대-장골동맥류의 하이브리드(Hybrid) 치료 - 1예 보고 -

Hybrid Endovascular Operation for Aorto-Iliac Artery Aneurysm - A case report -

  • 이재욱 (순천향대학교 의과대학 구미병원 흉부외과학교실) ;
  • 원용순 (순천향대학교 의과대학 부천병원 흉부외과학교실) ;
  • 신화균 (순천향대학교 의과대학 부천병원 흉부외과학교실) ;
  • 허균 (순천향대학교 의과대학 부천병원 흉부외과학교실) ;
  • 김동현 (순천향대학교 의과대학 부천병원 흉부외과학교실)
  • Lee, Jae Wook (Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Gumi Hospital, Soonchunhyang University College of Medicine) ;
  • Won, Yong-Soon (Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine) ;
  • Shin, Hwa-Kyun (Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine) ;
  • Her, Keun (Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine) ;
  • Kim, Dong-Hyun (Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine)
  • 투고 : 2008.06.12
  • 심사 : 2008.09.16
  • 발행 : 2009.02.05

초록

대-장골동맥류는 드문 질환으로 자연 경과 또한 잘 알려져 있지 않다. 파열의 위험성이 높고 파열시 사망률이 매우 높은 질환으로 알려져 있다. 저자들은 파열의 가능성이 높았던 대-장골 동맥류 환자에게 stent-graft를 이용한 혈관내 치료와 골반 허혈을 방지하기 위해 시행한 양측 내, 외 장골동맥간 우회술의 복합(hybrid) 치료를 시행하였기에 보고 하는 바이다

Aorto-iliac artery aneurysms are very rare and the natural course of this disease is not well known. However, the risk of rupture is high and the mortality rate after rupture is extremely high. Preserving the pelvic circulation is important for the treatment of aorto-iliac artery aneurysms. We report here on a case of a patient suffering with aorto-iliac artery aneurysms, and these were treated by a hybrid endovascular operation that combined an open bypass of both iliac vessels with endovascular repair.

키워드

참고문헌

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