Julia P, Amrein C, Ghalayini B, Jebara V, Guillemain R, Roussin I, Carpentier A, Fabiani J N
Service de Chirurgie Cardiovasculaire, Hôpital Broussais, Paris, France.
Ann Vasc Surg. 1994 May;8(3):266-70. doi: 10.1007/BF02018174.
Between 1984 and 1991 a total of 200 patients underwent heart transplantation in our unit. The records of 121 patients who were followed up for more than 1 year were reviewed for peripheral vascular abnormalities, which were found in 12 (9.9%). Most of these patients underwent transplantation for ischemic heart disease, and peripheral vascular disease preceded the heart transplantation in 80%. Although surgical risks are low in this setting, particular caution should be exercised to prevent septic complications in the femoral triangle. Among the risk factors studied, only elevated blood cholesterol was frequently found in the vascular patients before or after transplantation. Peripheral vascular involvement in heart transplant patients corresponds to the natural course of atheroma rather than to an accelerated process of atherosclerosis.
1984年至1991年间，我们科室共有200例患者接受了心脏移植手术。对121例随访时间超过1年的患者记录进行了回顾，以检查外周血管异常情况，结果发现12例（9.9%）存在外周血管异常。这些患者大多数因缺血性心脏病接受移植手术，其中80%的患者外周血管疾病先于心脏移植出现。尽管在这种情况下手术风险较低，但在股三角区仍应格外小心以预防感染并发症。在所研究的风险因素中，仅移植前后血管病变患者经常出现血胆固醇升高。心脏移植患者的外周血管受累情况符合动脉粥样硬化的自然病程，而非动脉粥样硬化的加速进程。
