Cormier J M, Lagneau P, Janneau D, Lejeune H
J Chir (Paris). 1978 Nov;115(11):569-75.
From 1959 to 1977, out of 419 aneurisms of the subrenal aorta operated on, 84 were by unusual procedures: --25 restoratory endo-aneurismorraphies with thrombo-endarterectomy were carried out for small aneurisms in young subjects; --4 were enveloped in dacron (in particular for a risk of distal acute post-operative thrombosis); --in 55 cases, these were high risk surgical subjects where conventional treatment by removal of the aneurism and graft appeared to have a bad prognosis: 43 were treated by axillo-femoral by pass with ligature of the aorta just above the aneurism either for acute arterial obstruction with sensory and motor ischemia, or for embolism or for subjacent obstruction; 12 large advanced aneurisms with fissures of tears were treated by axillo-bifemoral by pass and exclusion. Depending on the results obtained, are deduced the operative indications for these procedures.
1959年至1977年期间，在接受手术治疗的419例肾下腹主动脉瘤患者中，有84例采用了非常规手术方法：——对年轻患者的小动脉瘤进行了25例修复性动脉瘤内缝术并血栓内膜切除术；——4例用涤纶包裹（特别是为了降低术后远端急性血栓形成的风险）；——在55例病例中，这些患者属于高风险手术对象，采用传统的动脉瘤切除和移植治疗似乎预后不佳：43例因急性动脉阻塞伴感觉和运动性缺血、或栓塞、或下方阻塞，通过腋股旁路手术并在动脉瘤上方结扎主动脉进行治疗；12例有撕裂裂缝的大型晚期动脉瘤通过腋双股旁路手术并进行封堵治疗。根据所获得的结果，推断出这些手术方法的手术指征。
