Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Hybrid Method for Stent-graft Insertion in a Patient with a Thoracic Aortic Aneurysm Involving the Aortic Arch - A case report -

대동맥궁을 침범한 흉부대동맥류 환자에게 시행한 Hybrid 스텐트-그라프트 삽입술 1예 - 1예 보고 -

  • Kim, Dong-Hyun (Department of Thoracic and Cardiovascular Surgery, Bucheon Hospital, College of Medicine, Soonchunhyang University) ;
  • Won, Yong-soon (Department of Thoracic and Cardiovascular Surgery, Bucheon Hospital, College of Medicine, Soonchunhyang University) ;
  • Her, Keun (Department of Thoracic and Cardiovascular Surgery, Bucheon Hospital, College of Medicine, Soonchunhyang University) ;
  • Shin, Hwa-Hyun (Department of Thoracic and Cardiovascular Surgery, Bucheon Hospital, College of Medicine, Soonchunhyang University)
  • 김동현 (순천향대학교 의과대학 부천병원 흉부외과학교실) ;
  • 원용순 (순천향대학교 의과대학 부천병원 흉부외과학교실) ;
  • 허균 (순천향대학교 의과대학 부천병원 흉부외과학교실) ;
  • 신화균 (순천향대학교 의과대학 부천병원 흉부외과학교실)
  • Received : 2009.01.16
  • Accepted : 2010.03.19
  • Published : 2010.06.05
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Abstract

The surgical treatments for aortic arch aneurysm are thought to be very invasive procedures, and high morbidity and mortality rates have been reported after aortic arch aneurysm operations. Many surgeons currently prefer the insertion of a stent-graft rather than an operation for treating an aortic arch aneurysm and if needed, with bypass of the subclavian or carotid arteries, which is called the 'hybrid method'. We managed one patient with an aortic arch aneurysm by using the hybrid method, and so we report on this case with a review of the relevant literature.

대동맥궁에 발생한 동맥류에 대한 수술적 치료는 침습적인 수술이며 수술 후 높은 유병률과 사망률이 보고되고 있는 실정이다. 그러나 최근 많은 경우에서 이에 대한 치료로 스텐트-그라프트와 더불어 좌측 쇄골하동맥 등에 우회술을 동시에 시행하는 hybrid 방법이 사용되고 있으며 좋은 결과들이 보고되고 있다. 이에 저자들은 대동맥궁의 동맥류 환자에 대해서 스텐트-그라프트 삽입과 좌측 쇄골하동맥 우회술을 동시에 시행하였기에 저자들의 치험예를 문헌고찰과 함께 보고하는 바이다.

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References

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