Gelfand E T, Callaghan J C, Sterns L P
J Thorac Cardiovasc Surg. 1980 Mar;79(3):381-7.
At the University of Alberta Hospital, six patients recently underwent placement of Dacron bypass grafts from the ascending aorta to the infrarenal abdominal aorta or femoral arteries for a variety of vascular problems. The operations were performed in patients with (1) multiple aortic coarctations, (2) congenital aortic arch interruption and congenital mitral stenosis, (3) recoarctation of the thoracic aorta after previous coaractation repair (two patients), (4) aortoiliac occlusive disease in a patient with multiple previous abdominal operations including an abdominal-perineal resection and left lower quadrant colostomy, and (5) idiopathic retroperitoneal fibrosis and multiple previous operations on the abdominal aorta. Surgical access was through midline sternotomy and laparotomy incisions, and groin incisions were used as required. Careful attention was paid to placing as much graft as possible in an extraperitoneal position. All patients survived the operation and had essentially uneventful postoperative courses with good results. This technique has previously been described. However, attention is drawn to it once again as an excellent means of bypassing the thoracic and abdominal aorta in selected patients with complex vascular problems.
在阿尔伯塔大学医院，最近有6名患者因各种血管问题接受了从升主动脉到肾下腹主动脉或股动脉的涤纶旁路移植术。这些手术针对的患者包括：（1）多发性主动脉缩窄；（2）先天性主动脉弓中断合并先天性二尖瓣狭窄；（3）既往主动脉缩窄修复术后胸主动脉再缩窄（2例患者）；（4）一名有多次腹部手术史（包括腹会阴切除术和左下象限结肠造口术）的患者患有主髂动脉闭塞性疾病；（5）特发性腹膜后纤维化且既往有多次腹主动脉手术史。手术入路通过正中胸骨切开术和剖腹术切口，并根据需要使用腹股沟切口。术中仔细注意尽可能将更多的移植物置于腹膜外位置。所有患者均手术成功，术后病程基本平稳，效果良好。该技术此前已有描述。然而，在此再次提请注意，对于某些患有复杂血管问题的患者而言，它是绕过胸主动脉和腹主动脉的一种极佳方法。
