Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Ruptured Penetrating Atherosclerotic Ulcer of the Aortic Arch in a Patient with a Previous History of Replacing the Descending Thoracic Aorta

하행대동맥 수술의 기왕력을 가진 환자에서 발생한 대동맥궁 침투성 궤양의 파열

  • Kim, Jae-Bum (Department of Thoracic and Cardiovascular Surgery, Keimyung University Dongsan Medical Center, College of Medicine, Keimyung University) ;
  • Choi, Sae-Young (Department of Thoracic and Cardiovascular Surgery, Keimyung University Dongsan Medical Center, College of Medicine, Keimyung University) ;
  • Park, Nam-Hee (Department of Thoracic and Cardiovascular Surgery, Keimyung University Dongsan Medical Center, College of Medicine, Keimyung University)
  • 김재범 (계명대학교 의과대학 동산의료원 흉부외과학교실) ;
  • 최세영 (계명대학교 의과대학 동산의료원 흉부외과학교실) ;
  • 박남희 (계명대학교 의과대학 동산의료원 흉부외과학교실)
  • Published : 2008.10.05
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Abstract

Aortic disease usually recurs after aortic surgery in the form a new aneurysm distal to the previous operation site, and finding a penetrating atherosclerotic ulcer proximal to the previous operation site has rarely been reported. We report here on a case of successful patch repair of a ruptured penetrating ulcer in the distal aortic arch, and this developed late after replacement of the descending thoracic aorta.

대동맥수술 후 대동맥질환의 재발은 주로 하부에 대동맥류의 형태로 나타나며 상부에 침투성 동맥경화성 궤양의 형태로 나타나는 것은 매우 드물다. 대동맥류 수술의 기왕력을 가진 환자에서 대동맥궁과 하행대동맥의 근위부에 걸쳐 발생한 침투성 동맥경화성 궤양의 파열을 완전순환정지 하에 인조혈관을 사용하여 패취봉합을 성공적으로 시행하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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