山东大学学报 (医学版) ›› 2025, Vol. 63 ›› Issue (5): 40-46.doi: 10.6040/j.issn.1671-7554.0.2024.0769
• 重点专题——动脉桥在冠脉旁路移植中的应用 • 上一篇
莫绪明,王庆峰
MO Xuming, WANG Qingfeng
摘要： 20世纪70年代以前,由于缺乏令人信服的手术指征,儿童冠状动脉搭桥手术很少进行。随着川崎病引起的冠状动脉后遗症的出现以及像大动脉调转手术和先天性冠状动脉畸形修复等新手术的出现导致冠状动脉并发症的发生,使得儿童冠状动脉搭桥手术的发展成为必然。儿童生长迅速,预期寿命很长,对运动能力的要求越来越高,儿童冠状动脉搭桥手术的策略应不同于成人的搭桥手术。因为胸廓内动脉能够根据儿童体格增长而生长,且长期通畅率高,利用单侧和双侧胸廓内动脉的儿童冠状动脉搭桥手术已成为最可靠的手术方法,值得注意的是,儿童应避免使用静脉移植物。目前,儿童冠状动脉搭桥手术已成为心脏外科一个新的领域。
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