Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Stent-graft Insertion in High Risk Patients with Aortic Dissection Including Intimal Tear of the Aortic Isthmus

대동맥 협부의 내막파열을 가진 고위험군 대동맥박리환자에서 시행한 스텐트 그라프트 삽입

  • Do, Young-Woo (Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital) ;
  • Kim, Gun-Jik (Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital) ;
  • Cho, Joon-Young (Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital) ;
  • Lee, Jong-Tae (Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital)
  • 도영우 (경북대학교병원 흉부외과) ;
  • 김근직 (경북대학교병원 흉부외과) ;
  • 조준용 (경북대학교병원 흉부외과) ;
  • 이종태 (경북대학교병원 흉부외과)
  • Received : 2010.03.04
  • Accepted : 2010.06.24
  • Published : 2010.08.05
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Abstract

Recently, stent-graft insertion has been widely used along with surgery for treatment of thoracic and abdominal aortic aneurysm. However, use of stent-graft insertion is controversial in descending aortic dissection. We report here on our experience of a patient who received a stent-graft for descending aortic dissection that nearly ruptured. Based on CT findings at three months follow up, results were satisfactory.

최근 흉부 및 복부 대동맥류 질환에 대해 스텐트 그라프트 삽입이 수술적 치료와 함께 널리 시행되고 있다. 그러나 하행 대동맥박리인 경우 스텐트 그라프트 사용에 대해서는 논란의 여지가 있다. 저자들은 파열이 임박한 하행 대동맥박리 환자에서 스텐트 그라프트를 삽입하여 치료 후 3개월 뒤의 흉부전산화단층촬영에서 양호한 결과를 얻은 경험이 있기에 이를 보고하는 바이다.

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References

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