Ahmadi A, Spillner G, Schlosser V
Abteilung für Herz- und Gefässchirurgie der Chirurgischen Universitätsklinik Freiburg.
Herz. 1988 Feb;13(1):49-53.
To assess long-term outcome after repair of coarctation of the aorta by the patch graft technique of Vossschulte, analysis of the follow-up studies of 66 patients was carried out. At the time of operation, all patients were older than one year of age, mean age 14.4 years (range 1 1/2 to 58 years). The follow-up examinations were performed at a mean of nine years (range five to 17 years) after surgery. Angiographic studies were carried out in all patients with hypertension (ten cases) as well as in those who had undergone surgery ten or more years previously (19 cases). Hypertension was attributed to recurrence of the stenosis in two patients, renal factors were considered responsible in three and in five patients the hypertension was regarded as essential. No patient showed evidence of aneurysm at the site of repair. The fact that this finding is in contrast with the results of other investigators seems most likely related to the surgical technique employed in which the integrity of the intimal membrane is vigently respected to avoid changes in the structure of the aortic wall.
为评估采用沃施舒尔特补片移植技术修复主动脉缩窄后的长期疗效,对66例患者的随访研究进行了分析。手术时,所有患者年龄均超过1岁,平均年龄14.4岁(范围为1.5岁至58岁)。随访检查在术后平均9年(范围为5年至17年)进行。对所有高血压患者(10例)以及手术时间超过10年的患者(19例)进行了血管造影研究。2例患者的高血压归因于狭窄复发,3例患者认为是肾脏因素所致,5例患者的高血压被视为原发性高血压。没有患者在修复部位出现动脉瘤迹象。这一发现与其他研究者的结果相反,这一事实似乎最有可能与所采用的手术技术有关,在该技术中,内膜的完整性得到了严格尊重,以避免主动脉壁结构发生改变。