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主动脉缩窄,特别提及婴儿。126例手术的长期结果。

Coarctation of aorta with special reference to infants. Long-term results of operation in 126 cases.

作者信息

Patel R, Singh S P, Abrams L, Roberts K D

出版信息

Br Heart J. 1977 Nov;39(11):1246-53. doi: 10.1136/hrt.39.11.1246.

DOI:10.1136/hrt.39.11.1246
PMID:588380
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC483403/
Abstract

A review of 126 cases of coarctation of the aorta confirms the need for surgical resection in infants with intractable congestive cardiac failure. The high association with additional cardiovascular abnormalities in patients presenting in early infancy contributes significantly to the mortality. Patients with large ventricular septal defects and coarctation of the aorta are at risk and may require pulmonary artery banding at the time of resection of the aortic coarctation. Long-term complications included restenosis (18 cases) and persistent hypertension (10 cases). In order to prevent persistent hypertension, it is suggested that elective resection of the coarctation be done at 1 year of age.

摘要

对126例主动脉缩窄病例的回顾证实,患有顽固性充血性心力衰竭的婴儿需要进行手术切除。婴儿早期出现的患者中,与其他心血管异常的高度关联显著增加了死亡率。患有大型室间隔缺损和主动脉缩窄的患者有风险,可能需要在切除主动脉缩窄时进行肺动脉束带术。长期并发症包括再狭窄(18例)和持续性高血压(10例)。为预防持续性高血压,建议在1岁时择期切除缩窄段。

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引用本文的文献

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Prevalence of hypertension in children after early repair of coarctation of the aorta: a cohort study using casual and 24 hour blood pressure measurement.主动脉缩窄早期修复术后儿童高血压的患病率:一项使用偶测血压和24小时血压测量的队列研究
Heart. 2002 Aug;88(2):163-6. doi: 10.1136/heart.88.2.163.
2
Indirect arterial pulse tracings in children with coarctation of the aorta before and after operation.主动脉缩窄患儿手术前后的间接动脉脉搏描记图。
Thorax. 1980 Feb;35(2):128-32. doi: 10.1136/thx.35.2.128.
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Taussig-Bing anomaly and coarctation of the aorta in infancy: surgical options.婴儿期的陶西格-宾畸形与主动脉缩窄:手术选择
Pediatr Cardiol. 1985;6(2):83-9. doi: 10.1007/BF02282743.
4
Surgical treatment of isolated coarctation of the aorta: 18 years' experience.主动脉孤立性缩窄的外科治疗:18年经验
Thorax. 1987 Apr;42(4):309-14. doi: 10.1136/thx.42.4.309.
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Exercise testing after surgical repair of coarctation of the aorta.
Pediatr Cardiol. 1987;8(1):17-22. doi: 10.1007/BF02308379.

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