Poulias G E, Polemis L, Skoutas B, Doundoulakis N, Papaïoannou K
J Cardiovasc Surg (Torino). 1984 May-Jun;25(3):211-5.
Three unusual types of coarctation of the aorta are presented together with long-term follow up covering a period of 8-12 years, after successful operative reconstruction. In one case there were two constrictive lesions, one proximal to the left subclavian artery and the other at the typical location, while in another the coarctation was located between two common carotids, with associated congenital hypoplasia of the left subclavian artery, resulting in a steal syndrome. In the last case, there was evidence of a supradiaphragmatic coarctation. In all cases surgical reconstruction was accomplished by means of a Dacron graft. Even unusually located coarctations are highly likely where physical examination reveals, either in one or both limbs hypertension with concomitant weakness of femoral pulsations. However aortography is mandatory for adequate delineation of the disease and precise surgical orientation. All three patients live a normal life today.
本文介绍了三种不寻常类型的主动脉缩窄，并在手术重建成功后对患者进行了为期8至12年的长期随访。其中一例有两处狭窄病变，一处位于左锁骨下动脉近端，另一处位于典型位置；另一例主动脉缩窄位于双侧颈总动脉之间，并伴有左锁骨下动脉先天性发育不全，导致盗血综合征。最后一例有膈上主动脉缩窄的证据。所有病例均通过涤纶补片进行手术重建。即使是位置异常的主动脉缩窄，若体格检查发现单肢或双肢高血压伴股动脉搏动减弱，也很有可能存在。然而，为了充分描绘病情并进行精确的手术定位，主动脉造影是必不可少的。如今，这三名患者都过着正常的生活。
