The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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Successful Surgical Treatment of Trombus in the Aortic Arch

수술적 치료로 완치된 대동맥궁 혈전 1예

  • Kim, Jung-Hyuk (Department of Internal Medicine, Hanil General Hospital) ;
  • Jang, Woo-Jin (Department of Internal Medicine, Hanil General Hospital) ;
  • Seo, Jung-Yeon (Department of Internal Medicine, Hanil General Hospital) ;
  • Lim, Dae-Seop (Department of Internal Medicine, Hanil General Hospital) ;
  • Choi, Jin-Oh (Department of Internal Medicine, Sungkyunkwan University School of Medicine) ;
  • Park, Seung-Woo (Department of Internal Medicine, Sungkyunkwan University School of Medicine) ;
  • Kim, Eun-Young (Department of Radiology, Sungkyunkwan University School of Medicine)
  • 김정혁 (한일병원 내과) ;
  • 장우진 (한일병원 내과) ;
  • 서정연 (한일병원 내과) ;
  • 임대섭 (한일병원 내과) ;
  • 최진오 (성균관대학교 의과대학 내과학교실) ;
  • 박승우 (성균관대학교 의과대학 내과학교실) ;
  • 김은영 (성균관대학교 의과대학 영상의학과교실)
  • Published : 2012.04.01
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Abstract

Thrombi within the aortic arch are rare, and are generally detected after cerebral, visceral, or peripheral embolization. Although the indications for treatment remain controversial, there is increasing interest in the etiopathogenesis of this rare clinical entity and the development of appropriate diagnostic and therapeutic approaches. We report a case in which a thrombus was detected in the proximal aortic arch on echocardiography and computed tomography angiography as the origin of upperextremity ischemia. This pedunculated thrombus was attached to the atherosclerotic aortic wall and was removed surgically.

저자들은 59세 남자에서 본원에서 이면성 심장 초음파에서 종괴를 처음 발견하여, 다른 영상의학검사(컴퓨터 전산 촬영술 및 자기공명영상)에서 종양 등의 다른 질환을 배제하였고, 혈전을 의심하여 혈전 제거술 및 대동맥궁 치환술을 시행하고, 병리학적으로 확진한 대동맥궁 혈전 1예를 보고하는 바이다.

Keywords

References

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