Nair U R, Moussalli H, Beton D C
Regional Cardiothoracic Centre, Wythenshawe Hospital, Manchester.
Br Heart J. 1988 Mar;59(3):361-3. doi: 10.1136/hrt.59.3.361.
Between October 1986 and February 1987 two young men with coarctation of the aorta and a hypoplastic isthmus were treated by a combined resection and isthmusplasty with implantation of the left internal mammary artery to the distal aorta. An appreciable drop in the systolic gradient was seen in both patients after the mammary artery anastomosis and haemodynamic variables across the repair continued to improve postoperatively. Digital transvenous subtraction angiography five months after operation showed a satisfactory mammary artery conduit across the repaired coarctation.
1986年10月至1987年2月期间，两名患有主动脉缩窄和峡部发育不全的年轻男性接受了联合切除术和峡部成形术，并将左乳内动脉植入远端主动脉。在进行乳内动脉吻合术后，两名患者的收缩期压差均明显下降，并且修复部位的血流动力学变量在术后持续改善。术后五个月的数字静脉减法血管造影显示，通过修复的缩窄部位的乳内动脉导管情况令人满意。
