Rufilanchas J J, Villagra F, Maroñas J M, Tellez G, Agosti J, Juffe A, Figuera D
Am J Surg. 1977 Sep;134(3):428-30. doi: 10.1016/0002-9610(77)90424-x.
A new surgical approach is proposed for patients with coarctation of the aorta associated with severe aortic valvular insufficiency. The valvular lesion should be repaired first and the coarctation corrected during a second operation; both interventions should be done during the same hospital stay. We base our approach on the belief that improved coronary perfusion can be achieved when the aortic insufficiency is corrected first. The disadvantages of the opposite surgical approach, such as anticoagulation problems, renal underperfusion, and hypertensive complications are easily avoided.
对于合并严重主动脉瓣关闭不全的主动脉缩窄患者，我们提出了一种新的手术方法。应首先修复瓣膜病变，在第二次手术时矫正主动脉缩窄；两次干预应在同一住院期间完成。我们的方法基于这样一种信念，即首先矫正主动脉瓣关闭不全时可实现更好的冠状动脉灌注。相反手术方法的缺点，如抗凝问题、肾脏灌注不足和高血压并发症等，很容易避免。
