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