Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지

Ruptured Penetrating Atherosclerotic Ulcer Involving the Aortic Arch - A case report -

대동맥궁을 침범한 침투성 동맥경화성 궤양의 파열 - 1예 보고 -

  • Cho, Kwang-Ree (Department of Thoracic and Cardiovascular Surgery, Halla General Hospital) ;
  • Kang, Jae-Geul (Department of Thoracic and Cardiovascular Surgery, Halla General Hospital) ;
  • Jin, Sung-Hoon (Department of Thoracic and Cardiovascular Surgery, Halla General Hospital)
  • Published : 2007.10.05
Download PDF
⟨ Previous Next ⟩

Abstract

Penetrating atherosclerotic ulcer involving the aortic arch has rarely been reported on in the literature. Acute rupture of a penetrating atherosclerotic ulcer involving the distal arch and the proximal descending thoracic aorta was found in a 78-year-old male, and he originally presented with acute-onset shoulder pain and hoarseness. Patch repair of the perforated arch and the proximal descending thoracic aorta was successfully done under total circulatory arrest.

대동맥궁을 침범하는 침투성 동맥경화성 궤양은 드물게 보고되고 있다. 급성 어깨 통증과 쉰 목소리를 주소로 내원한 78세 남자 환자에서 원위부 대동맥궁부터 근위부 하행대동맥에 걸쳐있는 파열된 침투성 동맥경화성 궤양이 발견되었다. 완전순환정지하에서 인조혈관을 사용하여 원위부 대동맥궁과 근위부 하행대동맥에 대한 패치봉합을 성공적으로 시행하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

  1. Ahn H, Kwak JG, Choi JS. Acute type A aortic dissection mimicking penetrating atherosclerotic ulcer. Korean J Thorac Cardiovasc Surg 2003;36:30-4
  2. Cho KR, Stanson AW, Potter DD, et al. Penetrating atherosclerotic ulcer of the descending thoracic aorta and arch. J Thorac Cardiovasc Surg 2004;127:1393-401 https://doi.org/10.1016/j.jtcvs.2003.11.050
  3. Tittle SL, Lynch RJ, Cole PE, et al. Midterm follow-up of penetrating ulcer and intramural hematomaof the aorta. J Thorac Cardiovasc Surg 2002;123:1051-9 https://doi.org/10.1067/mtc.2002.121681
  4. Pauls S, Orend KH, Sunder-Plassmann L, Kick J, Schelzig H. Endovascular repair of symptomatic penetrating atherosclerotic ulcer of the thoracic aorta. Eur J Vasc Endovasc Surg 2007;34:66-73 https://doi.org/10.1016/j.ejvs.2006.12.029
  5. Augustin N, Bauernschmitt R, Hausleiter J, Lange R. Dislocation of a stent-graft into the aortic arch during endovascular repair of a descending thoracic aortic aneurysm. Ann Thorac Surg 2006;81:1502-5 https://doi.org/10.1016/j.athoracsur.2005.05.014
  6. Ochi M, Tabata M, Sakamoto S, et al. Surgical endovascular stent grafting for a ruptured penetrating atherosclerotic ulcer of the aortic arch. J Nippon Med Sch 2002;69:49-52 https://doi.org/10.1272/jnms.69.49