The Korean Journal of Medicine

  • 제82권1호
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  • Pages.78-84
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  • 2012
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  • 1738-9364(pISSN)
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  • 2289-0769(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
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급성 대동맥 박리가 대동맥 분지혈관을 침범한 경우 경피적 시술로 치료한 2예

Two Cases of Descending Aortic Dissection with Compromised Visceral Artery, Renal Artery, and Iliac Artery Treated with Percutaneous Stent Insertions

  • 최진희 (부산대학교 의학전문대학원, 부산대학교병원 순환기내과) ;
  • 엄중섭 (부산대학교 의학전문대학원, 부산대학교병원 순환기내과) ;
  • 이혜원 (부산대학교 의학전문대학원, 부산대학교병원 순환기내과) ;
  • 전혜경 (부산대학교 의학전문대학원, 부산대학교병원 순환기내과) ;
  • 이한철 (부산대학교 의학전문대학원, 부산대학교병원 순환기내과) ;
  • 송승환 (부산대학교 의학전문대학원, 부산대학교병원 흉부외과) ;
  • 김해규 (부산대학교 의학전문대학원, 부산대학교병원 마취과)
  • Choi, Jin-Hee (Division of Cardiology, Department of Internal Medicine, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Eom, Jung-Seop (Division of Cardiology, Department of Internal Medicine, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Lee, Hye-Won (Division of Cardiology, Department of Internal Medicine, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Jeon, Hye-Kyung (Division of Cardiology, Department of Internal Medicine, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Lee, Han-Cheol (Division of Cardiology, Department of Internal Medicine, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Song, Seung-Hwan (Department of Thoracic and Cardiovascular Surgery, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Kim, Hae-Kyu (Department of Anesthesiology, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine)
  • 발행 : 2012.01.01
⟨ 이전 논문 다음 논문 ⟩

초록

Stanford B형 급성 대동맥 박리 환자에서 대동맥부터 나가는 장간막동맥, 신장동맥, 장골동맥과 같은 중요한 분지혈관의 혈류장애로 인한 허혈이 동반 시 수술적 치료 대신 폐쇄된 동맥에 경피적으로 스텐트를 삽입하여 대동맥에서부터 분지혈관으로 가는 동맥혈류를 회복시키는 중재적 치료를 시행하여 좋은 결과를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

The involved area is an important guide to the treatment of an acute aortic dissection. Generally, a Stanford type A aortic dissection requires surgery, whereas an uncomplicated Stanford type B aortic dissection is managed medically. However, managing a Stanford type B aortic dissection involving the visceral, renal, or iliac arteries is controversial because surgical perioperative mortality is higher than that for medically managed patients. Some researchers have attempted endovascular treatment to reduce perioperative mortality and protect vital organs. We experienced two cases of descending aortic dissection with compromised visceral, renal, and iliac arteries that were successfully treated by percutaneous stent insertion.

키워드

참고문헌

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피인용 문헌

  1. Mid-Term Results of Endovascular Repair for Traumatic Aortic Injury vol.83, pp.2, 2012, https://doi.org/10.3904/kjm.2012.83.2.202