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Case Report
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Korean J Med. 2014;86(2):218-223. Published online February 1, 2014.
DOI: https://doi.org/10.3904/kjm.2014.86.2.218
- 고위험군 대동맥궁 동맥류에 대동맥 상부 혈관 우회술과 스텐트
그라프트 치료 2예
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장세원1, 고우석1, 김민정1, 최정천2, 안진희2, 송승환3, 이한철2
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1좋은삼선병원 내과
2부산대학교 의학전문대학원 부산대학교병원 순환기내과
3부산대학교 의학전문대학원 부산대학교병원 흉부외과
- A Hybrid Approach for Thoracic Aortic Arch Aneurysms in Two Patients at High
Operative Risk
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Se Won Jang1, Woo Seok Ko1, Min Jeong Kim1, Jung Cheon Choi2, Jin Hee Ahn2, Seung Hwan Song3, Han Cheol Lee2
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1Department of Internal Medicine, Good Samsun Hospital, Busan, Korea
2Division of Cardiology, Departments of Internal Medicine, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea
3Thoracic & Cardiovascular Surgery, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea
- Corresponding author: Han Cheol Lee ,Tel: +82-51-240-7217, Fax: +82-51-240-7796, Email: glaraone@hanmail.net
- Received: November 27, 2012; Revised: December 27, 2012 Accepted: March 18, 2013.
- 연령이 높고 수술 고위험군인 대동맥궁의 대동맥류에 대해 대동맥궁 상부동맥 우회술과 스텐트 이식편(stent-graft) 삽입을 같이 시행하는 Hybrid 수술을 시행하여 좋은 결과를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
߽ɾ :대동맥궁; 대동맥류; 스텐트; 혈관 내 성형
- Abstract
- A large aortic aneurysm invading the aortic arch can be catastrophic if rupture occurs. In the past, the standard treatment was an open thoracotomy followed by total aortic arch replacement. However, open surgery is difficult in patients at high operative risk. Consequently, thoracic endovascular aortic repair (TEVAR) is preferred in high-risk patients. In patients with a short proximal landing whose aortic aneurysm invades the aortic arch, TEVAR is not available because of innominate, left carotid, and left subclavian artery occlusion. We report two cases in which aortic aneurysms invaded the aortic arch, and who were treated with TEVAR after a supra-aortic artery bypass operation. (Korean J Med 2014;86:218-223)
Keywords :Aorta, Aneurysm, Stent, Endovascular procedure
