Pokrovskiĭ A V, Gashtov A Kh
Vestn Khir Im I I Grek. 1977 Oct;119(10):17-23.
The authors analyse the experience with the treatment of 119 patients suffering from multiple occlusions of aortic arch branches in atherosclerosis and nonspecific arteritis. 394 vascular injuries of the aortic arch were diagnosed in these cases. All the cases were divided into 4 groups in conformity with clinical manifestations of the disease. Operations aimed at the restoration of the blood flow in two and more branches of the aortic arch were performed on 60% of patients and in 98,3% of them the blood flow was restored. Total postoperative mortality was 16%. The long-term results were studied in 70 patients. The maintained blood flow in reconstructed vessels was found in 55 patients (78,6%). The authors came to the conclusion, that the reconstructive operation carried out in case of multiple occlusions of the aortic arch branches, aimed at the simultaneous restoration of blood flow in 2 and more vessels, proved to be highly effective.
作者分析了119例患有动脉粥样硬化和非特异性动脉炎所致主动脉弓分支多处闭塞患者的治疗经验。在这些病例中诊断出394处主动脉弓血管损伤。所有病例根据疾病临床表现分为4组。60%的患者接受了旨在恢复主动脉弓两个及以上分支血流的手术，其中98.3%的患者血流得以恢复。术后总死亡率为16%。对70例患者进行了长期结果研究。55例患者（78.6%）重建血管中血流得以维持。作者得出结论，针对主动脉弓分支多处闭塞进行的重建手术，旨在同时恢复两根及以上血管的血流，被证明是非常有效的。
