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腹主动脉缩窄

Coarctation of the abdominal aorta.

作者信息

Svare J, Hansen H J, Brons J

出版信息

Acta Chir Scand Suppl. 1980;502:104-10.

PMID:6941584
Abstract

Coarctation of the abdominal aorta with stenoses or occlusions of the renal and mesenterial arteries was diagnosed in four patients. Three of the patients had severe hypertension and two had intermittent claudication. All the patients had normal arteries in the legs. The first patient was diagnosed i 1974 and was judged at that time to be inoperable. He is still alive, but suffers from severe hypertension and intermittent claudication. The other three patients were diagnosed later and have all been surgically treated, two with Dacron bypasses from the thoracic to the abdominal aorta, one of them with supplemental Dacron bypasses to both renal arteries, the celiac axis, and the superior mesenteric artery. The last patient had a Dacron prosthesis from the thoracic aorta to both common femoral arteries implanted. Post-operatively, the three patients operated on were free from symptoms and normotensive.

摘要

四名患者被诊断为腹主动脉缩窄合并肾动脉和肠系膜动脉狭窄或闭塞。其中三名患者患有严重高血压,两名患者有间歇性跛行。所有患者腿部动脉均正常。第一名患者于1974年被诊断出,当时被判定无法手术。他仍然活着,但患有严重高血压和间歇性跛行。另外三名患者后来被诊断出,均接受了手术治疗,两名患者采用涤纶血管从胸主动脉旁路至腹主动脉,其中一名患者还进行了涤纶血管旁路至双侧肾动脉、腹腔干和肠系膜上动脉的补充手术。最后一名患者植入了从胸主动脉到双侧股总动脉的涤纶人工血管。术后,接受手术的三名患者症状消失且血压正常。

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