Korean Circulation Journal

  • 제42권5호
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  • Pages.360-365
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  • 2012
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  • 1738-5520(pISSN)
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  • 1738-5555(eISSN)
대한심장학회 (The Korean Society of Cardiology)
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The Modified Chimney Technique With a Thoracic Aortic Stent Graft to Preserve the Blood Flow of the Left Common Carotid Artery for Treating Descending Thoracic Aortic Aneurysm and Dissection

  • Lee, Kyung-Nam (Department of Cardiology, Pusan National University College of Medicine) ;
  • Lee, Han-Cheol (Department of Cardiology, Pusan National University College of Medicine) ;
  • Park, Jin-Sup (Department of Cardiology, Pusan National University College of Medicine) ;
  • Kim, Bo-Won (Department of Cardiology, Pusan National University College of Medicine) ;
  • Cha, Kwang-Soo (Department of Cardiology, Pusan National University College of Medicine) ;
  • Kim, Sang-Pil (Department of Thoracic and Cardiovascular Surgery, Pusan National University College of Medicine) ;
  • Lee, Chung-Won (Department of Thoracic and Cardiovascular Surgery, Pusan National University College of Medicine) ;
  • Kim, Hae-Kyu (Department of Anesthesia, Pusan National University College of Medicine)
  • 발행 : 2012.05.31
⟨ 이전 논문 다음 논문 ⟩

초록

While thoracic endovascular aortic repair is an effective treatment option for descending thoracic aorta pathology, it does have limitations. The main limitation is related to the anatomical difficulties when disease involves the aortic arch. A fenestrated, branched aortic stent graft and hybrid operation has been introduced to overcome this limitation, but it is a custom-made device and is time consuming to manufacture. Furthermore, these devices cannot be used in an emergency setting. We report two patients with massive descending thoracic aortic aneurysm and ruptured aortic dissection very near the aortic arch who underwent a procedure which we named the modified chimney technique. The modified chimney technique can be used as a treatment option in such an emergency situation or as a rescue procedure when aortic pathology is involved near the supra-aortic vessels.

키워드

참고문헌

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피인용 문헌

  1. Endovascular repair of an aortic arch pseudoaneurysm with double chimney stent grafts: a case report vol.8, pp.None, 2012, https://doi.org/10.1186/1749-8090-8-80