Stenzl W, Hermann W, Tscheliessnigg K H, Rigler B, Rehak P, Kraft-Kinz J
Wien Med Wochenschr. 1979 Apr 15;129(7):184-8.
A follow-up study of 46 cases of isolated coarctation of the aorta (age at surgical treatment 1 to 48 years) is presented. The late postoperative blood pressure was the higher the later surgical treatment was carried out. When surgical treatment was carried out at an age of more than 14 years, an increase of the residual hypertension rate was observed. A relatively low rate of residual hypertension can be expected after correction at about 6 to 10 years. Surgical treatment in infancy does not seem to have beneficial effects since according to other reports correction at this age does not reduce the residual hypertension rate essentially. Apart from the elevated residual hypertension rate surgical treatment at an advanced age generally has a lowering effect on blood pressure values.
本文介绍了对46例单纯性主动脉缩窄患者(手术治疗年龄为1至48岁)的随访研究。手术治疗越晚,术后晚期血压越高。当手术治疗在14岁以上进行时,残余高血压发生率增加。在大约6至10岁进行矫正后,残余高血压发生率相对较低。婴儿期的手术治疗似乎没有有益效果,因为根据其他报告,这个年龄段的矫正并不能从根本上降低残余高血压发生率。除了残余高血压发生率升高外,高龄手术治疗一般对血压值有降低作用。