Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Atherosclerotic Aneurysm of the Right Proximal Subclavian Artery - A case report -

우측 근위부 쇄골하동맥에 발생한 동맥경화성 동맥류 - 1예 보고 -

  • Kim, Duk-Sil (Department of Thoracic and Cardiovascular Surgery, CHA Gumi Medical Center, CHA University) ;
  • Kim, Sung-Wan (Department of Thoracic and Cardiovascular Surgery, CHA Gumi Medical Center, CHA University) ;
  • Kim, Byung-Ki (Department of Radiology, CHA Gumi Medical Center, CHA University) ;
  • Lee, Hyeon-Jae (Department of Thoracic and Cardiovascular Surgery, CHA Gundang Medical Center, CHA University) ;
  • Lee, Gun (Department of Thoracic and Cardiovascular Surgery, CHA Gundang Medical Center, CHA University) ;
  • Lim, Chang-Young (Department of Thoracic and Cardiovascular Surgery, CHA Gundang Medical Center, CHA University)
  • 김덕실 (차의과학대학교 구미차병원 흉부외과학교실) ;
  • 김성완 (차의과학대학교 구미차병원 흉부외과학교실) ;
  • 김병기 (차의과학대학교 구미차병원 영상의학교실) ;
  • 이헌재 (차의과학대학교 분당차병원 흉부외과학교실) ;
  • 이건 (차의과학대학교 분당차병원 흉부외과학교실) ;
  • 임창영 (차의과학대학교 분당차병원 흉부외과학교실)
  • Published : 2009.10.05
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Abstract

A 75-year-old man presented with worsening dyspnea and intermittent dysphagia of one month's duration. A plain chest X-ray showed severe tracheal indentation by the right superior mediastinal mass. A chest CT established the diagnosis of a saccular aneurysm arising from the right proximal subclavian artery. Resection of the aneurysm and arterial revascularization was done through a median sternotomy with supraclavicular extension. Aneurysm wall and thrombus culture results were negative and pathology showed an atherosclerotic aneurysm. After the operation, dyspnea and dysphagia were reduced, but he died of advanced stomach cancer 8 months later.

75세 남자 환자가 한 달 동안 점점 심해지는 호흡곤란 및 간헐적인 연하곤란을 주소로 내원하였다. 단순 흉부 사진상 기관이 우측 종격동 종괴에 심하게 눌려 있는 소견이 보였으며, 흉부 컴퓨터 촬영상 우측 쇄골하동맥 근위부 낭성 동맥류로 확진되었다. 정중흉골절개 및 쇄골상부 절개하에 동맥류 절제술 및 혈관재건술을 시행하였다. 동맥류 벽과 혈전의 균 배양 검사는 음성이었고, 병리 검사는 동맥경화성 동맥류 소견이었다. 수술 후 호흡곤란과 연하곤란은 호전되었으나, 술 후 8개월에 진행된 위암에 의해 사망하였다.

Keywords

References

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