Læknablaðið - 15.02.1997, Page 35

LÆKNABLAÐIÐ 1997; 83
107
erfiður vegna þess hversu tilfelli eru fá og því
erfitt að leggja mat á árangur. í okkar tilfelli
var bæði gerð gangaaðgerð Takeuchis og hefð-
bundin hjáveituaðgerð með vinstri brjósthols-
slagæð. Okkur er ekki kunnugt um hvort báðar
þessar aðgerðir hafi verið notaðar samtímis
áður. Með hjáveitunni er blóðflæði til vinstri
slegils tryggt til frambúðar ef göngin stíflast til
dæmis vegna æðakölkunar síðar á ævinni.
Göngin er hægt að gera hæfilega víð og ná-
kvæmlega í samræmi við höfuðstofn vinstri
kransæðar. Göngin geta því flutt allt það blóð
sem vinstri slegill þarfnast við mikla áreynslu.
Við teljum góð rök fyrir því að gera bæði
ganga- og hjáveituaðgerð hjá sjúklingum með
meðfædd upptök vinstri kransæðar frá megin-
lungnaslagæð. Sérstaklega á það við ef um
skaddaðan vinstri slegil er að ræða eins og í
ofangreindu tilfelli þar sem gert var við hjartað
með því að nema burtu gúl af vinstri slegli og
koma á þriggja æða kransæðakerfi í stað eins
illa starfandi.
Þakkir
Halldór K. Valdimarsson ljósmyndari fær
þakkir fyrir aðstoð við gerð mynda. Einnig
starfsfólk bókasafns Landspítalans fyrir aðstoð
við leit að heimildum.
HEIMILDIR
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