Beerman L B, Neches W H, Patnode R E, Fricker F J, Mathews R A, Park S C
Am J Dis Child. 1980 May;134(5):464-6. doi: 10.1001/archpedi.1980.02130170014006.
From 1960 to 1970, 110 patients underwent operation for coarctation of the aorta. The overall mortality was 23%. However, in infants operated on at less than 6 months of age, the mortality was 63%, whereas there was only a 4% mortality in those operated on after 6 months of age. Late follow-up was available in 87 patients from five to 15 years postoperatively. There was a 14% frequency of recoarctation in the group of long-term survivors. Systemic hypertension, defined as an upper extremity blood pressure greater than 140/90 mm Hg, was found in 23% of the survivors. This study has demonstrated a significant frequency of postcoarctectomy hypertension and residual hemodynamic and angiographic abnormalities in patients without clinical evidence of recoarctation. This indicates the need for continued long-term follow-up of these patients.
1960年至1970年期间，110例患者接受了主动脉缩窄手术。总体死亡率为23%。然而，6个月龄以下婴儿接受手术的死亡率为63%，而6个月龄后接受手术的患者死亡率仅为4%。87例患者术后5至15年进行了长期随访。长期存活组中再狭窄发生率为14%。23%的存活者存在全身性高血压，定义为上肢血压大于140/90 mmHg。本研究表明，在无再狭窄临床证据的患者中，缩窄切除术后高血压以及残余血流动力学和血管造影异常的发生率较高。这表明需要对这些患者进行持续的长期随访。
