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Successful Ascending Aorta-Abdominal Aorta Bypass Graft through the Left Thoracic Cavity in a Patient with Atypical Coarctation.非典型主动脉缩窄患者经左胸腔成功实施升主动脉-腹主动脉旁路移植术
Ann Vasc Dis. 2013;6(3):670-3. doi: 10.3400/avd.cr.13-00039. Epub 2013 Aug 30.
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Posterior pericardial ascending-to-descending aortic bypass: an alternative surgical approach for complex coarctation of the aorta.心包后升主动脉至降主动脉旁路术：一种治疗复杂性主动脉缩窄的替代手术方法。
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引用本文的文献

1
Descending thoracic aorta-abdominal aortic bypass and bilateral renal arterial blood circulation reconstruction are effective in atypical coarctation of the aorta with heart failure: a case report.降胸主动脉-腹主动脉旁路术和双侧肾动脉血液循环重建对心力衰竭不典型主动脉缩窄有效：一例报告。
J Cardiothorac Surg. 2021 Aug 4;16(1):219. doi: 10.1186/s13019-021-01598-5.
2
Ascending to Abdominal Aorta Extraanatomic Bypass for Descending Aortic Coarctation: A Reconstruction Technique without Laparotomy or Left Thoracotomy.升主动脉至腹主动脉解剖外旁路术治疗降主动脉缩窄：一种无需开腹或左开胸的重建技术。
Ann Vasc Dis. 2014;7(3):354-8. doi: 10.3400/avd.hdi.14-00045. Epub 2014 Sep 25.

本文引用的文献

1
Surgical treatment of atypical aortic coarctation complicating Takayasu's arteritis--experience with 33 cases over 44 years.高安动脉炎并发非典型主动脉缩窄的外科治疗——44年间33例的经验
J Vasc Surg. 2005 Apr;41(4):597-601. doi: 10.1016/j.jvs.2005.01.022.
2
Extraanatomic aortic bypass for repair of aortic arch coarctation via sternotomy: midterm clinical and magnetic resonance imaging results.经胸骨切开术行解剖外主动脉旁路移植术修复主动脉弓缩窄：中期临床及磁共振成像结果
Ann Thorac Surg. 2003 Dec;76(6):1962-6. doi: 10.1016/s0003-4975(03)01140-8.
3
Posterior pericardial approach for ascending aorta-to-descending aorta bypass through a median sternotomy.经正中胸骨切开术，采用心包后入路进行升主动脉至降主动脉旁路移植术。
Ann Thorac Surg. 2000 Jul;70(1):31-7. doi: 10.1016/s0003-4975(00)01481-8.
4
Repair of aortic coarctation in patients more than 50 years of age.50岁以上患者的主动脉缩窄修复术。
Ann Thorac Surg. 1999 May;67(5):1376-9. doi: 10.1016/s0003-4975(99)00266-0.
5
Anastomotic aneurysms after surgical treatment of Takayasu's arteritis: a 40-year experience.大动脉炎手术治疗后吻合口动脉瘤：40年经验
J Vasc Surg. 1998 Mar;27(3):438-45. doi: 10.1016/s0741-5214(98)70318-0.

非典型主动脉缩窄患者经左胸腔成功实施升主动脉-腹主动脉旁路移植术

Successful Ascending Aorta-Abdominal Aorta Bypass Graft through the Left Thoracic Cavity in a Patient with Atypical Coarctation.

作者信息

Obata Shogo, Mukai Shogo, Morimoto Hironobu, Hiraoka Toshifumi, Uchida Hiroaki, Yamane Yoshitaka

机构信息

Department of Cardiovascular Surgery, Fukuyama Cardiovascular Hospital, Fukuyama, Hiroshima, Japan.

出版信息

Ann Vasc Dis. 2013;6(3):670-3. doi: 10.3400/avd.cr.13-00039. Epub 2013 Aug 30.

DOI:10.3400/avd.cr.13-00039
PMID:24130628
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3793194/
Abstract

A 67-year-old woman admitted with severe hypertension, atrial fibrillation, and dyspnea was found to have hypertension and congestive heart failure due to stenosis of the descending aorta. Atypical aortic coarctation was diagnosed. Extra-anatomical bypass was performed from the ascending aorta to the terminal abdominal aorta and the pulmonary vein was isolated. The graft was arranged to pass through the left thoracic cavity from the pericardium via a transretroperitoneal approach to the terminal abdominal aorta. Direct contact was avoided between the graft and the abdominal organs, and the pressure gradient between the ascending aorta and the abdominal aorta was decreased.

摘要

一名67岁女性因严重高血压、心房颤动和呼吸困难入院，被发现患有因降主动脉狭窄导致的高血压和充血性心力衰竭。诊断为非典型主动脉缩窄。进行了从升主动脉到腹主动脉末端的解剖外旁路手术，并分离了肺静脉。移植物经腹膜后途径从心包穿过左胸腔到达腹主动脉末端。避免移植物与腹部器官直接接触，升主动脉和腹主动脉之间的压力梯度降低。