Journal of Chest Surgery

  • 제46권5호
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  • Pages.365-368
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  • 2013
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  • 2765-1606(pISSN)
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  • 2765-1614(eISSN)
대한심장혈관흉부외과학회 (The Korean Society for Thoracic and Cardiovascular Surgery)
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Two-Stage Endovascular Repair for Concurrent Penetrating Atherosclerotic Ulcers of the Thoracic and Abdominal Aorta

  • Kong, Joon Hyuk (Department of Thoracic and Cardiovascular Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Baek, Kang Seok (Department of Thoracic and Cardiovascular Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Kwun, Woo Hyung (Department of Surgery, Yeungnam University College of Medicine) ;
  • Kim, Young Hwan (Department of Radiology, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine) ;
  • Kim, Duk-Sil (Department of Thoracic and Cardiovascular Surgery, CHA Gumi Medical Center, CHA University College of Medicine) ;
  • Kim, Sung-Wan (Department of Thoracic and Cardiovascular Surgery, CHA Gumi Medical Center, CHA University College of Medicine)
  • 투고 : 2012.10.08
  • 심사 : 2013.05.20
  • 발행 : 2013.10.05
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초록

We report a case of concurrent saccular aneurysms caused by a penetrating atherosclerotic ulcer of the thoracic and abdominal aorta that were successfully treated by staged endovascular repair. Even though surgical open repair or endovascular repair is the treatment option, use of endovascular repair is now accepted as an alternative treatment to surgery in selected patients. To prevent contrast medium-induced nephropathy and spinal cord ischemia caused by a simultaneous endovascular procedure, a saccular aneurysm of the descending thoracic aorta was excluded by stent graft, followed by the placement of a bifurcated stent graft in the infrarenal abdominal aorta one month later.

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참고문헌

  1. Gloviczki P, Pairolero P, Welch T, et al. Multiple aortic aneurysms: the results of surgical management. J Vasc Surg 1990;11:19-27. https://doi.org/10.1016/0741-5214(90)90324-4
  2. Wolf YG, Zarins CK, Rubin GD, Fogarty TJ. Concomitant endovascular repair of descending thoracic and abdominal aortic aneurysm. Circulation 2000;102:E36. https://doi.org/10.1161/01.CIR.102.6.e36
  3. Castelli P, Caronno R, Piffaretti G, et al. Endovascular repair for concomitant multilevel aortic disease. Eur J Cardiothorac Surg 2005;28:478-82. https://doi.org/10.1016/j.ejcts.2005.05.021
  4. Detrenis S, Meschi M, Bertolini L, Savazzi G. Contrast medium administration in the elderly patient: is advancing age an independent risk factor for contrast nephropathy after angiographic procedures? J Vasc Interv Radiol 2007;18:177-85. https://doi.org/10.1016/j.jvir.2006.12.009
  5. Meschi M, Detrenis S, Musini S, Strada E, Savazzi G. Facts and fallacies concerning the prevention of contrast medium- induced nephropathy. Crit Care Med 2006;34:2060-8. https://doi.org/10.1097/01.CCM.0000227651.73500.BA
  6. Cigarroa RG, Lange RA, Williams RH, Hillis LD. Dosing of contrast material to prevent contrast nephropathy in patients with renal disease. Am J Med 1989;86(6 Pt 1):649-52. https://doi.org/10.1016/0002-9343(89)90437-3
  7. Nyman U, Almen T, Aspelin P, Hellstrom M, Kristiansson M, Sterner G. Contrast-medium-Induced nephropathy correlated to the ratio between dose in gram iodine and estimated GFR in ml/min. Acta Radiol 2005;46:830-42. https://doi.org/10.1080/02841850500335051
  8. Chiesa R, Melissano G, Marrocco-Trischitta MM, Civilini E, Setacci F. Spinal cord ischemia after elective stent-graft repair of the thoracic aorta. J Vasc Surg 2005;42:11-7. https://doi.org/10.1016/j.jvs.2005.04.016
  9. Kawaharada N, Morishita K, Kurimoto Y, et al. Spinal cord ischemia after elective endovascular stent-graft repair of the thoracic aorta. Eur J Cardiothorac Surg 2007;31:998-1003. https://doi.org/10.1016/j.ejcts.2007.01.069
  10. Hnath JC, Mehta M, Taggert JB, et al. Strategies to improve spinal cord ischemia in endovascular thoracic aortic repair: outcomes of a prospective cerebrospinal fluid drainage protocol. J Vasc Surg 2008;48:836-40. https://doi.org/10.1016/j.jvs.2008.05.073
  11. Ishimaru S. Endografting of the aortic arch. J Endovasc Ther 2004;11 Suppl 2:II62-71. https://doi.org/10.1177/15266028040110S609
  12. Weiss SJ, Hogan MS, McGarvey ML, Carpenter JP, Cheung AT. Successful treatment of delayed onset paraplegia after suprarenal abdominal aortic aneurysm repair. Anesthesiology 2002;97:504-6. https://doi.org/10.1097/00000542-200208000-00031
  13. Peppelenbosch N, Cuypers PW, Vahl AC, Vermassen F, Buth J. Emergency endovascular treatment for ruptured abdominal aortic aneurysm and the risk of spinal cord ischemia. J Vasc Surg 2005;42:608-14. https://doi.org/10.1016/j.jvs.2005.06.023