Novak A Ya, Alekyan B G
National Medical Research Centre for Cardiovascular Surgery named after A.N. Bakulev under the RF Ministry of Public Health, Moscow, Russia; National Medical Research Centre of Surgery named after A.V. Vishnevsky under the RF Ministry of Public Health, Moscow, Russia.
National Medical Research Centre of Surgery named after A.V. Vishnevsky under the RF Ministry of Public Health, Moscow, Russia.
Angiol Sosud Khir. 2019;25(3):69-76. doi: 10.33529/ANGID2019312.
Aortic coarctation is one the most commonly encountered congenital defects of the cardiovascular system. The natural course of the defect is unfavourable: 50 % of patients with aortic coarctation die before reaching the age of 32 years. Surgical operations aimed at correcting aortic coarctation were first introduced into clinical practice as early as in 1944, with the first use of stenting dating back to 1993. Great experience in surgical and endovascular interventions for aortic coarctation and recoarctation has since been accumulated. The article is a review of both foreign and Russian literature concerning current problems of surgical treatment and stenting for aortic coarctation and recoarctation, also containing a detailed analysis of the works aimed at comparing the immediate and remote results of surgical treatment and stenting for aortic coarctation in senior children, adolescents, and adults. It was shown that in some patients stenting for aortic coarctation and recoarctation may be considered as an alternative to conventional surgical methods of treatment.
主动脉缩窄是心血管系统最常见的先天性缺陷之一。该缺陷的自然病程并不乐观：50%的主动脉缩窄患者在32岁之前死亡。早在1944年，旨在矫正主动脉缩窄的外科手术就首次引入临床实践，而首次使用支架可追溯到1993年。此后，在主动脉缩窄和再缩窄的外科及血管内介入治疗方面积累了丰富经验。本文回顾了国外和俄罗斯关于主动脉缩窄和再缩窄的外科治疗及支架置入当前问题的文献，还详细分析了旨在比较大龄儿童、青少年和成人主动脉缩窄外科治疗与支架置入近期和远期结果的研究。结果表明，对于某些患者，主动脉缩窄和再缩窄的支架置入可被视为传统外科治疗方法的替代方案。
