The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
권호 표지

Retrograde Stanford type A aortic dissection after endovascular stent graft placement for type B dissection

Stent graft 삽입치료 후 발생한 역행성 Stanford A형 대동맥 박리증 1예

  • Kim, Tae-Hoon (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Kim, Jung-Sun (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Lee, Chan-Joo (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Wi, Jin (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Yoon, Jin-Young (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Lee, Do-Yun (Department of Radiology, Yonsei University College of Medicine) ;
  • Choi, Dong-Hoon (Department of Internal Medicine, Yonsei University College of Medicine)
  • 김태훈 (연세대학교 의과대학 심장혈관병원 심장내과학교실) ;
  • 김중선 (연세대학교 의과대학 심장혈관병원 심장내과학교실) ;
  • 이찬주 (연세대학교 의과대학 심장혈관병원 심장내과학교실) ;
  • 위진 (연세대학교 의과대학 심장혈관병원 심장내과학교실) ;
  • 윤진영 (연세대학교 의과대학 심장혈관병원 심장내과학교실) ;
  • 이도연 (연세대학교 의과대학 심장혈관병원 영상의학과학교실) ;
  • 최동훈 (연세대학교 의과대학 심장혈관병원 심장내과학교실)
  • Received : 2009.09.08
  • Accepted : 2009.10.30
  • Published : 2010.09.01
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Abstract

Endovascular stent graft placement in Stanford type B aortic dissection has increased as a result of the demonstration of its safety and efficacy. Despite the advantage of reduced mortality and morbidity, the mid-to long-term prognosis and possible complications associated with the procedure are a source of concern. Among the many possible complications, retrograde type A dissection after stent grafting for type B dissection is considered rare; however, this life-threatening event appears to be underrecognized. Here, we report a case that converted to open surgery due to a retrograde type A dissection after endovascular stent graft placement for a Stanford type B dissection. This is the first report of a retrograde type A dissection after endovascular stent graft placement in Korea.

대동맥 박리증에 대한 스텐트 그라프트 삽입치료 후의 합병증 중 역행성 A형 대동맥 박리증은 매우 드문 것으로 생각되어 왔으나 이 치명적인 합병증이 최근에 다수 보고되고 있다. 국내에서는 아직 이러한 역행성 대동맥 박리증의 발생에 대한 보고가 없으나 실제로는 상당수 발생하고 있을 것으로 생각되며 그 예방을 위해 환자에 따른 장비 및 장치(device)의 선택, 스텐트 그라프트 설계의 발전 그리고 혈관 내 시술의 표준화 및 안전화가 반드시 필요하다.

Keywords

References

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