Allard J R, Williams R L, Dobell A R
Ann Thorac Surg. 1976 Mar;21(3):243-6. doi: 10.1016/s0003-4975(10)64301-9.
From January, 1969, to June, 1974, 11 infants with interrupted aortic arch were operated upon. Eight of them died in the perioperative period. Their cases were reviewed in an attempt to find factors influencing the prognosis. Age, weight, preoperative hemodynamics, angiographic findings, and the type of arch anomaly did not influence the outcome. The operation, whether palliative or involving intracardiac repair, did not affect the prognosis. The only factor related to the outcome was the size of the conduit: in all infants who died, the vessel used to bridge the gap (carotid or subclavian artery) was of narrow diameter. In the 3 patients who survived it was of much larger bore. We conclude that in the repair of interrupted aortic arch, an adequate conduit is essential for success.
1969年1月至1974年6月期间，对11例主动脉弓中断的婴儿进行了手术。其中8例在围手术期死亡。对他们的病例进行了回顾，试图找出影响预后的因素。年龄、体重、术前血流动力学、血管造影结果以及主动脉弓异常类型均不影响预后。手术，无论是姑息性手术还是涉及心内修复的手术，均不影响预后。与预后相关的唯一因素是管道的大小：在所有死亡的婴儿中，用于连接间隙的血管（颈动脉或锁骨下动脉）直径狭窄。在存活的3例患者中，管道直径要大得多。我们得出结论，在主动脉弓中断的修复中，合适的管道是成功的关键。
