Korean Circulation Journal

  • 제41권7호
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  • Pages.413-416
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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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Hybrid Approach for the Treatment of Thoracic Aortic Arch Aneurysm in a Patient With Chronic Obstructive Lung Disease and Retrosternal Adhesion

  • Kim, Ki-Bang (Division of Cardiology, Eulji University Hospital) ;
  • Kim, Won-Ho (Division of Cardiology, Eulji University Hospital) ;
  • Choi, Jin-Ho (Division of Thoracic and Cardiovascular Surgery, Eulji University Hospital) ;
  • Kim, Jeong-Hee (Division of Cardiology, Eulji University Hospital) ;
  • Choi, Yu-Jeong (Division of Cardiology, Eulji University Hospital) ;
  • Jeong, Kyung-Tae (Division of Cardiology, Eulji University Hospital) ;
  • Park, Sun-Chang (Division of Cardiology, Eulji University Hospital) ;
  • Lee, Sahng (Division of Cardiology, Eulji University Hospital)
  • 발행 : 2011.07.30
⟨ 이전 논문 다음 논문 ⟩

초록

A 73-year-old woman with a history of chronic hypertension and severe chronic obstructive pulmonary disease, presented to a district general hospital with thoracic pain in a profound state of shock. She was diagnosed with cardiac tamponade, severe mitral regurgitation, and Stanford type A (Debakey type I) intramural hematoma. Her ascending aorta was of a significant size and therefore emergent repair was done to replace the ascending aorta and mitral valve. After 6 months, an increased aneurysmal size of 6.0 cm was observed in a follow up contrast-enhanced computed tomography angiography. The patient was successfully treated by a staged hybrid procedure involving initial supra-aortic reconstruction.

키워드

참고문헌

  1. Alsac JM, Coscas R, Paraskevas N, Francis F, Castier Y, leseche G. Acute debranching and stent grafting for a ruptured penetrating ulcer of the aortic arch. Ann Vasc Surg 2009;23:687.e5-8.
  2. Pressler V, McNamara JJ. Thoracic aortic aneurysm: natural history and treatment. J Thorac Cardiovasc Surg 1980;79:489-98.
  3. Perko MJ, Norgaard M, Herzog M, Olsen PS, Schroder TV, Pettersson G. Unoperated aortic aneurysms: a survey of 170 patients. Ann Thorac Surg 1995;59:1204-9. https://doi.org/10.1016/0003-4975(95)00132-5
  4. Pressler V, McNamara JJ. Aneurysms of the thoracic aorta. J Thorac Cardiovasc Surg 1985;89:50-4.
  5. De Bakey ME, McCollum CH, Graham JM. Surgical treatment of aneurysms of the descending thoracic aorta: long-term results in 500 patients. J Cardiovasc Surg 1978;19:571-6.
  6. Livesay JJ, Cooley EA, Ventemiligia RA, et al. Surgical experience in descending thoracic aneurysmectomy with and without adjuncts to avoid ischeamia. Ann Thoracic Surg 1985;39:37-46. https://doi.org/10.1016/S0003-4975(10)62520-9
  7. Borst HG, Jurmann M, Bühner B, Laas J. Risk of replacement of descending aorta with a standardized left bypass technique. J Thorac Cardiovasc Surg 1994;107:126-33.
  8. von Segesser LK, Killer I, Jenny R, Lutz U, Turina MI. Improved distal circulatory support for repair of descending thoracic aortic aneurysms. Ann Thorac Surg 1993;56:1373-80. https://doi.org/10.1016/0003-4975(93)90684-A
  9. Shim WH. Hybrid approach for complex thoracic aortic pathology. Korean Circ J 2010;40:368-9. https://doi.org/10.4070/kcj.2010.40.8.368
  10. Sayed S, Thompson MM. Endovascular repair of the descending thoracic aorta: evidence for change in clinical practice. Vascular 2005; 13:148-57. https://doi.org/10.1258/rsmvasc.13.3.148
  11. Kang WC, Shin EK, Ahn TH, et al. Combined open endovascular repair for aortic arch pathology. Korean Circ J 2010;40:399-404. https://doi.org/10.4070/kcj.2010.40.8.399
  12. Koullias GJ, Wheatley GH 3rd. State-of-the-art of hybrid procedures for the aortic arch: a meta-analysis. Ann Thorac Surg 2010;90:689-97. https://doi.org/10.1016/j.athoracsur.2009.12.016