Roques X, Bourdeaud'hui A, Choussat A, Riviere J, Laborde N, Hafez A, Baudet E
Department of Cardiovascular Surgery, Hôpital Cardiologique du Haut-Lévêque, Pessac, France.
Ann Vasc Surg. 1988 Apr;2(2):138-44. doi: 10.1016/S0890-5096(06)60796-6.
Coarctation of the abdominal aorta constitutes a rare group of vascular abnormalities, including segmental stenoses and extended hypoplasia. Hypertension is the usual solitary clinical finding and contrasts with the diversity of anatomic lesions and surgical techniques used for treatment. It is often difficult to determine whether the lesion is congenital or due to Takayasu's aortitis. Three cases of hypoplasia in adolescents are reported. Treatment consisted of an aortoaortic bypass in all cases. Vein angioplasty of the renal arteries was performed concomitantly in one case of inter- and infrarenal hypoplasia associated with stenosis of the two renal arteries. In one of the two cases of suprarenal hypoplasia, the celiac axis was reimplanted after excision of an associated aneurysm. In all three cases, blood pressure returned to normal values without medical treatment.
腹主动脉缩窄是一组罕见的血管异常，包括节段性狭窄和广泛性发育不全。高血压是常见的唯一临床发现，这与用于治疗的解剖病变和手术技术的多样性形成对比。通常很难确定病变是先天性的还是由高安动脉炎引起的。本文报告了3例青少年发育不全的病例。所有病例均采用主动脉-主动脉旁路手术治疗。在1例伴有双侧肾动脉狭窄的肾间和肾下发育不全病例中，同时进行了肾动脉静脉血管成形术。在2例肾上腺上发育不全病例中的1例，在切除相关动脉瘤后重新植入了腹腔动脉。所有3例患者未经药物治疗血压均恢复正常。
