Champsaur G, André M, Jocteur-Monrozier D, Bozio A, Normand J, Michaud P
Arch Mal Coeur Vaiss. 1977 Apr;70(4):347-52.
Between September 1st 1974 and June 1st 1976, 12 infants under the age of 6 months have been operated on by a dacron patch aortoplasty for coarctation of the aorta. The associated lesions were a patent ductus arteriosus in each case, a VSD in 8 cases, and a trans-position of the great arteries in 5 cases. A pulmonary artery banding was performed with the aortoplasty in 8 cases, and a Blalock-Hanlon operation in one instance. There were two operative deaths (17 p. 100), amongst them one in a 1400 g premature infant, and a late death (3rd month). Two infants have a clinical aspect of recoarctation. In four infants, the post-operative hemodynamic and angiographic study carried out before the treatment of associated intra-cardiac lesions, shows a good result of the coarctation repair. This particular technique, although not performed as a routine in the infant with coarctation of the aorta, seems to be of interest in the most severe forms of the disease, with diffuse isthmus narrowing and intra-cardiac defects.
在1974年9月1日至1976年6月1日期间，12例6个月以下婴儿接受了涤纶补片主动脉缩窄成形术。所有病例均合并动脉导管未闭，8例合并室间隔缺损，5例合并大动脉转位。8例在进行主动脉缩窄成形术的同时进行了肺动脉环扎术，1例进行了布莱洛克 - 汉隆手术。有2例手术死亡（17%），其中1例是体重1400克的早产儿，还有1例是晚期死亡（第3个月）。2例婴儿有再缩窄的临床表现。4例婴儿在治疗相关心内病变前进行的术后血流动力学和血管造影研究显示，主动脉缩窄修复效果良好。这种特殊技术虽然并非主动脉缩窄婴儿的常规治疗方法，但对于疾病最严重的形式，即弥漫性峡部狭窄和心内缺损，似乎具有一定价值。
