Williams C R, Nilakhe V, Clouse M E
Department of Diagnostic Radiology, New England Deaconess Hospital, Boston, MA 02215.
Cardiovasc Intervent Radiol. 1989 Sep-Oct;12(5):286-9. doi: 10.1007/BF02575418.
Late morbidity and mortality following surgical correction of coarctation of the aorta in adults are primarily related to associated cardiovascular disease, especially persistent systemic hypertension and its sequelae. complications related to the site of coarctation repair are relatively uncommon in this age group and include residual and recurrent coarctation and aneurysm formation. An unusual case is presented in which dehiscence of the proximal suture line of a Dacron tube graft resulted in a flap-valve effect, pseudoaneurysm formation, and acute functional occlusion of the aorta. The angiographic findings are described and the relevant literature reviewed.
成人主动脉缩窄手术矫正后的晚期发病率和死亡率主要与相关的心血管疾病有关，尤其是持续性系统性高血压及其后遗症。在这个年龄组中，与主动脉缩窄修复部位相关的并发症相对少见，包括残余和复发性主动脉缩窄以及动脉瘤形成。本文报告了1例罕见病例，涤纶人工血管近端缝线处裂开导致瓣叶样瓣膜效应、假性动脉瘤形成及主动脉急性功能性闭塞。文中描述了血管造影结果并复习了相关文献。
