative myocardial infarction occurred in one case and pleural effussion occurred in two operation,ventricular fibrillation occurred in one operation,one patient reported pulmonary infection，and three patients reported abnormal seation and anaesthesia of the radialis back of the brain complicatio and no infection of sterum and mediastinum death was reported during the 1-to-38-month follow-up Off-pump Y-bridge coronary artery bypass grafting only with left internal mammary artery is safe and this technique,total arterial myocardium revascularization can be achieved while procedure on the ascending aortal can be technique ia applicable to pathologic can be achieved while procedure on the ascending aortal can be technique ia applicable to pathologic changes of left main coronary