McFadden P M, Ochsner J L
J Cardiovasc Surg (Torino). 1983 Jan-Feb;24(1):1-4.
Thrombotic occlusion of the abdominal aorta secondary to umbilical artery cannulation in two critically ill neonates with severe ischemia is presented. Emergency surgical treatment by abdominal aortotomy and thrombectomy resulted in survival of both patients. Details of the operative technique are reviewed. Etiologic factors predisposing to this disastrous complication are discussed. Recommendations for prevention and a logical approach to diagnosis and management are outlined.
本文报道了两例患有严重缺血的危重新生儿因脐动脉插管继发腹主动脉血栓形成闭塞的病例。通过腹主动脉切开术和血栓切除术进行的紧急手术治疗使两名患者均存活。回顾了手术技术细节。讨论了导致这种灾难性并发症的病因因素。概述了预防建议以及诊断和管理的合理方法。
