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主动脉缩窄:婴儿期的外科治疗——72例患者的结果(作者译)

[Coarctation of the aorta: surgical management in infancy--results in 72 patients (author's transl)].

作者信息

Regensburger D, Kirchhoff P G, Rastan H, Willhardt C

出版信息

Thoraxchir Vask Chir. 1978 Aug;26(4):223-6. doi: 10.1055/s-0028-1096628.

DOI:10.1055/s-0028-1096628
PMID:694891
Abstract

Early and late results of a total of 72 infants operated for coarctation of the aorta are reported. Operative repair included various methods (End-to-End, Vossschulte, Clagett, Shumaker, Waldhausen, Blalock). Isolated coarctation was present in 6 infants, 17 also had patent ductus arteriosus, 39 patients had additional associated cardiac anomalies, part of which were combined with PDA. Out of the 72 infants 17 died (early mortality: 11, late mortality: 6). The highest mortality rate was found among the 0 to 3 months age group (11 patients). Fourteen out of the 17 deceased patients had additional cardiac anomalies. Out of the 55 survivals, 37 patients showed good results, restenosis was found in 13 patients, 5 patients had to be reoperated due to severe restenosis.

摘要

报告了总共72例接受主动脉缩窄手术的婴儿的早期和晚期结果。手术修复包括多种方法(端端吻合术、沃斯舒尔特术、克拉格特术、舒梅克术、瓦尔德豪森术、布莱洛克术)。6例婴儿为单纯性主动脉缩窄,17例同时合并动脉导管未闭,39例患者还伴有其他相关心脏畸形,其中部分合并动脉导管未闭。72例婴儿中有17例死亡(早期死亡率:11例,晚期死亡率:6例)。0至3个月年龄组的死亡率最高(11例患者)。17例死亡患者中有14例伴有其他心脏畸形。在55例存活者中,37例患者效果良好,13例患者出现再狭窄,5例患者因严重再狭窄需要再次手术。

相似文献

1
[Coarctation of the aorta: surgical management in infancy--results in 72 patients (author's transl)].主动脉缩窄:婴儿期的外科治疗——72例患者的结果(作者译)
Thoraxchir Vask Chir. 1978 Aug;26(4):223-6. doi: 10.1055/s-0028-1096628.
2
[Surgical treatment of critical aortic isthmus stenosis in infancy].
Klin Padiatr. 1984 Jul-Aug;196(4):209-13. doi: 10.1055/s-2007-1025609.
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Early and late results of aortoplasty with a left subclavian flap for coarctation of the aorta in infancy.婴儿期左锁骨下动脉瓣主动脉成形术治疗主动脉缩窄的早期和晚期结果
J Thorac Cardiovasc Surg. 1978 May;75(5):699-704.
4
Patients with aortic coarctation operated during the first year of life, different surgical techniques and prognostic factors--21 years of experience.
Rev Port Cardiol. 2003 Oct;22(10):1185-93.
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[Aortic coarctation surgically treated in the 1st year of life. Results in 36 cases].出生后第一年接受手术治疗的主动脉缩窄。36例患者的结果
G Ital Cardiol. 1985 Nov;15(11):1039-42.
6
Determinants of early success in repair of aortic coarctation in infants.婴儿主动脉缩窄修复早期成功的决定因素。
J Thorac Cardiovasc Surg. 1982 May;83(5):736-42.
7
Should elective repair of coarctation of the aorta be done in infancy?主动脉缩窄的择期修复手术应该在婴儿期进行吗?
J Thorac Cardiovasc Surg. 1984 Dec;88(6):929-38.
8
Surgical repair of coarctation of the aorta in infants less than six months of age: including the question of pulmonary artery banding.六个月以下婴儿主动脉缩窄的手术修复:包括肺动脉环扎术问题。
J Thorac Cardiovasc Surg. 1981 Feb;81(2):171-9.
9
[Surgical repair of coarctation of the aorta during infancy].
Kyobu Geka. 1992 Jun;45(6):471-6; discussion 476-9.
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Hypoplastic transverse arch and coarctation in neonates. Surgical reconstruction of the aortic arch: a study of sixty-six patients.新生儿发育不全的横弓与主动脉缩窄。主动脉弓的手术重建:66例患者的研究。
J Thorac Cardiovasc Surg. 1990 Dec;100(6):808-16.

引用本文的文献

1
[Surgical treatment of congenital heart disease in infants without use of extracorporeal circulation (author's transl)].不使用体外循环的婴儿先天性心脏病外科治疗(作者译)
Langenbecks Arch Chir. 1980;351(1):51-61. doi: 10.1007/BF01241930.