Scirè F, Giaimo G, Leone A, Migliore A
Minerva Med. 1977 Sep 30;68(46):3201-4.
The indications for aortoplasty and the techniques employed are described. The advantages of using Dacron patches are explained, namely: restricted mobilisation of the aorta, no sacrifice of intercostal vessels, no risk of haemorrhage from ectasic collateral vessels with weak walls, or from the calcified aorta wall, and simplicity. The method requires lengthwise section (extended as necessary) of the aorta where it is restricted following the application of clamps, removal of the stenosing diaphragm and application of a lozenge-shaped patch, with continuous suture of the anterior edges of the opening in the vessel. It is pointed out that the method is especially indicated in cases with marked atheromatous alterations and in chil-childrens, whose aorta is thereby enabled to grow normally, since a sufficient part of the wall is left in its natural continuity.
描述了主动脉成形术的适应证及所采用的技术。解释了使用涤纶补片的优点，即：主动脉活动受限少、不牺牲肋间血管、无薄壁扩张侧支血管或钙化主动脉壁出血风险，且操作简单。该方法需要在夹闭后主动脉受限处纵向切开（必要时延长），切除狭窄隔膜并应用菱形补片，对血管开口的前缘进行连续缝合。指出该方法特别适用于有明显动脉粥样硬化改变的病例以及儿童，因为这样能使主动脉正常生长，因为保留了足够部分的血管壁自然连续性。
