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主动脉缩窄

Coarctation of the aorta.

作者信息

Wisheart J D

出版信息

Thorax. 1970 May;25(3):347-54. doi: 10.1136/thx.25.3.347.

DOI:10.1136/thx.25.3.347
PMID:5452290
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC472722/
Abstract

In a series of 70 patients who had surgical correction of coarctation of the aorta between 1952 and 1969, the operative mortality was 7% and the complication rate was 14%. The mortality was particularly high in adult males over 30, with pre-operative evidence of left ventricular ischaemia. Simple surgical procedures had satisfactory results, but the use of prostheses carried a high risk, and turning down the left subclavian artery failed to lower the blood pressure. The blood pressure score fell by 68% after operation, and by a further 8% following discharge from hospital. This result was maintained up to 17 years after operation, and may be expected in all groups of patients.

摘要

在1952年至1969年间接受主动脉缩窄手术矫正的70例患者中,手术死亡率为7%,并发症发生率为14%。30岁以上有术前左心室缺血证据的成年男性死亡率特别高。简单的手术操作取得了满意的结果,但使用人工血管有很高的风险,并且结扎左锁骨下动脉未能降低血压。术后血压评分下降了68%,出院后又下降了8%。这一结果在术后长达17年都得以维持,且所有患者组都可能出现这种情况。

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引用本文的文献

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Incidental detection of late presenting co-arctation of the aorta on chest x-ray: the importance of rib notching.胸部X线偶然发现迟发性主动脉缩窄:肋骨切迹的重要性。
BMJ Case Rep. 2012 Jan 23;2012:bcr1220115347. doi: 10.1136/bcr.12.2011.5347.
2
Successful outcome of complications of excision of aortic coarctation.主动脉缩窄切除术并发症的成功治疗结果。
Thorax. 1975 Jun;30(3):344-7. doi: 10.1136/thx.30.3.344.

本文引用的文献

1
The Surgical Treatment of Experimental Coarctation (Atresia) of the Aorta.实验性主动脉缩窄(闭锁)的外科治疗
Ann Surg. 1944 Mar;119(3):445-56. doi: 10.1097/00000658-194403000-00013.
2
THE RENAL BLOOD FLOW IN COARCTATION OF THE AORTA.主动脉缩窄时的肾血流
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NARROWING OF THE AORTIC ISTHMUS AND ENLARGEMENT OF THE MIND.主动脉峡部狭窄与心腔扩大
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LONG TERM FOLLOW-UP OF HOMOGRAFTS USED IN THE TREATMENT OF COARCTION OF THE AORTA.用于治疗主动脉缩窄的同种移植的长期随访
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COARCTATION IN THE ELDERLY.老年人的主动脉缩窄
Circulation. 1965 Feb;31:209-18. doi: 10.1161/01.cir.31.2.209.
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POST-OPERATIVE BLOOD PRESSURES IN COARCTATION OF THE AORTA.主动脉缩窄术后的血压
Br Heart J. 1964 Sep;26(5):671-8. doi: 10.1136/hrt.26.5.671.
7
CONTROLLED HYPOTENSION IN OPERATION FOR COARCTATION OF THE AORTA.主动脉缩窄手术中的控制性低血压
Acta Chir Scand. 1964 Apr;127:338-52.
8
A RENAL FACTOR IN HYPERTENSION DUE TO COARCTATION OF THE AORTA.主动脉缩窄所致高血压中的一个肾脏因素。
N Engl J Med. 1964 Apr 16;270:814-8. doi: 10.1056/NEJM196404162701603.
9
COMPLICATIONS IN THE REPAIR OF COARCTATION OF THE AORTA.主动脉缩窄修复术中的并发症
J Cardiovasc Surg (Torino). 1963 Dec;4:816-25.
10
An experimental study of the growth of arterial anastomoses.动脉吻合口生长的实验研究
Can J Surg. 1963 Jul;6:383-91.