The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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Complicated Acute Aortic Dissection with Malperfusion of the Left Common Iliac Artery Treated with Thoracic Endovascular Aortic Repair

급성대동맥박리 가강으로 좌측 총장골동맥 폐색시 흉부 대동맥 스텐트로 치료한 1예

  • Yang, Mi Jin (Division of Cardiology, Cardiovascular Center, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Jang, Hye Yoon (Division of Cardiology, Cardiovascular Center, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Choi, Jong Hyun (Division of Cardiology, Cardiovascular Center, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Jeon, Moo Song (Division of Cardiology, Cardiovascular Center, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Lee, Hye-Won (Division of Cardiology, Cardiovascular Center, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Lee, Han Cheol (Division of Cardiology, Cardiovascular Center, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Kim, Sang-Pil (Division of Cardiology, Cardiovascular Center, Pusan National University Hospital, Pusan National University School of Medicine)
  • 양미진 (부산대학교 의학전문대학원 부산대학교병원 순환기내과 심혈관센터) ;
  • 장혜윤 (부산대학교 의학전문대학원 부산대학교병원 순환기내과 심혈관센터) ;
  • 최종현 (부산대학교 의학전문대학원 부산대학교병원 순환기내과 심혈관센터) ;
  • 전무송 (부산대학교 의학전문대학원 부산대학교병원 순환기내과 심혈관센터) ;
  • 이혜원 (부산대학교 의학전문대학원 부산대학교병원 순환기내과 심혈관센터) ;
  • 이한철 (부산대학교 의학전문대학원 부산대학교병원 순환기내과 심혈관센터) ;
  • 김상필 (부산대학교 의학전문대학원 부산대학교병원 순환기내과 심혈관센터)
  • Received : 2013.11.15
  • Accepted : 2014.03.30
  • Published : 2014.12.01
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Abstract

Acute aortic dissection with malperfusion syndrome is associated with poor clinical outcomes, and surgical treatment for complicated descending aortic dissections is associated with a high risk of operative mortality. Endovascular repair is emerging as a good alternative to surgery. Endovascular repair for a descending aortic dissection with malperfusion syndrome offers good clinical outcomes because of technical and anatomical benefits. Here, we report a case of descending aortic dissection and malperfusion syndrome in the left common iliac artery that was successfully treated with an aortic stent graft and peripheral stent.

관류장애를 동반한 하행 대동맥박리의 경우 수술적인 치료 시에 높은 사망률을 보인다. 이 증례는 가강에 의하여 진강이 눌려서 좌측 총장골동맥으로의 혈류가 폐색된 경우이고 스텐트 이식편을 하행 대동맥의 내막 파열 부위에 삽입하여서 진강의 혈류를 회복시켜서 좌측 총장골동맥의 혈류를 복원하였고 24개월 동안 경과 관찰 시에 이상 소견 없이 유지되었다. 저자들은 하행 대동맥박리에 동반된 하지 혈관의 관류장애 시에 스텐트 이식편 치료로 효과적이고 안전하게 치료된 증례 1예를 경험하였기에 보고한다.

Keywords

References

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