Korean Circulation Journal

  • 제41권8호
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  • Pages.469-473
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  • 2011
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  • 1738-5520(pISSN)
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  • 1738-5555(eISSN)
대한심장학회 (The Korean Society of Cardiology)
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Successful Treatment of a Ruptured Aortic Arch Aneurysm Using a Hybrid Procedure

  • Choi, Bo-Kyung (Division of Cardiology, Department of Internal Medicine, Medical Research Institute, Pusan National University Hospital) ;
  • Lee, Han-Cheol (Division of Cardiology, Department of Internal Medicine, Medical Research Institute, Pusan National University Hospital) ;
  • Lee, Hye-Won (Division of Cardiology, Department of Internal Medicine, Medical Research Institute, Pusan National University Hospital) ;
  • Park, Jin-Sup (Division of Cardiology, Department of Internal Medicine, Medical Research Institute, Pusan National University Hospital) ;
  • Oh, Jun-Hyok (Division of Cardiology, Department of Internal Medicine, Medical Research Institute, Pusan National University Hospital) ;
  • Kim, Sang-Pil (Department of Thoracic and Cardiovascular Surgery, Medical Research Institute, Pusan National University Hospital) ;
  • Cha, Kwang-Soo (Division of Cardiology, Department of Internal Medicine, Medical Research Institute, Pusan National University Hospital)
  • 발행 : 2011.08.30
⟨ 이전 논문 다음 논문 ⟩

초록

Aortic rupture has a high mortality rate and can be considered a medical emergency. The standard treatment for aortic rupture is surgical repair. An aortic stent graft for a ruptured descending aorta is considered an effective alternative treatment. However, an aortic stent graft is difficult when the aortic aneurysm is in the aortic arch due to supra-aortic vessels. We report on a patient with a ruptured aortic arch aneurysm treated with a hybrid procedure, which involved a carotid to carotid bypass operation and an aortic stent graft. A 71-year-old male patient visited our cardiovascular center suffering from hemoptysis. The chest CT and aortography showed a 9 cm sized aortic arch aneurysm 0.5 cm distal to the left subclavian artery and a hemothorax in the left lung. The patient refused to undergo a full open operation. We performed a carotid to carotid bypass in advance, and two pieces of aortic stent grafts were placed across the left carotid artery and left subclavian artery. The follow up CT showed the aortic stent grafts, no endoleaks and no thrombus in the aortic arch aneurysm. The patient was discharged from the hospital without complication.

키워드

참고문헌

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피인용 문헌

  1. Ruptured hemiarch and descending thoracic aorta aneurysm: hybrid treatment vol.7, pp.None, 2012, https://doi.org/10.1186/1749-8090-7-66
  2. Endovascular repair of an aortic arch pseudoaneurysm with double chimney stent grafts: a case report vol.8, pp.None, 2011, https://doi.org/10.1186/1749-8090-8-80
  3. Hybrid procedure to treat aortic arch aneurysm combined with aortic arch coarctation and left internal carotid artery aneurysm (Case Report) vol.9, pp.None, 2014, https://doi.org/10.1186/1749-8090-9-3