Verdant A, Pagé A, Baillot R
Division of Cardiovascular and Thoracic Surgery, Hôpital du Sacré-Coeur de Montréal, Université de Montréal, Québec, Canada.
Ann Thorac Surg. 1989 Nov;48(5):686-8. doi: 10.1016/0003-4975(89)90791-1.
Three patients were referred to our institution for major thromboembolic complications secondary to the use of undersized Dacron grafts (14, 16, and 18 mm) in the descending thoracic aorta. The progressive accumulation of thrombotic material in the prosthesis caused recurrent coarctation in 1 patient and peripheral embolisms in the other 2. With a 9-mm Gott shunt providing distal perfusion, excision of the clotted graft and its replacement with a 22-mm Dacron prosthesis was successfully achieved in each patient.
三名患者因在胸降主动脉使用尺寸过小的涤纶移植物（14、16和18毫米）继发严重血栓栓塞并发症而被转诊至我院。人工血管内血栓物质的逐渐积聚导致1例患者出现复发性缩窄，另外2例出现周围栓塞。通过使用9毫米的戈特分流器提供远端灌注，成功地为每位患者切除了凝血的移植物，并用22毫米的涤纶人工血管进行了置换。
