Heberer G, Schildberg F W, Becker H M, Stelter W J, Zumtobel V
Dtsch Med Wochenschr. 1975 Mar 28;100(13):649-59. doi: 10.1055/s-0028-1106273.
In nine of ten hypertensive patients with "atypical" suprarenal aortic stenosis (aged 20 to 51 years, mean 28.5 years), operative treatment of the stenosis reduced blood pressure to normal. In the tenth patient, combined vascular and reno-parenchymal hypertension was effectively treated by drugs, the dosage of which could be reduced after resection. Aorto-aortic bypass was the operative procedure of choice because of its lower risk and better results than other methods. In a review of 346 cases of atypical coarcation reported in the literature, two-thirds were found to be located above or at the level of the renal arteries, causing marked hypertension. Surgical procedures and results in 136 operated cases are tabulated and discussed.
在10例患有“非典型”肾上腺主动脉狭窄的高血压患者中（年龄20至51岁，平均28.5岁），对狭窄进行手术治疗后，9例患者的血压降至正常。在第10例患者中，血管性和肾实质联合性高血压通过药物得到有效治疗，切除术后药物剂量可以减少。由于主动脉 - 主动脉旁路手术风险较低且效果优于其他方法，因此是首选的手术方式。在对文献报道的346例非典型主动脉缩窄病例的回顾中，发现三分之二位于肾动脉上方或肾动脉水平，导致明显高血压。列出并讨论了136例手术病例的手术方法和结果。
