Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Surgical Resection of a Posterior Mediastinal Tumor That Was Previously Treated with Aortic Stent-graft under the Misdiagnosis of Aortic Aneurysm -A case report-

대동맥류로 오인되어 스텐트 그라프트가 삽입되었던 후종격동 육종의 수술 치험 -1예 보고-

  • Kim, Mi-Jung (Hansol Medical Foundation Seyoung Hospital) ;
  • Park, Kay-Hyun (Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital) ;
  • Lim, Cheong (Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital) ;
  • Chung, Eui-Suk (Department of Thoracic and Cardiovascular Surgery, Sanggye Baik Hospital, Inje University) ;
  • Lee, Hae-Young (Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center) ;
  • Choi, Jin-Ho (Department of Thoracic and Cardiovascular Surgery, Eulji University Hospital)
  • 김미정 (한솔의료재단 세영병원) ;
  • 박계현 (분당서울대학교병원 흉부외과) ;
  • 임청 (분당서울대학교병원 흉부외과) ;
  • 정의석 (인제대학교 상계백병원 흉부외과) ;
  • 이해영 (삼성서울병원 흉부외과) ;
  • 최진호 (을지대학교병원 흉부외과)
  • Received : 2010.02.04
  • Accepted : 2010.03.23
  • Published : 2010.10.05
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Abstract

A 70-year-old man was transferred to our center due to severe epigastric and back pain with the impression of a ruptured thoracic aortic aneurysm. Six months previously, he had undergone insertion of stent graft into the descending thoracic aorta at another hospital. The findings of the computed tomographic scan suggested a rapidly growing malignant mediastinal tumor rather than a ruptured aneurysm. Exploratory thoracotomy confirmed the diagnosis and the tumor was resected along with the portion of the aorta contained in it. This exemplary case should raise the concern against overzealous application of endovascular aortic repair.

70세 남자 환자가 심한 복부 및 배부 통증으로 흉부 대동맥류 파열 의심 하에 전원되었다. 환자는 6개월 전 타 병원에서 하행대동맥류 의심 하에 대동맥 스텐트를 삽입하였던 병력이 있었으나 전산화 단층촬영 소견은 후종격동 악성 종양을 시사하였다. 개흉 후 이와 같은 진단이 확인되었으며 종격동의 육종은 거기에 둘러싸인 대동맥과 함께 성공적으로 절제되었다. 본 증례는 최근 주목을 받고 있는 대동맥 스텐트 그라프트 삽입에 대한 맹목적인 선호에 대하여 주의를 환기시키는 교훈적인 경우라고 판단된다.

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References

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