Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Retrograde Aortic Dissection after Thoracic Endovascular Aortic Repair for Descending Aorta - 2 case reports-

하행 대동맥 내 스텐트-도관 삽입 후 발생한 역행성 대동맥 박리 - 2예 보고 -

  • Hong, Soon-Chang (Division of Cardiovascular Surgery, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Yonsei University Health System) ;
  • Kim, Jung-Hwan (Division of Cardiovascular Surgery, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Yonsei University Health System) ;
  • Lee, Hee-Jeong (Division of Cardiovascular Surgery, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Yonsei University Health System) ;
  • Youn, Young-Nam (Division of Cardiovascular Surgery, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Yonsei University Health System)
  • 홍순창 (연세대학교 의과대학, 세브란스 심장혈관병원, 심장혈관외과) ;
  • 김정환 (연세대학교 의과대학, 세브란스 심장혈관병원, 심장혈관외과) ;
  • 이희정 (연세대학교 의과대학, 세브란스 심장혈관병원, 심장혈관외과) ;
  • 윤영남 (연세대학교 의과대학, 세브란스 심장혈관병원, 심장혈관외과)
  • Received : 2010.08.09
  • Accepted : 2010.10.07
  • Published : 2010.12.05
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Abstract

In current era, thoracic endovascular aortic repair (TEVAR) has gained popularity. But, it bears the risk of serious complications such as treatment failure from endoleak, retrograde aortic dissection caused by injury of aortic wall at landing zone, or aortic rupture resulting from stent graft infection. We report two cases of surgical repair of retrograde aortic dissection after TAVAR applied to acute Stanford type B aortic dissection or traumatic aortic disruption.

흉부대동맥 질환에서 대동맥 내에 스텐트-도관(stent-graft)을 삽입하는 흉부 혈관내 대동맥 성형술(Thoracic endovascular aortic repair, TEVAR)은 최근 이의 적용이 점점 늘어나고 있는 추세이다. 하지만, 이 술식은 endoleak으로 인한 치료 실패, 시술 중 안착지점(landing zone)에서 발생하는 혈관벽의 손상으로 인한 역행성 대동맥박리 및 스텐트-도관 감염으로 인한 대동맥 파열 등의 심각한 합병증 발병의 위험성을 내재하고 있다. 저자들은 급성 하행 대동맥 박리 혹은 외상성 하행 대동맥 파열에서 적용된 TEVAR 후 발생한 2예의 역행성 대동맥 박리의 치료 경험을 문헌과 함께 보고하고자 한다.

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References

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