Spiridonov A A, Abushov N S, Soboleva N N, Arakelian V S
Khirurgiia (Mosk). 1990 May(5):25-30.
The authors studied the immediate and late-term results of surgical treatment of aortic coarctation in patients after the age of 35 years. The complications in surgical treatment, arterial pressure dynamics, the causes of deterioration in the patient's condition and the mortality were analysed. The main causes of deterioration of the patients' condition in late-term periods after surgery were: residual arterial hypertension (41.2%), ischemic heart disease (39.2%), aortic and/or mitral valvular diseases (25.5%), aneurysms of the thoracic aorta (11.8%). The expediency and efficacy of surgical treatment of coarctation of the aorta in patients over 35 years of age with stable regional arterial hypertension are proved.
作者研究了35岁以上患者主动脉缩窄手术治疗的近期和远期结果。分析了手术治疗中的并发症、动脉压动态变化、患者病情恶化的原因及死亡率。术后远期患者病情恶化的主要原因是：残余动脉高血压（41.2%）、缺血性心脏病（39.2%）、主动脉和/或二尖瓣疾病（25.5%）、胸主动脉瘤（11.8%）。已证实对35岁以上伴有稳定区域性动脉高血压的主动脉缩窄患者进行手术治疗是合理且有效的。
