Lall K S, Dombrowicz E, Pillay T M, Pollock J C
Department of Paediatric Cardiac Surgery, Royal Hospital for Sick Children, Yorkhill, Glasgow, Scotland.
Ann Thorac Surg. 1999 May;67(5):1478-80. doi: 10.1016/s0003-4975(99)00221-0.
Patch angioplasty for coronary artery ostial stenosis was first reported in adults in 1952 and only sparsely used until 1983 when Hitchcock reviewed the technique in adults. We present two cases that highlight our use of this technique in inflammatory diseases of the aorta in children. Patch angioplasty restores physiologic perfusion of the coronary artery tree, preserves conduit material for further procedures later in life, and allows subsequent percutaneous transluminal coronary angioplasty of stenosis. For these reasons we believe that patch angioplasty holds undoubted advantage over the available alternatives.
1952年首次报道了用于冠状动脉开口狭窄的补片血管成形术，直到1983年希区柯克回顾该技术在成人中的应用之前，其应用都很少。我们介绍两例突出我们在儿童主动脉炎性疾病中使用该技术的病例。补片血管成形术可恢复冠状动脉树的生理性灌注，保留用于后续生命过程中进一步手术的管道材料，并允许对狭窄进行后续经皮腔内冠状动脉成形术。出于这些原因，我们认为补片血管成形术相对于现有替代方法具有毋庸置疑的优势。
