Abe Y, Mannoji E, Ida T, Kazuma N, Mori K, Nakajima N
Nihon Kyobu Geka Gakkai Zasshi. 1989 Aug;37(8):1577-80.
A case of a 13 year-old girl with abdominal aortic obstruction is presented. At the age of nine years she underwent an evaluation for a continuous murmur heard over the left costal margin. The blood pressure was 210/125 mmHg in the ascending aorta, and an aortography revealed a critical stenosis in the descending aorta proximal to the origin of the celiac artery. No surgical treatment was recommended at this time. At the age of 13 years she developed severe headache and was admitted for the second time. Upon catheterization the ascending aortic pressure was 242/150 mmHg, and an aortography revealed total obstruction of the abdominal aorta in the segment proximal to the celiac artery. An extraanatomical bypass was constructed between the right axillary artery and the right common iliac iliac artery with a 10 mm dacron graft. Two weeks after this procedure, the blood systolic pressure was 110 mmHg in the upper extremities. It has been 12 months since the patient had this procedure, and she continue to do well, i.e., she has no particular limitations of the hip joint movement, has no headache, and remains to be normotensive.
本文报告一例13岁患有腹主动脉梗阻的女孩。9岁时，她因在左肋缘听到连续性杂音而接受评估。升主动脉血压为210/125 mmHg，主动脉造影显示在腹腔动脉起源近端的降主动脉存在严重狭窄。当时不建议进行手术治疗。13岁时，她出现严重头痛，第二次入院。导管插入时，升主动脉压力为242/150 mmHg，主动脉造影显示腹腔动脉近端节段的腹主动脉完全梗阻。用10 mm涤纶移植物在右腋动脉和右髂总动脉之间构建了一个解剖外旁路。该手术后两周，上肢收缩压为110 mmHg。患者接受该手术后已有12个月，她情况持续良好，即髋关节活动无特殊限制，无头痛，血压仍正常。
