Aortic Root Remodeling Procedure in Marfan Syndrome associated with Aortic Dissection: Yacoub-David Technique

말판증후군과 동반된 해리성 대동맥류에 대한 대동맥 근부 개형술(改型術): Yacoub-David 수술법

  • Park, Hyung-Joo (Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Chunan Hospital) ;
  • Lee, Seong-Jin (Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Chunan Hospital) ;
  • Park, Young-Woo (Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Chunan Hospital) ;
  • Choi, Tai-Myung (Department of Cardiology, Soonchunhyang University Chunan Hospital) ;
  • Shin, Won-Yong (Department of Cardiology, Soonchunhyang University Chunan Hospital) ;
  • Kwak, Soo-Dal (Department of Anesthesiology, Soonchunhyang University Chunan Hospital) ;
  • Ko, Jeong-Kwan (Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Chunan Hospital) ;
  • Lee, Cheol-Sae (Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Chunan Hospital) ;
  • Youm, Wook (Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Chunan Hospital)
  • 박형주 (순천향대학교 천안병원 흉부외과) ;
  • 이승진 (순천향대학교 천안병원 흉부외과) ;
  • 박영우 (순천향대학교 천안병원 흉부외과) ;
  • 최태명 (순천향대학교 천안병원 순환기내과) ;
  • 신원용 (순천향대학교 천안병원 순환기내과) ;
  • 곽수달 (순천향대학교 천안병원 마취과) ;
  • 고정관 (순천향대학교 천안병원 흉부외과) ;
  • 이철세 (순천향대학교 천안병원 흉부외과) ;
  • 염욱 (순천향대학교 천안병원 흉부외과)
  • Published : 2001.07.01

Abstract

We operated on a Marfan patient who had Stanford type A acute aortic dissection, aortic root aneurysm, and aortic regurgitation. The Yacoub-David aortic root remodeling procedure which preserves native aortic valve and replaces all three aortic sinuses and ascending aorta by a Dacron graft, was applied for this patient. A 24mm Hemashield graft was designed to three tongues at the aortic root end to meet the shape of the Valsalva sinuses. The patient recovered from the procedure uneventfully and there was no aortic regurgitation posto-peratively.

순턴향대학 턴안병원 흥부외과에서는 Stan$\ulcorner$old type A급성 대동맥 박리증, 대동맥 근부 동맥류 및 대동맥 폐쇄부전을 보인 45세 말판 증후군 환자에게 24m Hemashield 도관을 이용하여 Yacoub-David 수술법에 의한 대동맥 근부 개형술(aortic root remodeling procedure)을 시행하였다 수술은 환자의 대동맥 판막을 보존하면서 대동맥등을 포함한 대동맥 근부의 질병조직을 모두 제거한 후, 글이 발살바동 모양으로 3등분된 인조혈관으로 대동맥등으로부터 상행 대동맥가지 대치하는 방법으로 하였다. 환자는 수술 후 양호한 회복을 보였고 대 동맥 판막의 역류는 완전히 교정되었다.

Keywords

References

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