Reichman W, Dyke C, Lee H M, Hanrahan J, Szentpetery S, Sobel M
Division of Vascular Surgery, H.H. McGuire Veterans Administration Medical Center, Richmond, VA 23249.
J Vasc Surg. 1990 Mar;11(3):476-9.
Herein we report the only two long-term survivors of cardiac transplantation who underwent successful repair of symptomatic abdominal aortic aneurysms since the advent of cyclosporine therapy in 1983. Review of the world's literature indicates that the only two recorded cases of repair of symptomatic abdominal aortic aneurysms after cardiac transplantation occurred before the use of cyclosporine. The presentation and clinical course of our patients recently treated are presented, and perioperative care and immunosuppressive management are outlined. As the number of long-term survivors after cardiac transplantation increases, the incidence of other atherosclerotic complications including abdominal aortic aneurysm is likely to become more common, requiring extended cardiovascular follow-up.
本文报告了自1983年环孢素疗法问世以来，仅有的两位接受心脏移植的长期存活者，他们成功修复了有症状的腹主动脉瘤。对世界文献的回顾表明，心脏移植后有症状的腹主动脉瘤修复的仅有的两例记录病例发生在使用环孢素之前。介绍了我们近期治疗的患者的表现和临床过程，并概述了围手术期护理和免疫抑制管理。随着心脏移植后长期存活者数量的增加，包括腹主动脉瘤在内的其他动脉粥样硬化并发症的发生率可能会变得更加常见，这需要延长心血管随访时间。
