肾旁主动脉闭塞
Juxtarenal aortic occlusion.
作者信息
Tapper S S, Jenkins J M, Edwards W H, Mulherin J L, Martin R S, Edwards W H
机构信息
Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
出版信息
Ann Surg. 1992 May;215(5):443-9; discussion 449-50. doi: 10.1097/00000658-199205000-00006.
The authors' experience with 113 aortic occlusions in 103 patients during a 26-year period (1965 to 1991) is reviewed. The authors found three distinct patterns of presentation: group I (n = 26) presented with acute aortic occlusion, group II (n = 66) presented with chronic aortic occlusion, and group III (n = 21) presented with complete occlusion of an aortic graft. Perioperative mortality rates were 31%, 9%, and 4.7% for each respective group and achieved statistical significance when comparing group I with group II (p = 0.009) and group I with group III (p = 0.015). Group I presented with profound metabolic insults due to acute ischemia and fared poorly. Group II presented with chronic claudication and did well long-term. Group III presented with acute ischemia but did well because of established collateral circulation. The treatment and expected outcome of aortic occlusion depends on the cause.
本文回顾了作者在1965年至1991年这26年间对103例患者的113次主动脉闭塞情况的经验。作者发现了三种不同的表现形式：第一组（n = 26）表现为急性主动脉闭塞，第二组（n = 66）表现为慢性主动脉闭塞，第三组（n = 21）表现为主动脉移植物完全闭塞。每组的围手术期死亡率分别为31%、9%和4.7%，在比较第一组与第二组（p = 0.009）以及第一组与第三组（p = 0.015）时具有统计学意义。第一组因急性缺血而出现严重的代谢损伤，预后较差。第二组表现为慢性跛行，长期预后良好。第三组表现为急性缺血，但由于已建立的侧支循环而预后良好。主动脉闭塞的治疗方法和预期结果取决于病因。
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