Hashimoto R, Hada M, Kamiya K, Tada Y, Ueno A, Yanai J, Komai T
Second Department of Surgery, Yamanashi Medical University, Japan.
Angiology. 1996 Dec;47(12):1157-62. doi: 10.1177/000331979604701206.
A case of a huge thoracoabdominal aortic aneurysm in an eighteen-month-old boy is reported. Surgical treatment was successfully performed by thromboexclusion of the aneurysm with thoracoabdominal aortic bypass using a low-porosity woven Dacron graft 10 mm in diameter and of sufficient surplus length. During the early postoperative period, he developed moderate hydronephrosis, owing to compression of the left ureter by the graft, but no further deterioration was seen. Follow-up angiographies performed four and six years after surgery revealed straightening of the graft and slight stretching of the aorta at the distal anastomosis, but no stenosis was found. Now, seven and a half years after surgery, he has no pressure gradient between upper and lower extremities.
报道了一例18个月大男孩巨大胸腹主动脉瘤的病例。采用直径10mm、孔隙率低的机织涤纶移植物进行胸腹主动脉旁路移植术，成功地通过血栓排除法对动脉瘤进行了手术治疗，移植物有足够的剩余长度。术后早期，由于移植物压迫左输尿管，他出现了中度肾积水，但未进一步恶化。术后四年和六年进行的随访血管造影显示移植物变直，远端吻合处主动脉略有拉伸，但未发现狭窄。现在，术后七年半，他的上下肢之间没有压力梯度。
