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模拟再缩窄的主动脉移植物管腔外压迫。

Extraluminal compression of an aortic graft simulating recoarctation.

作者信息

Stern A, Mindich B P, Halperin J L

出版信息

Br Heart J. 1987 Mar;57(3):286-8. doi: 10.1136/hrt.57.3.286.

DOI:10.1136/hrt.57.3.286
PMID:3566988
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1216427/
Abstract

Restenosis rarely develops after surgical correction of coarctation of the aorta in adults. Late morbidity is usually related to residual hypertension or progressive aortic valve disease. A patient in whom symptoms and signs of recurrent coarctation developed 19 years after initial graft repair is described. Dehiscence of the original silk suture line was found at operation. Extensive thrombus had produced graft compression. Milder hypertension persisted in the postoperative period despite relief of the aortic obstruction.

摘要

成人主动脉缩窄手术矫正后很少发生再狭窄。晚期发病通常与残余高血压或进行性主动脉瓣疾病有关。本文描述了一名患者,在初次移植修复19年后出现复发性主动脉缩窄的症状和体征。手术中发现原丝线缝合处裂开。广泛的血栓导致移植物受压。尽管主动脉梗阻得到缓解,但术后仍存在轻度高血压。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da10/1216427/6ef1881a20a2/brheartj00087-0077-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da10/1216427/eb6b7f2119cd/brheartj00087-0077-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da10/1216427/6ef1881a20a2/brheartj00087-0077-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da10/1216427/eb6b7f2119cd/brheartj00087-0077-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da10/1216427/6ef1881a20a2/brheartj00087-0077-b.jpg

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Extraluminal compression of an aortic graft simulating recoarctation.模拟再缩窄的主动脉移植物管腔外压迫。
Br Heart J. 1987 Mar;57(3):286-8. doi: 10.1136/hrt.57.3.286.
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引用本文的文献

1
Severe and resistant hypertension in an older woman with claudication.一名患有间歇性跛行的老年女性的重度难治性高血压。
J Am Soc Hypertens. 2017 Aug;11(8):475-479. doi: 10.1016/j.jash.2017.05.007. Epub 2017 Jun 1.
2
Acute aortic occlusion as a late complication of coarctation repair.急性主动脉闭塞作为缩窄修复术的晚期并发症。
Cardiovasc Intervent Radiol. 1989 Sep-Oct;12(5):286-9. doi: 10.1007/BF02575418.

本文引用的文献

1
Reconstructive vascular surgery.血管重建手术
N Engl J Med. 1962 Feb 15;266:339-46 contd. doi: 10.1056/NEJM196202152660706.
2
Surgery for coarctation of the aorta. A review of 500 cases.
J Thorac Cardiovasc Surg. 1962 Jan;43:54-70.
3
Late repair of coarctation of the descending thoracic aorta in 190 patients. Results up to 30 years after operation.190例胸降主动脉缩窄的晚期修复。术后长达30年的结果。
Arch Surg. 1981 Dec;116(12):1557-60. doi: 10.1001/archsurg.1981.01380240041006.
4
Critical review of experience with surgical repair of coarctation of the aorta.对主动脉缩窄手术修复经验的批判性综述。
J Thorac Cardiovasc Surg. 1979 Feb;77(2):217-29.
5
Coarctation of the aorta: review of 234 patients and clarification of management problems.主动脉缩窄:234例患者回顾及管理问题解析
Am J Cardiol. 1979 Apr;43(4):835-40. doi: 10.1016/0002-9149(79)90086-9.