Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Total Arch Replacement with Stented Elephant Trunk in DeBakey Type I Acute Aortic Dissection

  • Choi, Hyung-Yoon (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University Health System) ;
  • Song, Suk-Won (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University Health System) ;
  • Hong, Sun-Chang (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University Health System) ;
  • Lim, Sun-Hee (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University Health System)
  • Received : 2012.02.24
  • 심사 : 2012.10.05
  • 발행 : 2013.02.05
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초록

A 67-year-old female patient was treated with conventional total arch replacement and insertion of a stented elephant trunk (SET) graft into the descending thoracic aorta for acute DeBakey type I aortic dissection at one time. She had been treated with right coronary artery stent insertion for acute myocardial infarct 4 days earlier, and at that time, she was diagnosed with acute DeBakey type I aortic dissection from the ascending aorta to the suprarenal artery based on trans-esophageal echocardiography and aorta computed tomography. Through a median sternotomy, we inserted the SET graft through the opened aorta to the descending aorta. We also performed anastomosis between the proximal stented graft and the distal aortic arch, and then performed total arch replacement. For acute DeBakey type I aortic dissection, we report total arch replacement with insertion of a SET graft as a combination of conventional surgery and the interventional technique.

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참고문헌

  1. Sun L, Qi R, Zhu J, Liu Y, Zheng J. Total arch replace ment combined with stented elephant trunk implantation: a new "standard" therapy for type a dissection involving repair of the aortic arch? Circulation 2011;123:971-8. https://doi.org/10.1161/CIRCULATIONAHA.110.015081
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피인용 문헌

  1. Differential impact of intimal tear location on aortic dilation and reintervention in acute type I aortic dissection after total arch replacement vol.158, pp.2, 2019, https://doi.org/10.1016/j.jtcvs.2018.09.110