Reitz B A, Baumgartner W A, Oyer P E, Stinson E B
Arch Surg. 1977 Sep;112(9):1057-9. doi: 10.1001/archsurg.1977.01370090039007.
Two thirds of the 114 patients undergoing heart transplantation at Stanford (Calif) Medical Center have had atherosclerotic cardiac disease. Two of these patients have been found in the late posttransplant period to have symptomatic abdominal aortic aneurysms requiring resection. We present the clinical course and successful operative treatment of these two patients, with emphasis on the prophylaxis of infection and maintenance of hemodynamic, metabolic, and immune stability. Close surveillance of the long-term cardiac transplant survivor should be directed towards other manifestations of atheroscleortic disease.
在斯坦福（加利福尼亚）医学中心接受心脏移植的114名患者中，三分之二患有动脉粥样硬化性心脏病。其中两名患者在移植后期被发现患有症状性腹主动脉瘤，需要进行切除手术。我们介绍了这两名患者的临床病程及成功的手术治疗情况，重点是预防感染以及维持血流动力学、代谢和免疫稳定性。对心脏移植长期存活者的密切监测应针对动脉粥样硬化疾病的其他表现。
