Umeda S, Akiyama K, Görlach G, Scheld H, Hehrlein F W
Kyobu Geka. 1989 Jun;42(6):463-5.
We report on an uncommon case of recoarctation of the aorta 36 years after resection and end-to-end anastomosis associated with coronary heart disease. Since a two-staged surgical therapy implies an increased risk of life for the patient, we decided to perform a combined surgical procedure. Exposing the heart by a median sternotomy we implanted a 16 mm synthetic graft from the ascending to the descending thoracic aorta and performed a prosthesis-coronary bypass in one session. The patient had an uneventful recovery. In our opinion this procedure is the method of choice for similar cases.
我们报告了一例罕见病例，患者在主动脉切除并端端吻合术后36年出现主动脉再缩窄，且伴有冠心病。由于两阶段手术治疗会增加患者的生命风险，我们决定实施联合手术。通过正中胸骨切开术暴露心脏，我们植入了一根16毫米的人工血管，从升主动脉连接至降主动脉，并在一次手术中完成了人工血管-冠状动脉搭桥术。患者术后恢复顺利。我们认为，对于类似病例，此手术方法是首选。
