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| 篇名 |
Concomitant Myocardial Revascularization and Modified Radical Mastectomy: Report of a Case |
| 作者 |
Shao-Jung Li, Wen-Je Ko, Shu-Hsun Chu, Shoei-Shan Wang |
| 卷期/出版年月 |
40卷3期 (2007/6) |
| 頁次 |
117-120 |
| 摘要 |
We report a successful concomitant myocardial revascularization with modified
mastectomy on a female octogenarian. This patient had suffered from chest tightness
for two years, and was proved to have triple-vessel coronary artery disease (CAD)
with significant stenotic lesions on her left anterior descending (LAD) and
circumflex coronary artery in addition to total occlusion of her right coronary artery
with collateral circulation from the left side coronary artery. She also had a palpable
mass in her left breast for one year that was proved to be cancer of the breast later.
After evaluation of surgical risk, possible complications and prognosis in a combined
conference, our surgical team decided to perform percutaneous transluminal
coronary angioplasty (PTCA) for circumflex coronary artery first. Then we
performed a concomitant minimally invasive direct coronary artery bypass
(MIDCAB) with left internal thoracic artery (ITA) bypassing to LAD and a left
modified mastectomy with axillary node dissection at the same time through the
same surgical incision. The patient withstood the procedure well and was followed
up 24 months later without any evidence of recurrence of chest discomfort or the
breast cancer. A combination of myocardial revascularization and modified
mastectomy seems to be an alternative strategy for patients with CAD and cancer of
the left breast. |
| 關鍵詞 |
hybrid myocardial revascularization, coronary artery disease, modified radical mastectomy, minimally invasive direct coronary artery bypass |
| 分類 |
Case Report |
|
