Kaemmerer H, Mügge A, Oelert F, Prokop M, Rapp U, Schoehl W, Meyer G P, Kallfelz H C
Abt. für Kardiologie, Medizinischen Hochschule Hannover.
Z Kardiol. 1994 Oct;83(10):775-83.
Aneurysm formation, restenosis, and hypertension are well known complications after surgery for coarctation of the aorta (CoA). In order to assess long-term results, 46 patients were studied by spiral computed tomography and three-dimensional reconstruction after an interval ranging from 1 to 21 years (median 10 years) after surgery for coarctation. Spiral computed tomography showed pathological changes of the aorta in the majority of patients. Typical findings were ectasy or aneurysm formation of the ascending aorta, hypoplastic aortic arch, ectasy or aneurysm formation of the supraaortic vessels, circumscript aneurysm of the descending aorta at the side of surgery, restenosis of the descending aorta and malformations and anomalies of arterial vessels. In order to initiate adequate treatment of such specific complications as restenosis, aneurysm and/or arterial hypertension, regular controls are necessary in patients after surgery for aortic coarctation. In addition to clinical examination and besides magnetic resonance imaging and angiography, spiral computed tomography is an effective non-invasive imaging method for follow-up.
主动脉缩窄（CoA）手术后，动脉瘤形成、再狭窄和高血压是众所周知的并发症。为了评估长期结果，对46例患者在主动脉缩窄手术后1至21年（中位数10年）的间隔期后进行了螺旋计算机断层扫描和三维重建研究。螺旋计算机断层扫描显示大多数患者的主动脉有病理改变。典型表现为升主动脉扩张或动脉瘤形成、主动脉弓发育不全、主动脉上血管扩张或动脉瘤形成、手术侧降主动脉局限性动脉瘤、降主动脉再狭窄以及动脉血管畸形和异常。为了对再狭窄、动脉瘤和/或动脉高血压等特定并发症启动适当治疗，主动脉缩窄手术后的患者需要定期进行检查。除了临床检查以及磁共振成像和血管造影外，螺旋计算机断层扫描是一种有效的非侵入性随访成像方法。
