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首页> 外文期刊>Journal of cardiac surgery. >Ascending-to-descending aortic bypass via posterior pericardium for complex coarctation of aorta.
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Ascending-to-descending aortic bypass via posterior pericardium for complex coarctation of aorta.

机译：经由后心包升主动脉至降主动脉，以实现主动脉复杂缩窄。

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摘要

We introduce our surgical experience in treating recurrent aortic coarctation or coarctation associated with intracardiac abnormalities, which is difficult to manage. Four patients underwent the operation with hypothermic cardiopulmonary bypass. During the surgery, the posterior pericardium was opened and the thoracic aorta was dissected and sidebiting clamped, and an end-to-side anastomosis of the artificial graft to the descending aorta was performed. The graft was passed in between the inferior vena cava and the inferior right pulmonary vein and posterior to the pericardium. After that, the aorta was clamped and intracardiac repair was finished. Then the proximal artificial graft was anastomosed to the right side of the ascending aorta with heart beating. All patients recovered smoothly. There was no early or late death, without bleeding or other complications after operation. Conclusion: "Complex coarctation" can be treated with ascending-to-descending aortic bypass via posterior pericardium and satisfied result can be achieved.
机译：我们介绍了我们在治疗复发性主动脉缩窄或与心脏内异常相关的缩窄的外科手术方面的经验，这些均难以处理。 4例患者接受了低温体外循环手术。在手术过程中，打开后心包并切开胸主动脉并侧咬钳夹住，并进行人工移植到降主动脉的端到端吻合。移植物在下腔静脉和右下肺静脉之间和心包后通过。之后，将主动脉夹住并完成心脏内修复。然后将近端人工移植物在心脏跳动下吻合到升主动脉的右侧。所有患者均康复良好。没有早期或晚期死亡，术后没有出血或其他并发症。结论：经后心包升主动脉搭桥或降主动脉搭桥可治疗“复杂性缩窄”。

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