PDF(Pubmed)
Abstract：
The mainstay of treatment of pediatric aortic coarctation is open surgery. One option for repair includes subclavian flap aortoplasty, first described by Waldhausen and Nahrwold in 1966. Within this technique, several modifications have been made over the years as long-term follow-up data became available. Early outcomes revealed little concern for left upper extremity limb ischemia or subclavian steal syndrome. These complications are rare but can have a significantly delayed presentation years after coarctation repair. We present a case of subclavian steal syndrome with lifestyle-limiting vertebrobasilar symptoms experienced by a patient 36 years after subclavian flap aortoplasty for aortic coarctation.
摘要：
小儿主动脉缩窄的主要治疗方法是开放手术。修复的一种选择包括锁骨下皮瓣主动脉成形术，首先由Waldhausen和Nahrwold在1966年描述。在这种技术中,多年来,随着长期随访数据的出现,我们进行了一些修改.早期结果显示，对左上肢缺血或锁骨下动脉盗血综合征的关注不大。这些并发症很少见，但在缩窄修复后数年会有明显的延迟。我们介绍了一例锁骨下动脉盗血综合征，该患者在锁骨下动脉瓣主动脉成形术后36年经历了生活方式限制的椎基底动脉症状。
