主动脉缩窄的手术治疗

SURGICAL TREATMENT OF COARCTATION OF THE AORTA

目的手术治疗主动脉缩窄4例。单纯主动脉缩窄1例，合并动脉导管未闻（PDA）3例。方法采用左胸后外侧第4肋间切口，分别在浅低温、左心转流和常温下进行。缩窄段切除主动脉端端吻合1例，纵行切开或楔形切除缩窄段，用涤纶片或自体心包补片血管成形3例。结果手术经过顺利，无手术死亡和并发症，平均住院19d，痊愈出院。随访6月～3年，效果满意。结论主动脉缩窄一经确诊，不论有无症状，皆应手术治疗。

Objective Four patients with coarctation of the aorta including singlecoarctation in 1 case and coarctation associated with patent ductus arterisus in 3 caseswere surgically treated. Methods The operations were performed with mild hypothermia,left heat bypass or normothermia through fourth intercostal space left posterolateralthoracotomy. The procedure consists of resection and end - to - end anastomosis in 1case, Decron patch of pericardial hemograft angioplasty with longitudianl incision orcuneiform resection of the coarctation in 3 cases. Results There was no operative mortality and morbidity, the average time staying in hospital was 19 days. All of the patients recovered and were discharged from the hospital. Following up lasted from 6 months to 3years,and the curative effect was satisfactory. Conclusion Coarctation of the aorta mustbe treated surgically regardless of having symptoms and as soon as the diagnosis ismade.