Wada J, Kazui T, Komatsu S, Asai Y
Scand J Thorac Cardiovasc Surg. 1978;12(2):95-100. doi: 10.3109/14017437809100356.
Long-term results of bypass grafts for atypical coarctation of the thoracic aorta are presented. Six of the 13 patients with atypical coarctation were treated with long bypass from the descending thoracic aorta to the abdominal aorta. One of them had correction of right renal stenosis with a saphenous vein graft. Late clinical results of surgery (average follow-up time 4 years, 5 months and the longest over 10 years) were excellent, except for one patient who died 3 1/2 years postoperatively of acute abdomen. This experience suggests that atypical coarctation of the aorta can be treated satisfactorily by the long thoraco-abdominal bypass graft technique. If unilateral or bilateral renal artery stenosis is found simultaneously, renal revascularization is also necessary to obtain normalization of the blood pressures.
本文介绍了胸主动脉非典型缩窄旁路移植术的长期结果。13例非典型缩窄患者中有6例接受了从胸降主动脉到腹主动脉的长段旁路移植术。其中1例患者用大隐静脉移植修复了右肾狭窄。手术的晚期临床结果（平均随访时间4年5个月，最长超过10年）良好，除1例患者术后3年半死于急腹症外。该经验表明，胸主动脉非典型缩窄可通过长段胸腹旁路移植术得到满意治疗。如果同时发现单侧或双侧肾动脉狭窄，为使血压恢复正常，肾血管重建也是必要的。
