Cromier J M, Laurian C
Int Surg. 1976 Apr;61(4):203-12.
The authors report treatment of 251 lesions of the major branches of the aortic arch and the vertebral artery in 172 patients. A detailed account is given of the lesions observed (34 lesions of the innominate artery, 93 of the subclavian artery and 119 of the vertebral arteries), the technics used and the indications for surgery. Use of the cervical approach seems to be justified in order to adapt the extent of surgery to the patient's condition. This accounts for the low mortality rate of 1.5%.
作者报告了对172例患者的主动脉弓主要分支和椎动脉的251处病变的治疗情况。详细介绍了所观察到的病变(无名动脉病变34处、锁骨下动脉病变93处和椎动脉病变119处)、所采用的技术以及手术指征。采用颈部入路似乎是合理的,以便使手术范围适应患者的病情。这也是死亡率低至1.5%的原因。