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Extraanatomic Aortic Bypass through a Median Sternotomy in a Patient with Coarctation of Aorta Associated with Annuloaortic Ectasia - A case report -

대동맥근부 확장을 동반한 대동맥 축착증 환자에서 정중흉골절개를 통한 외해부학적 대동맥 우회로술 - 1예 보고 -

  • Kim, Kyung-Hwa (Department of Thoracic and Cardiovascular Surgery, Chonbuk National University Medical School) ;
  • Jo, Jung-Ku (Department of Thoracic and Cardiovascular Surgery, Chonbuk National University Medical School) ;
  • Choi, Jong-Bum (Department of Thoracic and Cardiovascular Surgery, Chonbuk National University Medical School) ;
  • Seo, Yeon-Ho (Department of Thoracic and Cardiovascular Surgery, Chonbuk National University Medical School) ;
  • Kim, Tae-Yun (Department of Thoracic and Cardiovascular Surgery, Chonbuk National University Medical School)
  • 김경화 (전북대학교 의학전문대학원 흉부외과학교실) ;
  • 조중구 (전북대학교 의학전문대학원 흉부외과학교실) ;
  • 최종범 (전북대학교 의학전문대학원 흉부외과학교실) ;
  • 서연호 (전북대학교 의학전문대학원 흉부외과학교실) ;
  • 김태윤 (전북대학교 의학전문대학원 흉부외과학교실)
  • Received : 2010.01.04
  • Accepted : 2010.02.03
  • Published : 2010.06.05

Abstract

Coarctation of the aorta is frequently associated with intracardiac disease. It is very difficult to decide on the best method for surgically treating adult patients with these combined heart diseases. We performed single-stage repair via a modified Bentall operation and by creating an intrapericardial ascending-descending aortic bypass through a median sternotomy in a patient with coarctation of the aorta and annuloaortic ectasia, and the latter was associated with aortic valve regurgitation.

성인에서 종종 대동맥 축착증은 다른 심장 내 질환과 동반된다. 이러한 환자들에서 가장 적절한 수술적 방법을 결정하는 것은 매우 어렵다. 저자들은 대동맥 축착증 및 대동맥 판막부전을 동반한 대동맥근부 확장병변을 가진 환자에서, Bentall 수술 및 상행 대동맥-하행 대동맥간 우회로술을 정중 흉골절개를 통해 동시에 시행하였기에 보고하는 바이다.

Keywords

References

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