主动脉缩窄
Coarctation of the aorta.
作者信息
Prêtre R
机构信息
Clinic for Cardiovascular Surgery, University Hospital Zürich, Zürich, Switzerland.
出版信息
HSR Proc Intensive Care Cardiovasc Anesth. 2012;4(2):95-6.
Abstract
The surgical treatment of an aortic coarctation requires a resection of the stenotic area and direct suture of the aorta. An extended mobilization allows an enlargement of a hypoplastic distal aortic arch. In ductal dependent circulation, the distal aortic arch can be enlarged with a patch before tackling the coarctation itself. Postsurgical aortic arch stenoses often require a surgical intervention. Our preferred method is an anatomic correction with an enlargement plasty either on the concavity or on the convexity of the arch, depending on the local anatomy. An extra-anatomic bypass is also an option.
摘要
主动脉缩窄的外科治疗需要切除狭窄区域并直接缝合主动脉。广泛的游离可扩大发育不全的远端主动脉弓。在依赖动脉导管的循环中，在处理缩窄本身之前，可使用补片扩大远端主动脉弓。术后主动脉弓狭窄通常需要手术干预。我们首选的方法是根据局部解剖结构，在主动脉弓的凹面或凸面进行解剖矫正并扩大成形术。解剖外旁路也是一种选择。
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