Journal of Yeungnam Medical Science

Yeungnam University College of Medicine, Yeungnam University Institute Medical Science (영남대 의대 학술지 편집위원회)
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An Aortic Dissection in Pregnant Woman -a case report-

임산부에서 발생한 대동맥 박리 (Aortic Dissection) 1례

  • Lee, Hyeong-Min (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Yeungnam University) ;
  • Hong, Eun-Pyo (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Yeungnam University) ;
  • Lee, Dong-Hyup (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Yeungnam University) ;
  • Lee, Jung-Cheul (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Yeungnam University) ;
  • Han, Sung-Sae (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Yeungnam University) ;
  • Sin, Dong-Gu (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Yeungnam University) ;
  • Kim, Young-Jo (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Yeungnam University) ;
  • Shim, Bong-Sup (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Yeungnam University)
  • 이형민 (영남대학교 의과대학 흉부외과학교실) ;
  • 홍은표 (영남대학교 의과대학 흉부외과학교실) ;
  • 이동협 (영남대학교 의과대학 흉부외과학교실) ;
  • 이정철 (영남대학교 의과대학 흉부외과학교실) ;
  • 한승세 (영남대학교 의과대학 흉부외과학교실) ;
  • 신동구 (영남대학교 의과대학 내과학교실) ;
  • 김영조 (영남대학교 의과대학 내과학교실) ;
  • 심봉섭 (영남대학교 의과대학 내과학교실)
  • Published : 1993.06.30
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Abstract

We have experienced a case of aortic dissecting aneurysm in pregnant woman. She felt initially severe chest pain which was radiated to the neck on the 3days before delivery. Thereafter dyspnea and generalized edema were developed for 1 month after delivery. She was diagnosed as aortic dissection, Debakey typeII. During cardiopulmonary bypass, the selective cerebral perfusion was done through the right and left commom carotid arteries. Aortic replacement with Hemashield vascular graft and reimplantation of innominate artery, resuspension of aortic valve, repair of intimal tear were performed. The postoperative course was uneventful.

본원에서는 출산 후 지속되는 호흡곤란, 전신부종을 주소로 내원한 환자에서 임신과 관계된 De Bakey유형II의 대동맥해리를 진단하고 성공적으로 수술을 시행한 1례를 경험하였기에 보고하는 바이다.

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