Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Hybrid Procedure for Aortic Arch Aneurysm: Arch Vessels Debranching andThoracic Endovascular Aortic Repair? -2 case Reports-

대동맥궁 대동맥류에서 Hybrid 술식의 적용 - 2예 보고 -

  • Kim, Seok (Department of Thoracic and Cardiovascular Surgery, School of Medicine, Catholic University of Daegu) ;
  • Kwon, Oh-Choon (Department of Thoracic and Cardiovascular Surgery, School of Medicine, Catholic University of Daegu) ;
  • Lee, Sub (Department of Thoracic and Cardiovascular Surgery, School of Medicine, Catholic University of Daegu) ;
  • Cho, Jun-Woo (Department of Thoracic and Cardiovascular Surgery, School of Medicine, Catholic University of Daegu) ;
  • Bae, Chi-Hoon (Department of Thoracic and Cardiovascular Surgery, School of Medicine, Catholic University of Daegu) ;
  • Park, Ki-Sung (Department of Thoracic and Cardiovascular Surgery, School of Medicine, Catholic University of Daegu)
  • 김석 (대구가톨릭대학교 의과대학 흉부외과학교실) ;
  • 권오춘 (대구가톨릭대학교 의과대학 흉부외과학교실) ;
  • 이섭 (대구가톨릭대학교 의과대학 흉부외과학교실) ;
  • 조준우 (대구가톨릭대학교 의과대학 흉부외과학교실) ;
  • 배지훈 (대구가톨릭대학교 의과대학 흉부외과학교실) ;
  • 박기성 (대구가톨릭대학교 의과대학 흉부외과학교실)
  • Received : 2010.02.08
  • Accepted : 2010.06.15
  • Published : 2010.10.05
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Abstract

Conventional surgery for aortic arch aneurysms have many postoperative complications and a high mortality rate due to prolonged cardiopulmonary bypass time, especially in high risk patients. In this report, we present two cases of a hybrid procedure that involves open brachiocephalic bypass with concomitant endovascular arch stent grafting in high risk patients with distal aortic arch aneurysm.

대동맥궁 대동맥류에 대한 전통적인 수술 치료는 장시간의 심폐기 사용으로 인해 특히 고위험 환자군에서 술 후 합병증의 발생 및 사망률이 높다. 저자들은 원위부 대동맥궁 대동맥류가 있는 고위험 환자에서 Hybrid 술식을 시행하여 좋은 결과를 얻었기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

  1. Criado FJ, Clark Nancy S, Barnatan Marcos F. Stent graft repair in the aortic arch and descending thoracic aorta: A 4-year experience. J Vasc Surg 2002;36:1121-8. https://doi.org/10.1067/mva.2002.129649
  2. Antona C, Vanelli P, Petulla M, et al. Hybrid techinique for total arch repair: aortic neck reshaping for endovascular-graft fixation. Ann Thorac Surg 2007;83:1158-61. https://doi.org/10.1016/j.athoracsur.2006.07.001
  3. Bozinovski J, LeMaire SA, Weldon SA, Coselli JS. Hybrid repairs of the distal aortic arch and proximal descending thoracic aorta. In: Fred A. Crawford Jr MD. Operative techniques in thoracic and cardiovascular surgery. Vol.12, Issue 3. New York: Elsevier Science Publishing Co. 2007; 167-77.
  4. Reece TB, Ganzoni LM, Cherry KJ, et al. Reevaluatiing the need for left subclavian artery revascularization with thoracic endovascular aortic repair. Ann Thorac Surg 2007; 84:1201-5. https://doi.org/10.1016/j.athoracsur.2007.05.020
  5. Moon DH, Chung CH, Kim HJ. Hybrid procedure for aortic arch repair: arch vessels debranching with supraaortic revascularization followed by endovascular aortic stent grafting. Korean J Thorac Cardiovasc Surg 2009;42:520-3.
  6. Shin HW, Lee JS. Endovascular placement of self-expandable stent-graft for the treatment of aortic aneurysms. Korean J Thorac Cardiovasc Surg 2000;33:99-102.
  7. Lee DY, Choi DH, Kang SG, et al. Percutaneous endovascular stent-graft treatment of aortic aneurysms and dissections: new techniques and initial experience. J Korean Radiol Soc 2003;48:13-21. https://doi.org/10.3348/jkrs.2003.48.1.13