Fortner G, Johansen K
West J Med. 1984 Jan;140(1):50-9.
Aneurysms are common in our increasingly elderly population, and are a major threat to life and limb. Until the advent of vascular reconstructive techniques, aneurysm patients were subject to an overwhelming risk of death from exsanguination. The first successful repair of an abdominal aortic aneurysm using an interposed arterial homograft was reported by Dubost in 1952. A milestone in the evolution of vascular surgery, this event and subsequent diagnostic, operative and prosthetic graft refinements have permitted patients with an unruptured abdominal aortic aneurysm to enjoy a better prognosis than patients with almost any other form of major systemic illness.
动脉瘤在日益老龄化的人群中很常见,对生命和肢体构成重大威胁。在血管重建技术出现之前,动脉瘤患者面临着因失血过多而死亡的巨大风险。1952年,杜博斯特报告了首例使用插入式同种异体动脉移植成功修复腹主动脉瘤的病例。这一事件作为血管外科发展历程中的一个里程碑,以及随后在诊断、手术和人工血管移植方面的改进,使得未破裂腹主动脉瘤患者的预后比几乎任何其他形式的重大全身性疾病患者都要好。