Buckels N J, Willetts R G, Roberts K D
Birmingham Children's Hospital.
Thorax. 1988 Dec;43(12):1003-6. doi: 10.1136/thx.43.12.1003.
Of 47 children over the age of 1 year who underwent repair of aortic coarctation during 1978-85, 22 had the operation performed with left heart bypass because the distal aortic pressure was below 50 mm Hg after the initial application of the arterial clamps. One further child had an elective left heart bypass. Satisfactory distal perfusion was achieved in all 23 patients. There were no deaths related to the use of left heart bypass but three complications occurred. One child had a mild transient hemiparesis on the ninth postoperative day and two had a pericardial effusion.
在1978年至1985年期间接受主动脉缩窄修复手术的47名1岁以上儿童中，22名因在最初应用动脉夹后远端主动脉压力低于50毫米汞柱而在左心转流下进行手术。另有一名儿童接受了择期左心转流。23例患者均实现了满意的远端灌注。没有与使用左心转流相关的死亡，但发生了3例并发症。一名儿童在术后第9天出现轻度短暂性偏瘫，两名儿童出现心包积液。
