Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Descending Aorto-bronchial Fistula after Ascending Aorta Graft Interposition for Type I Acute Aortic Dissection

제1형 급성 대동맥 박리증의 상행 대동맥 치환술 후 하행 대동맥에 발생한 대동맥-기관지루

  • Ryu, Kyoung-Min (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Dankook University) ;
  • Ryu, Jae-Wook (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Dankook University) ;
  • Park, Seong-Sik (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Dankook University) ;
  • Kim, Seok-Kon (Department of Anesthesiology and Pain Medicine, College of Medicine, Dankook University) ;
  • Seo, Pil-Won (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Dankook University)
  • 류경민 (단국대학교 의과대학 흉부외과학교실) ;
  • 류재욱 (단국대학교 의과대학 흉부외과학교실) ;
  • 박성식 (단국대학교 의과대학 흉부외과학교실) ;
  • 김석곤 (단국대학교 의과대학 마취통증의학교실) ;
  • 서필원 (단국대학교 의과대학 흉부외과학교실)
  • Published : 2007.08.05
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Abstract

A 59-year old female patient was admitted due to massive hemoptysis. 6-months previously, we performed ascending aorta graft interposition for terating Debakey type 1 acute aortic dissection. Chest CT scan showed the fistula between the descending thoracic aorta and the left lower lobe. We performed descending thoracic aorta graft interposition under cardiopulmonary bypass. She recovered well without any postoperative problems. Distal aorto-bronchial fistula after a previous aortic operation is very rare. We report here the good results of treating aorto-bronchial fistula because we recognized this lesion early and performed an early operation.

6개월전 제1형 급성 대동맥 박리증으로 상행대동맥 치환술을 받은 59세 여자환자가 대량 객혈을 주소로 내원하였다. 하행 흉부대동맥과 좌하엽간의 누공이 의심되어 응급수술을 시행하였다. 체외순환하에 인공도관을 이용하여 하행대동맥 치환술을 시행하였으며 수술 후 별다른 합병증 없이 회복되었다. 대동맥 수술 후 원위부에 생기는 대동맥-기관지루는 매우 드문 합병증으로 조기진단 및 수술로 좋은 결과를 얻었기에 보고하는 바이다.

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References

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