Jacob T, Cobanoglu A, Starr A
Division of Cardiopulmonary Surgery, Oregon Health Sciences University, Portland.
J Thorac Cardiovasc Surg. 1988 May;95(5):782-7.
Ten patients between the ages of 10 and 17 years underwent ascending aorta-descending aorta bypass grafts for recurrent coarctation at the Oregon Health Sciences University from 1975 to 1984. The combined approach through a left thoracotomy and median sternotomy was used in all the patients. This operation was used when the segment of recoarctation was long, dense adhesions were present, collaterals were inadequate, or when a cardiac operation was necessary for an associated lesion. All the patients survived the operation, and the long-term results to date have been satisfactory.
1975年至1984年期间，10名年龄在10岁至17岁之间的患者因复发性主动脉缩窄在俄勒冈健康科学大学接受了升主动脉-降主动脉搭桥手术。所有患者均采用经左胸切口和正中胸骨切开的联合入路。当再缩窄段较长、存在致密粘连、侧支循环不足或因相关病变需要进行心脏手术时，采用此手术。所有患者均手术存活，迄今为止的长期结果令人满意。
