Nier H, Schulte H D, Rivas-Martin J
Prax Klin Pneumol. 1979 Apr;33 Suppl 1:488-9.
29 patients aged 11-55 years underwent surgery an aneurysm of the descending part of the thoracic aorta that had developed after a blunt chest trauma. In all patients continuity of the vessel was restored by interposition of a prosthesis. Surgery was performed during the acute stage in 5 patients, two of whom died postoperatively due to infection of the prosthesis and shock lung respectively. One of the 24 patients who were operated on during the chronic stage died on the 16th postoperative day of apoplexy. One of the 26 patients who were discharged from hospital after the operation died of a spurious aneurysm that had developed at the site of the prosthesis. Follow-up examinations of 21 patients showed normal postoperative function. In 5 cases there was an angiographically demonstrable slight narrowing at the site of the anastomosis; the pressure gradient, measured intravascularly, did not exceed 30 mm Hg.
29例年龄在11至55岁之间的患者接受了手术，这些患者的胸主动脉降部动脉瘤是在钝性胸部创伤后形成的。在所有患者中，通过植入假体恢复了血管的连续性。5例患者在急性期接受了手术，其中2例分别因假体感染和休克肺在术后死亡。24例在慢性期接受手术的患者中有1例在术后第16天死于中风。26例术后出院的患者中有1例死于假体部位形成的假性动脉瘤。对21例患者的随访检查显示术后功能正常。5例在吻合部位血管造影显示有轻微狭窄；血管内测量的压力梯度不超过30毫米汞柱。
