Coronary Artery Bypass Grafting without Cardiopulmonary Bypass -one case report-

임공심폐기를 사용하지않는 관상동맥우회술 -1례 보고-

  • Na, Chan-Young (Dept. of Thoracic and Cardiovascular Surgery, Pucheon Sejong General Hospital) ;
  • Lee, Young-Tak (Dept. of Thoracic and Cardiovascular Surgery, Pucheon Sejong General Hospital) ;
  • Kim, Woong-Han (Dept. of Thoracic and Cardiovascular Surgery, Pucheon Sejong General Hospital) ;
  • Chung, Chul-Hyun (Dept. of Thoracic and Cardiovascular Surgery, Pucheon Sejong General Hospital) ;
  • Jung, Yoon-Seop (Dept. of Thoracic and Cardiovascular Surgery, Pucheon Sejong General Hospital) ;
  • Bang, Jeong-Hyin (Dept. of Thoracic and Cardiovascular Surgery, Pucheon Sejong General Hospital) ;
  • Kim, Wook-Seong (Dept. of Thoracic and Cardiovascular Surgery, Pucheon Sejong General Hospital) ;
  • Lee, Sub (Dept. of Thoracic and Cardiovascular Surgery, Pucheon Sejong General Hospital) ;
  • Han, Jae-Jin (Dept. of Thoracic and Cardiovascular Surgery, Pucheon Sejong General Hospital) ;
  • Chung, Do-Hyun (Dept. of Thoracic and Cardiovascular Surgery, Pucheon Sejong General Hospital) ;
  • Chung, Ill-Sang (Dept. of Thoracic and Cardiovascular Surgery, Pucheon Sejong General Hospital) ;
  • Park, Jung-Won (Dept. of Thoracic and Cardiovascular Surgery, Pucheon Sejong General Hospital) ;
  • Park, Young-Kwan (Dept. of Thoracic and Cardiovascular Surgery, Pucheon Sejong General Hospital) ;
  • Hong, Sung-Nok (Dept. of Thoracic and Cardiovascular Surgery, Pucheon Sejong General Hospital) ;
  • Moon, Hyun-Soo (Dept. of Aneshesioloy, Pucheon Sejong General Hospital)
  • 나찬영 (부천세종병원 흉부외과) ;
  • 이영탁 (부천세종병원 흉부외과) ;
  • 김웅한 (부천세종병원 흉부외과) ;
  • 정철현 (부천세종병원 흉부외과) ;
  • 정윤섭 (부천세종병원 흉부외과) ;
  • 방정현 (부천세종병원 흉부외과) ;
  • 김욱성 (부천세종병원 흉부외과) ;
  • 이섭 (부천세종병원 흉부외과) ;
  • 한재진 (부천세종병원 흉부외과) ;
  • 정도현 (부천세종병원 흉부외과) ;
  • 정일상 (부천세종병원 흉부외과) ;
  • 박중원 (부천세종병원 흉부외과) ;
  • 박영관 (부천세종병원 흉부외과) ;
  • 홍승록 (부천세종병원 흉부외과) ;
  • 문현수 (부천세종병원 마취과)
  • Published : 1996.11.01

Abstract

Coronary artery bypass grafting without cardiopulmonary bypass is now one of accepted technique of myocardial revascularization. This technique is an alternative method for patients with lesions in the left anterior descending coronary artery and right coronary artery. We report a case of coronary artery bypass grafting without cardiopulmonary bypass or cardiac arrest.

관상동맥우회술은 인공심폐기 및 심근보호의 안정성으로 인공심폐기사용하에 시행하는 것이 보편화된방법이다. 그러나, 좌전행지 및 우관상동맥에 병소가 위치하는 경우는 인공심폐기의 사용없이 심장이 박동하는 상태에서 관상동맥우회술을 시행하는 방법도 일부에서 시행되어왔다 저자들은 좌전행지 및 대각지에 협착을보인 환자에서 인공심폐기를 사용하지 않고 성공적으로 관상동맥우회술을 시행하였기에 보고하는 바이다.

Keywords