Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Surgical Treatment for Rupture of the Right Common Iliac Artery Caused by Transcatheter Balloon Aortic Valvuloplasty in a Baby with Congenital Aortic Stenosis - A case report -

선천성 대동맥 판막 협착증에서 풍선 판막 성형술 중 발생한 총장골 동맥 파열의 외과적 치료 -1예 보고 -

  • Han, Jong-Hee (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chungnam National University) ;
  • Kim, Yong-Ho (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chungnam National University) ;
  • Yu, Jeong-Hwan (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chungnam National University) ;
  • Kim, Si-Wook (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chungnam National University) ;
  • Kil, Hong-Ryang (Department of Pediatrics, Chungnam National University Hospital, College of Medicine, Chungnam National University) ;
  • Yu, Jae-Hyeon (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chungnam National University)
  • 한종희 (충남대학교 의과대학 흉부과학교실) ;
  • 김용호 (충남대학교 의과대학 흉부과학교실) ;
  • 유정환 (충남대학교 의과대학 흉부과학교실) ;
  • 김시욱 (충북대학교 의과대학 흉부과학교실) ;
  • 길홍량 (충남대학교 의과대학 충남대학교병원 소아청소년과학교실) ;
  • 유재현 (충남대학교 의과대학 흉부과학교실)
  • Published : 2008.02.05
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Abstract

Transcatheter interventions are widely used for diagnosis and treatment of congenital heart disease. Complications associated with transcatheter interventions are uncommon. However, when they occur they are most often self-limited. Rarely, however, serious catheter related complications occur that may require emergent surgical intervention. In this case, the right common iliac artery was disrupted during transcatheter balloon valvuloplasty during the treatment of congenital aortic stenosis in a 2-week-old baby. After immediate surgical intervention with bleeding control using two balloon catheters the baby did well. Here we report this case and review the medical literature.

경피적 카테터를 이용한 시술은 선천성 심질환의 진단 및 치료에 폭넓게 이용되고 있다. 이러한 시술과 연관된 합병증은 흔하지 않으며 대부분 끈 문제가 없다. 그러나 드물게 응급 수술이 필요할 정도의 매우 심각한 합병증을 유발할 수 있다. 본 증례는 생후 2주된 선천성 대동맥 판막 협착증 환아에서 경피적 풍선 판막 성형술 중 발생한 우측 총장골 동맥의 파열을 적극적으로 조치하여 성공적으로 손상 혈관의 수술적 치료를 시행하여 좋은 결과를 보여 문헌 고찰과 함께 보고하는 바이다.

Keywords

References

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