Off-Pump Total Arterial Three-Vessel Coronary Artery Bypass in a Pregnant Woman

Abhishek Shrinivas Joshi MCh, CVTS , Mahaadev Damodar Dixit DNB, CVTS , Nikhil Mahaadev Dixit MCh, CVTS , Avinash Prakash Londhe MD , Prashantha M B MD , Amrutraj Gopalrao Nerlikar MCh, CVTS
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Abstract

A 37-year-old woman underwent off-pump triple-vessel total arterial revascularization in her 27th week of pregnancy. She was diagnosed to have ischemic heart disease along with type 2 familial hypercholesterolemia with chest pain and orthopnea at rest. She underwent grafting to the left anterior descending, obtuse marginal, and posterior descending arteries by the left internal mammary artery–right internal mammary artery–Y technique. Postoperative recovery was uneventful, and the baby was delivered uneventfully after an elective cesarean section at 36 weeks.
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孕妇非体外循环全动脉三支冠状动脉搭桥术1例
一位37岁的女性在怀孕第27周接受了非泵三血管全动脉重建术。她被诊断为缺血性心脏病并2型家族性高胆固醇血症,并伴有胸痛和静息时的直立呼吸。她采用左内乳动脉-右内乳动脉- y技术移植左前降支、钝缘动脉和后降支。术后恢复顺利,36周择期剖宫产后,婴儿顺利分娩。
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