Pokrovskiĭ A V, Varava B N, Iudin V I, Zotikov A E, Asamov R E
Grud Serdechnososudistaia Khir. 1990 Aug(8):24-9.
Sixty-six patients with nonspecific aortoarteritis of thoracoabdominal localization were treated at the department of vascular surgery of the Vishnevsky Institute of Surgery, AMS USSR from 1984 to 1989. Operations were performed on 49 (74.9%) patients. Percutaneous angiodilatation of the renal arteries was conducted in 3 (4.5%) patients. Nonoperative treatment was carried out in 14 (21.2%) patients. In view of concurrent affection of the branches of the arch of the aorta, reconstructive operations were performed in 16 (24.2%) cases on the brachiocephalic trunks: aorto-biocarotid prosthetics (6), aortocarotid prosthetics (1), subclavian-carotid autovenous prosthetics (6), carotid-subclavian autovenous shunt (2), carotid endarterectomy (1). Reconstructive operations on the brachiocephalic trunks were preceded by reconstruction of the arteries in 5 (7.6%) cases and were conducted after correction of the blood flow in the thoracoabdominal segment in 2 (3%) cases. In 9 (13.6%) patients only the brachiocephalic trunks were reconstructed. A total of 42 reconstructive interventions on the thoracoabdominal segment were carried out on 40 (60.6%) patients, in 35 (87.5%) correction of the blood flow in the visceral branches and renal arteries was performed simultaneously. The surgical tactics suggested by the authors and the results produced by it are discussed in detail.
1984年至1989年期间，苏联医学科学院维什涅夫斯基外科研究所血管外科对66例胸腹段非特异性主动脉炎患者进行了治疗。49例（74.9%）患者接受了手术。3例（4.5%）患者进行了肾动脉经皮血管扩张术。14例（21.2%）患者接受了非手术治疗。鉴于主动脉弓分支同时受累，对16例（24.2%）头臂干进行了重建手术：主动脉-双颈动脉人工血管置换术（6例）、主动脉-颈动脉人工血管置换术（1例）、锁骨下动脉-颈动脉自体静脉人工血管置换术（6例）、颈动脉-锁骨下动脉自体静脉分流术（2例）、颈动脉内膜切除术（1例）。5例（7.6%）头臂干重建手术之前先进行了动脉重建，2例（3%）在胸腹段血流纠正后进行了头臂干重建手术。9例（13.6%）患者仅对头臂干进行了重建。40例（60.6%）患者对胸腹段共进行了42次重建干预，其中35例（87.5%）同时对内脏分支和肾动脉的血流进行了纠正。作者提出的手术策略及其产生的结果进行了详细讨论。
