Korean J Med > Volume 86(2); 2014 > Article
The Korean Journal of Medicine 2014;86(2):213-217.
Published online February 1, 2014.
DOI: https://doi.org/10.3904/kjm.2014.86.2.213   
Endovascular Repair of a Juxtarenal Abdominal Aortic Aneurysm Using a Chimney Graft
Darae Kim1, Young-Guk Ko1, Do-Yun Lee2, Donghoon Choi1
1Division of Cardiology, Departments of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
2Radiology, Yonsei University College of Medicine, Seoul, Korea
신동맥에 접한 복부대동맥류에서 굴뚝형 이식편을 이용한 혈관내 치료
김다래1, 고영국1, 이도연2, 최동훈1
1연세대학교 의과대학 내과학교실 심장내과
2연세대학교 의과대학 영상의학교실
Correspondence: 
Young-Guk Ko, Tel: +82-2-2228-8460, Fax: +82-2-2227-7732, Email: Ygko@yuhs.ac
Received: 31 December 2012   • Revised: 4 March 2013   • Accepted: 6 March 2013
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
An endovascular repair of an abdominal aortic aneurysm (AAA) is technically less invasive than open surgery, but gives results as effective as open surgery if the anatomy is adequate. Unfortunately, 20-30% of AAA patients are not suitable for endovascular repair because they lack a sufficient proximal landing zone. In an effort to broaden the applicability of endovascular repair, the chimney technique has been introduced. This refers to deployment of a covered or bare-metal stent parallel to the main aortic endograft within the aneurysm, creating a conduit that runs outside the main aortic endograft into the aortic branches. We report the case of a 75-year-old male with a juxtarenal abdominal aortic aneurysm and multiple comorbidities who was treated successfully with an endovascular aneurysm repair using a chimney graft. (Korean J Med 2014;86:213-217)
Key Words: Abdominal aortic aneurysm; Endovascular techniques
주제어: 복부대동맥; 혈관내 치료


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