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Treating a Ruptured Ascending Aorta with an Endovascular Stent Graft

상행 대동맥 파열에서 혈관내 스텐트 그라프트를 이용한 치료

  • Kim, Gwan-Sic (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Lee, Taek-Yeon (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim, Joon-Bum (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Lee, Seung-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) ;
  • Cho, Won-Chul (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine)
  • 김관식 (울산대학교 의과대학 서울아산병원 흉부외과학교실) ;
  • 이택연 (울산대학교 의과대학 서울아산병원 흉부외과학교실) ;
  • 김준범 (울산대학교 의과대학 서울아산병원 흉부외과학교실) ;
  • 이승현 (울산대학교 의과대학 서울아산병원 흉부외과학교실) ;
  • 김희중 (울산대학교 의과대학 서울아산병원 흉부외과학교실) ;
  • 조원철 (울산대학교 의과대학 서울아산병원 흉부외과학교실)
  • Received : 2009.08.27
  • Accepted : 2009.10.20
  • Published : 2010.02.05

Abstract

Endovascular stent grafting is regarded as a promising alternative approach to open surgical repair for treating various aortic diseases in high risk patients. We report here on a case of a 79-year-old female who underwent endovascular stent-graft insertion in the ascending aorta for treating a complicated ascending aortic rupture that occurred secondary to radiation necrosis during the treatment of recurrent breast cancer.

고위험군의 대동맥 질환 환자에서 고전적인 수술에 대한 대안책으로서 혈관내 스텐트 그라프트를 고려할 수 있다. 본원에서는 유방암에 대한 항암 방사선 치료로 인한 전 흉부 괴사와 그에 따른 상행 대동맥 파열이 발생한 79세 여자 환자에 대해 혈관내 스텐트 그라프트를 이용하여 효과적으로 치료하였기에 문헌 고찰과 함께 보고하는 바이다.

Keywords

References

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