Bozzani Antonio, Arici Vittorio, Ragni Franco
Division ofVascular Surgery, Foundation I.R.C.C.S. Policlinico San Matteo, 27100 Pavia, Italy.
Vasc Endovascular Surg. 2013 Apr;47(3):216-8. doi: 10.1177/1538574413477218. Epub 2013 Feb 6.
Aortic coarctation (CoA) is the fifth most common congenital heart defect, accounting for 6% to 8% of live births with congenital heart disease. Traditional treatment for CoA consists of open surgical repair, and the endovascular procedures have been proposed as an alternative treatment. We describe the case of a 50-year-old man presented to our department with mild lower limbs claudication and hypertension. The computed tomography scan diagnosed an aortic postductal coarctation, which we treated with aortoplasty with Dacron patch. The open surgery, in our opinion, is nowadays still preferable due to the time-stable and effective outcome.
主动脉缩窄（CoA）是第五常见的先天性心脏病，占先天性心脏病活产儿的6%至8%。CoA的传统治疗方法是开放性手术修复，血管内介入治疗已被提议作为替代治疗方法。我们描述了一名50岁男性患者的病例，该患者因轻度下肢间歇性跛行和高血压前来我院就诊。计算机断层扫描诊断为动脉导管后主动脉缩窄，我们采用涤纶补片主动脉成形术对其进行了治疗。在我们看来，由于手术效果稳定且持久，目前开放性手术仍是首选。
