Walter P, Flameng W, Hehrlein F W
Thoraxchir Vask Chir. 1976 Oct;24(5):369-72. doi: 10.1055/s-0028-1095947.
During the last 20 years 156 patients underwent a direct and indirect aortic-isthmus-plastic. Early complications occurred in 7.6%. 5 patients developed an aneurysm in the area of isthmus-plastic. The mortality rare was 4.5%. There was no evidence of recurrent coarctation in a group of children and in adult patients. The indirect aortic-isthmus-plastic first described by Vosschulte represents an elegant surgical method of functionally reestablishing the aortic lumen by retaining the posterior wall for further growth potential. This technique can be performed with a low mortality rate and no recurrent coarctation of the aorta.
在过去20年里，156例患者接受了直接和间接主动脉峡部成形术。早期并发症发生率为7.6%。5例患者在峡部成形区域出现动脉瘤。死亡率为4.5%。在儿童和成年患者组中未发现主动脉缩窄复发的迹象。Vosschulte首次描述的间接主动脉峡部成形术是一种巧妙的手术方法，通过保留后壁以实现进一步生长潜力，从而在功能上重建主动脉管腔。该技术可在低死亡率且无主动脉缩窄复发的情况下进行。
