Hvass U, Belhaj M, Langlois J, Binet J P
Nouv Presse Med. 1981 Sep 12;10(32):2661-2.
The authors describe a new surgical technique used for the repair of coarctations of the aorta with extensive segmental hypoplasia. The technique is divided into four stages: enlargement of part of the hypoplastic segment by arterioplasty, using a flap from the subclavian artery; the extent of possible enlargement is governed by the length of subclavian artery available; resection of the residual hypoplasia and of the coarctation area proper; end-to-end anastomosis of the two aortic segments; revascularization of the arm by direct implantation of the subclavian artery into the left common carotid artery.
作者描述了一种用于修复伴有广泛节段性发育不全的主动脉缩窄的新手术技术。该技术分为四个阶段：通过动脉成形术，利用锁骨下动脉的皮瓣扩大部分发育不全的节段；可能扩大的程度取决于可用锁骨下动脉的长度；切除残余的发育不全部分和主动脉缩窄区域本身；两个主动脉段的端端吻合；通过将锁骨下动脉直接植入左颈总动脉来实现手臂的血运重建。
