Tynan M, Finley J P, Fontes V, Hess J, Kan J
Guy's Hospital, London, England.
Am J Cardiol. 1990 Mar 15;65(11):790-2. doi: 10.1016/0002-9149(90)91389-n.
Data on dilation of 141 native coarctation procedures in 140 patients between 3 days and 29 years of age were submitted to the Valvuloplasty and Angioplasty of Congenital Anomalies (VACA) Registry. Fifteen patients were less than 4 weeks old, 15 between 1 month and 12 months old and 110 patients over 1 year old. The immediate results confirmed that native coarctations could be effectively dilated in both infants and older children. The data do not support any conclusions concerning balloon size relative to results or complications. There were 24 complications (17%) reported with 1 death after 3 days and after intervening surgery in an infant with associated persistent ductus arteriosus. There were 2 early and 6 late "aneurysms" reported after the coarctation dilations with insufficient immediate and no long-term information about the significance of these. The VACA Registry data suggest that dilation of native coarctations can be performed effectively and relatively safely but do not answer whether this procedure should be performed.
140例年龄在3天至29岁之间的原发性主动脉缩窄手术的扩张数据被提交至先天性异常瓣膜成形术和血管成形术（VACA）登记处。其中15例患者年龄小于4周，15例年龄在1个月至12个月之间，110例患者年龄超过1岁。即刻结果证实，原发性主动脉缩窄在婴儿和大龄儿童中均可有效扩张。这些数据不支持就球囊大小与结果或并发症之间的关系得出任何结论。共报告了24例并发症（17%），1例婴儿在术后3天因相关动脉导管未闭接受介入手术后死亡。主动脉缩窄扩张术后报告了2例早期和6例晚期“动脉瘤”，但关于这些情况的意义，缺乏即刻和长期信息。VACA登记处的数据表明，原发性主动脉缩窄的扩张可以有效且相对安全地进行，但未回答是否应进行该手术的问题。
