Aleksi-Meskhishvili V V, Buzinova L A, Belokon' N A, Musatova T I, Garibian V A
Kardiologiia. 1977 May;17(5):70-6.
Among 111 infants with coarctation of the aorta, fibroelastosis of the left ventricular endocardium was found in 14 cases comprising 12.6%. Such a combination usually caused an extremely poor state of the patients and served as an indication for surgery. A resection of the coarctation of the aorta in cases of fibroelastosis provides for a significant reduction of the workload on the left ventricular myocardium, for an improvement of the patient's state permitting to survive the critical first three years of life. The problems of intravital diagnosis of fibroelastosis in patients with coarctation of the aorta are presented, the importance of chronic ischaemia of the left ventricle in the development of fibroelastosis is emphasized. The details of surgical tactics and postoperative care of such patients are discussed.
在111例主动脉缩窄婴儿中，发现14例（占12.6%）存在左心室心内膜纤维弹性组织增生。这种联合病变通常导致患者状况极差，是手术的指征。对于纤维弹性组织增生病例，切除主动脉缩窄可显著减轻左心室心肌的工作负荷，改善患者状况，使其能够度过生命中关键的头三年。文中介绍了主动脉缩窄患者纤维弹性组织增生的活体诊断问题，强调了左心室慢性缺血在纤维弹性组织增生发展中的重要性。还讨论了此类患者的手术策略及术后护理细节。
