흉부외상에 의한 하행흉부대동맥파열 (수술 치험 1예 보고)

  • 채헌 (서울대학교 의과대학 흉부외과학교실) ;
  • 노준량 (서울대학교 의과대학 흉부외과학교실)
  • Chae, Hurn (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital) ;
  • Rho, Joon-Ryang (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital)
  • 발행 : 1980.03.01

초록

A successful repair of transected descending thoracic aorta was performed in a 44-year-old man. The patient had once been hospitalized in a local clinic for 7 days after a steering wheel injury. Dealing with right Colle`s fracture, he was transferred to this hospital to rule out aortic injury. On admission, a chest PA film and concomitant aortogram revealed an aneurysm of the descending thoracic aorta just distal to the origin of the left subclavian artery measuring 6 cm in diameter and 8 cm in length. He underwent urgent thoracotomy and the injured part of the aorta was replaced with a woven Dacron graft utilizing a Gott`s heparinized aortic shunt. The postoperative course was very smooth except hoarseness and left phrenic nerve palsy due to a blind clamping of the proximal aorta during the operation.

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