CAJ | 학술논문

　　目的探讨体外膜肺氧合治疗和/或主动脉内球囊反搏对急性冠状动脉左主干病变的临床疗效。方法回顾性分析3例急性冠状动脉左主干病变患者，及时行体外膜肺氧合治疗和/或主动脉内球囊反搏治疗的临床资料。结果3例患者均完成冠脉造影检查，并行血运重建术(1例行经皮冠状动脉血管成形术及支架术，1例行冠状动脉成形术并冠状动脉旁路移植术，1例行冠状动脉旁路移植术)。2例患者症状得到明显改善，救治成功，顺利出院。术后随访6~24个月，均无胸部不适症状，可耐受正常活动。另1例死亡。结论体外膜肺氧合治疗和/或主动脉内球囊反搏在治疗冠状动脉左主干病变中发挥重大作用。
　　목적탐토체외막폐양합치료화/혹주동맥내구낭반박대급성관상동맥좌주간병변적림상료효。방법회고성분석3례급성관상동맥좌주간병변환자，급시행체외막폐양합치료화/혹주동맥내구낭반박치료적림상자료。결과3례환자균완성관맥조영검사，병행혈운중건술(1례행경피관상동맥혈관성형술급지가술，1례행관상동맥성형술병관상동맥방로이식술，1례행관상동맥방로이식술)。2례환자증상득도명현개선，구치성공，순리출원。술후수방6~24개월，균무흉부불괄증상，가내수정상활동。령1례사망。결론체외막폐양합치료화/혹주동맥내구낭반박재치료관상동맥좌주간병변중발휘중대작용。
Objective To evaluate the effect of extracorporeal membrane oxygenation (ECMO) combined with intraaortic balloon coun-terpulsation (IABP) on patients with acute left main coronary artery disease. Methods 3 patients suffered from acute left main coronary ar-tery disease and timely supported by ECMO combined with or without IABP were reviewed. Results With the assistance of ECMO and/or IABP, all of the 3 patients had successfully undergone coronary angiography and coronary revascularization. The first case was performed percutaneous transluminal coronary angioplasty (PTCA) with stents placement;the second was performed coronary artery bypass grafting (CABG);the third case was performed PTCA and CABG. All patients were weaned off ECMO. 2 patients were discharged, whereas the oth-er one died 1 month after CABG. After 6~24 months follow-up, 2 survivors had good quality of life. Conclusion Efficient ECMO support with or without IABP might offer opportunities for the following revascularization on patients with acute left main coronary artery disease.