Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Hybrid Procedure for Aortic Arch Repair: Arch Vessels Debranching with Supraaortic Revascularization Followed by Endovascular Aortic Stent Grafting

대동맥궁 대동맥류에서 Hybrid 수술적 치료

  • Moon, Duk-Hwan (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Chung, Cheol-Hyun (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim, Hee-Jung (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine)
  • 문덕환 (울산대학교 의과대학 서울아산병원 흉부외과학교실) ;
  • 정철현 (울산대학교 의과대학 서울아산병원 흉부외과학교실) ;
  • 김희중 (울산대학교 의과대학 서울아산병원 흉부외과학교실)
  • Published : 2009.08.05
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Abstract

Aortic arch aneurysm generally requires an urgent treatment due to the risk of catastrophic aortic rupture. However conventional surgery for aortic arch repair still carries significant risks of postoperative morbidity and mortality, especially in patients with old age. In an effort to correct the aortic pathology while minimizing the risks of complication, we performed a hybrid technique which comprises the off pump arch aortic stent grafting in an 86-old male patient with an aortic arch aneurysm.

대동맥궁 대동맥류는 파열의 위험성으로 인해 적극적이며 응급에 준하는 치료가 필요하다. 그러나, 전통적인 방법의 대동맥궁 치환술은 나이가 많거나, 여러 질환이 동반된 경우 수술 후 생길 수 있는 위험 및 합병증이 높아 수술을 쉽게 시행하기 어렵다. 저자들은 대동맥궁 대동맥류를 가진 86세 남자환자에게 일반적인 수술이 아닌 Hybrid수술(심폐기를 사용하지 않은, 혈관 내 스텐트 그라프트 삽입술 및 탈분지 혈관 연결)을 시행하여 성공하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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