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复发性胸主动脉缩窄:采用锁骨下动脉瓣动脉成形术并将锁骨下动脉远端重新植入颈动脉。

Recurrent coarctation of the thoracic aorta: subclavian flap arterioplasty with carotid reimplantation of the distal subclavian artery.

作者信息

Hvass U, Binet J P

出版信息

Ann Thorac Surg. 1981 Nov;32(5):495-8. doi: 10.1016/s0003-4975(10)61783-3.

DOI:10.1016/s0003-4975(10)61783-3
PMID:7305533
Abstract

Combining a subclavian flap procedure and reimplantation of the distal subclavian artery into the left carotid artery was used in 2 patients with recurrent coarctation of the thoracic aorta. One of the patients was 12 years old and the other, 6 years old. The operation has several advantages. (1) It is very efficient in relieving recurrent gradients. (2) The use of prosthetic material is avoided. (3) Minimal dissection is required. (4) It prevents subsequent subclavian steal syndrome and long-term ischemia of the left upper limb.

摘要

2例复发性胸主动脉缩窄患者采用锁骨下皮瓣手术联合锁骨下动脉远端再植入左颈动脉的方法。其中1例患者12岁,另1例6岁。该手术有几个优点。(1)在缓解复发性压力阶差方面非常有效。(2)避免使用人工材料。(3)所需的解剖操作最少。(4)可预防随后的锁骨下动脉盗血综合征和左上肢长期缺血。

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