Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Acute Abdominal Aortic Occlusion after Open Heart Surgery - A case report -

개심술 후에 발생한 급성 복부 대동맥 차단 -1예 보고-

  • Han, Won-Kyung (Department of Thoracic and Cardiovascular Surgery, Kyungpook National University) ;
  • Cho, Joon-Yong (Department of Thoracic and Cardiovascular Surgery, Kyungpook National University) ;
  • Lee, Jong-Tae (Department of Thoracic and Cardiovascular Surgery, Kyungpook National University)
  • 한원경 (경북대학교병원 흉부외과) ;
  • 조준용 (경북대학교병원 흉부외과) ;
  • 이종태 (경북대학교병원 흉부외과)
  • Published : 2005.10.01
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Abstract

Acute abdominal Aortic occlusion is rare but it is a vascular emergency with high mortality and morbidity. There­fore, delay in diagnosis can have severe impact on the prognosis. A 60-year-old women complained of paresthesia, paralysis, and severe pain in bilateral lower extremities on 13th day after open heart surgery for mitral stenosis, atrial fibrillation, coronary arterial stenosis, tricuspid regurgitation, and atrial septal defect. Her skin was mottled and cool from the umbilicus to the feet, and there were no palpable pulses in the lower exteremities. We diagnosed an acute abdominal aortic occlusion using the Multi-Detector Row Spiral Computed Tomography and successfully treated the problem with emergent thrombo-embolectomy and Aortobifemoral bypass.

급성복부대동맥 폐쇄는 드물지만, 응급을 요하며 높은 사망률과 이환율을 보이는 혈관질환이다. 늦은 진단은 예후에 심각한 영향을 미치게 된다. 승모판 협착, 심방세동, 관상동맥협착, 삼첨판 역류 및 심방중격결손으로 인한 개심슬을 받은 60세 여자가 술 후 13일에 하지의 감각이상, 마비, 심한 통증을 호소하였다. 배꼽 아래부터 발끝에 이르는 피부가 얼룩덜룩하였으며 하지의 맥박이 촉지되지 않았다. 저자들은 다중 검출 컴퓨터 단층 촬영을 이용하여 급성 복부 대동맥 폐쇄를 진단하고, 응급 혈색전 제거 및 대동맥-양측 대퇴동맥 우회로술로 성공적으로 치료하였다.

Keywords

References

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