Yee E S, Turley K, Soifer S, Ebert P A
Am J Surg. 1984 Aug;148(2):240-3. doi: 10.1016/0002-9610(84)90229-0.
Synthetic patch aortoplasty is an expedient, safe technique for coarctation repairs during early infancy and thereafter for reoperation since it affords both an immediate hemodynamic result and potential for late growth while avoiding sacrifice of a major arch vessel. The surgical advantages include minimization of the total cross-clamp time (10 minutes in infants and 12 minutes in older patients) and elimination of the need to sacrifice collateral vessels and the need for extensive dissection for proximal and distal control. Hence, this technique has minimized the associated severe complications of coarctation repair, even in emergency cases. In our study, there were no operative deaths, spinal cord injuries or recoarctation, and intraoperative cardiac arrest occurred in only 3 percent of the patients.
合成补片主动脉成形术是一种适用于婴儿早期缩窄修复及后续再次手术的便捷、安全技术，因为它既能立即改善血流动力学，又有后期生长的潜力，同时避免牺牲主要的弓部血管。手术优势包括将总阻断时间降至最短（婴儿为10分钟，年长患者为12分钟），无需牺牲侧支血管，也无需为近端和远端控制进行广泛解剖。因此，即使在紧急情况下，该技术也将缩窄修复相关的严重并发症降至最低。在我们的研究中，没有手术死亡、脊髓损伤或再缩窄情况，仅3%的患者术中发生心脏骤停。
