Stented Aortic Graft Insertion in an Infrarenal Abdominal Aortic Aneurysm as Performed by Cardiovascular Surgeons - Report of 3 cases-

흉부외과 의사에 의해 시행된 복부 대동맥류의 스텐트 그라프트 삽입술 -3예 보고 -

  • Chung, Eui-Suk (Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital) ;
  • Lim, Cheong (Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital) ;
  • Seong, Yong-Won (Department of Thoracic and Cardiovascular Surgery, Seoul National University College of Medicine) ;
  • Choi, Jin-Ho (Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital) ;
  • Park, Kay-Hyun (Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital) ;
  • Chung, Woo-Young (Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital)
  • 정의석 (분당 서울대학교병원 흉부외과) ;
  • 임청 (분당 서울대학교병원 흉부외과) ;
  • 성용원 (서울대학교 의과대학 흉부외과학교실) ;
  • 최진호 (분당 서울대학교병원 흉부외과) ;
  • 박계현 (분당 서울대학교병원 흉부외과) ;
  • 정우영 (분당 서울대학교병원 흉부외과)
  • Published : 2008.06.05

Abstract

Abdominal aortic aneurysm has traditionally been treated by open repair. Aortic endovascular stent grafting has recently been introduced as a new modality. We report here on three cases of endovascular stent grafting that were performed by cardiovascular surgeons for the treatment of abdominal aortic aneurysm in the high risk patients with multiple comorbidities such as old age, hypertension, renal failure, cerebrovascular accident and immobility.

복부 대동맥류는 수술적 치료가 일반적으로 행해져 왔으나, 최근 스텐트 그라프트가 새로운 치료법으로 소개되고 있다. 본 병원에서 고혈압, 뇌졸중으로 및 신기능의 저하 등으로 거동이 불가능한 고위험 군의 복부대동맥류 환자에서, 흉부외과의사가 스탠트 그라프트를 시행한 경험을 하였기에 보고하는 바이다.

Keywords

References

  1. Parodi JC, Palmaz JC, Barone HD. Transfermoral intraluminal graft implantation for abdominal aortic aneurysm. Ann Vasc Surg 1991;5:491-9 https://doi.org/10.1007/BF02015271
  2. The EVAR trial participants. Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm (EVAR trial 1), 30-day operative mortality results: randomized controlled trial. Lancet 2004;364:843-8 https://doi.org/10.1016/S0140-6736(04)16979-1
  3. Kim, JT, Geon YS, Baek WK, Yoon YH, Kim YS, Kim KH. Use of percutaneous endovascular stent graft in patients with thoracic aortic aneurysm. Korean J Thorac Cardiovasc Surg 2006;39:157-61
  4. Yie KS, Bang JH, Jo GJ, Sung SC, Woo JS. Management for the newly-onset aneurysmal dilation of the distal aorta after an endovascular stent graft procedure for the patient with acute aortic dissection type IIIb. Korean J Thorac Cardiovasc Surg 2003;36:427-30
  5. Ricco LB, Cau J. Stent-graft repair for thoracic aortic disease: results of an independent nationwide study in France from 1999 to 2001. J Thorac Cardiovasc Surg 2006; 131:131-7 https://doi.org/10.1016/j.jtcvs.2005.07.029
  6. Zipfel B, Hammerschmidt R. Stent-grafting of the thoracic aorta by the cardiothoracic surgeon. Ann Thorac Surg 2007; 83:441-9 https://doi.org/10.1016/j.athoracsur.2006.09.036