Sato Mitsuru, Masaki Naoki, Sai Sadahiro
Department of Cardiovascular Surgery, Miyagi Children's Hospital, 4-3-17 Ochiai, Aoba-ku, Sendai City, Miyagi, 989-3126, Japan.
Gen Thorac Cardiovasc Surg. 2025 Jan;73(1):66-69. doi: 10.1007/s11748-024-02071-5. Epub 2024 Aug 16.
Simple coarctation of the aorta is repaired in an infant by direct end-to-end anastomosis of the aorta or subclavian flap aortoplasty. However, some cases are not detected until late childhood. For school-age patients, greater consideration must be given to risks such as postoperative limb ischemia and the potentially harmful effects of any artificial material on future growth. Here, we describe our technique for these patients, in whom the value of direct anastomosis is uncertain, to minimize the amount of synthetic graft material used while achieving successful anatomical repair.
婴儿期的单纯主动脉缩窄可通过主动脉端端直接吻合或锁骨下动脉瓣主动脉成形术进行修复。然而，有些病例直到儿童晚期才被发现。对于学龄期患者，必须更多地考虑术后肢体缺血等风险以及任何人工材料对未来生长的潜在有害影响。在此，我们描述了针对这些患者的技术，在这些患者中，直接吻合的价值尚不确定，目的是在实现成功的解剖修复的同时尽量减少合成移植物材料的用量。
