Journal of Chest Surgery

  • 제48권2호
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  • Pages.142-145
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  • 2015
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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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Aorta Remodeling after Endovascular Treatment of a Chronic DeBakey IIIb Aneurysm and Simultaneous Palliation of a Renal Cell Carcinoma

  • Kim, Do Jung (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Lee, Kwang-Hun (Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Lim, Sun-Hee (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Chung, Byung Ha (Department of Urology, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Song, Suk-Won (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine)
  • 투고 : 2014.06.10
  • 심사 : 2014.10.31
  • 발행 : 2015.04.05
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초록

We report the case of a patient with a chronic DeBakey type IIIb aneurysm who underwent thoracic endovascular aortic repair to seal the primary entry tear and stent-graft insertion to cover the re-entry tear at the renal artery. The procedure was performed in order to achieve complete thrombosis in the entire thoracoabdominal false lumen, leading to favorable aortic remodeling. Simultaneously, ethanol ablation and renal artery embolization were performed to treat a renal tumor suspicious of renal cell carcinoma. Radical nephrectomy then confirmed clear cell carcinoma. To the best of our knowledge, no other cases of this type have been reported in the Korean literature.

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참고문헌

  1. Berger L, Palcau L, Gouicem D, Coffin O. Persistent type B aortic dissection treatment by renal artery reentry stent grafting as an alternative to open surgery. Ann Vasc Surg 2013;27:498.e5-8.
  2. Hager E, Moudgill N, Lipman A, Dimuzio P, Lombardi J. Coil-assisted false lumen thrombosis in complicated chronic type B dissection. J Vasc Surg 2008;48:465-8. https://doi.org/10.1016/j.jvs.2008.03.012
  3. Andacheh ID, Donayre C, Othman F, Walot I, Kopchok G, White R. Patient outcomes and thoracic aortic volume and morphologic changes following thoracic endovascular aortic repair in patients with complicated chronic type B aortic dissection. J Vasc Surg 2012;56:644-50. https://doi.org/10.1016/j.jvs.2012.02.050
  4. Parsa CJ, Williams JB, Bhattacharya SD, et al. Midterm results with thoracic endovascular aortic repair for chronic type B aortic dissection with associated aneurysm. J Thorac Cardiovasc Surg 2011;141:322-7. https://doi.org/10.1016/j.jtcvs.2010.10.043
  5. Scali ST, Feezor RJ, Chang CK, et al. Efficacy of thoracic endovascular stent repair for chronic type B aortic dissection with aneurysmal degeneration. J Vasc Surg 2013;58:10-7.e1. https://doi.org/10.1016/j.jvs.2012.12.071
  6. Hwang JH, Lee CK, Yu HS, Cho KS, Choi YD, Ham WS. Clinical outcomes of Bosniak category IIF complex renal cysts in Korean patients. Korean J Urol 2012;53:386-90. https://doi.org/10.4111/kju.2012.53.6.386
  7. Ljungberg B, Cowan NC, Hanbury DC, et al. EAU guidelines on renal cell carcinoma: the 2010 update. Eur Urol 2010;58:398-406. https://doi.org/10.1016/j.eururo.2010.06.032