Spiridonov A A, Iaroshchuk A S, Tutov E G, Arakelian V S, Kurochkin V M
Grud Serdechnososudistaia Khir. 1990(10):17-21.
Twenty-three patients were examined and operated on for aneurysms of anastomoses which formed after reconstructive operations on the thoracic aorta for its coarctation (15), kinking of the arch of the aorta (4), traumatic aneurysms (2), nonspecific aortoarteritis (1) and dissecting aneurysm (1). The involved segment had to be repaired with a prosthesis in all operations carried out for the second time. In 30% of patients the course was complicated (aortopulmonary fistulas, false aneurysm with dissection of the descending thoracic aorta). Mortality was 57% in a complicated course and 6.3% in uncomplicated cases. The results of the operation were good in 18 patients.
对23例患者进行了检查并实施手术,这些患者均患有在胸主动脉重建手术治疗主动脉缩窄(15例)、主动脉弓扭曲(4例)、创伤性动脉瘤(2例)、非特异性主动脉动脉炎(1例)和夹层动脉瘤(1例)后形成的吻合口动脉瘤。在所有二次手术中,受累节段均需用假体修复。30%的患者病程复杂(主肺动脉瘘、降主动脉夹层假性动脉瘤)。病程复杂者死亡率为57%,无并发症者死亡率为6.3%。18例患者手术效果良好。