Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Hybrid Surgery for Supra-renal Abdominal Aortic Aneurysm - A case report-

신상부 복부대동맥류의 하이브리드 수술 - 1예 보고 -

  • Lee, Seock-Yeol (Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Cheonan Hospital) ;
  • Lee, Seung-Jin (Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Cheonan Hospital) ;
  • Lee, Chol-Sae (Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Cheonan Hospital)
  • 이석열 (순천향대학교 천안병원 흉부외과) ;
  • 이승진 (순천향대학교 천안병원 흉부외과) ;
  • 이철세 (순천향대학교 천안병원 흉부외과)
  • Received : 2010.05.17
  • Accepted : 2010.07.07
  • Published : 2010.12.05
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Abstract

A 70-year old male with dilated cardiomyopathy was admitted to our hospital because of a renal stone, and a supra-renal abdominal aortic aneurysm was detected during work-up. We performed a hybrid surgery using an endovascular stent because of his co-morbidities. The operation consisted of removal of the renal stone, de-branching of the visceral artery and both renal arteries from the abdominal aorta, reperfusion of the de-branched arteries with retrograde bypass surgery using two Y-graft from the left external iliac artery, and deployment of stent graft in the abdominal aorta. Therefore, we report a case of hybrid surgery for supra-renal abdominal aortic aneurysm.

확장성 심근증이 있던 70세 남자 환자가 좌측 신장결석으로 입원하여 검사 중 신상부 복부대동맥류가 발견되었다. 환자의 상태가 좋지 않아 혈관 내 스텐트를 이용한 하이브리드 수술을 시행하였다. 수술은 비뇨기과에서 좌측 신장결석을 제거 후에 복부대동맥의 내장동맥과 양측 신동맥등 복부대동맥의 가지혈관의 근위부를 결찰하고 이어 좌측 외장골동맥 근위부로부터 2개의 Y-그라프트를 이용하여 역행성 우회수술로 가지혈관들의 재관류를 하고는 복부대동맥에는 스텐트 그라프트를 설치하였다. 이에 저자들은 신상부 복부대동맥류 환자의 하이브리드 술식을 치험하였기에 보고하는 바이다.

Keywords

References

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