• Journal of Chest Surgery
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• 제17권3호
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• pp.432-437
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• 1984

• Journal of Chest Surgery
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• 제46권5호
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• pp.365-368
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• 2013

We report a case of concurrent saccular aneurysms caused by a penetrating atherosclerotic ulcer of the thoracic and abdominal aorta that were successfully treated by staged endovascular repair. Even though surgical open repair or endovascular repair is the treatment option, use of endovascular repair is now accepted as an alternative treatment to surgery in selected patients. To prevent contrast medium-induced nephropathy and spinal cord ischemia caused by a simultaneous endovascular procedure, a saccular aneurysm of the descending thoracic aorta was excluded by stent graft, followed by the placement of a bifurcated stent graft in the infrarenal abdominal aorta one month later.

• Journal of Chest Surgery
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• 제43권6호
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• pp.774-777
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• 2010

확장성 심근증이 있던 70세 남자 환자가 좌측 신장결석으로 입원하여 검사 중 신상부 복부대동맥류가 발견되었다. 환자의 상태가 좋지 않아 혈관 내 스텐트를 이용한 하이브리드 수술을 시행하였다. 수술은 비뇨기과에서 좌측 신장결석을 제거 후에 복부대동맥의 내장동맥과 양측 신동맥등 복부대동맥의 가지혈관의 근위부를 결찰하고 이어 좌측 외장골동맥 근위부로부터 2개의 Y-그라프트를 이용하여 역행성 우회수술로 가지혈관들의 재관류를 하고는 복부대동맥에는 스텐트 그라프트를 설치하였다. 이에 저자들은 신상부 복부대동맥류 환자의 하이브리드 술식을 치험하였기에 보고하는 바이다.

• Journal of Chest Surgery
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• 제45권5호
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• pp.330-333
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• 2012

Aortoenteric fistula is a rare but potentially fatal condition causing massive gastrointestinal bleeding. In particular, double primary aortoenteric fistulae are vanishingly rare. We encountered a 75-year-old male patient suffering from abdominal pain, hematochezia, hematemesis, and hypotension. His computed tomography images showed abdominal aortic aneurysm and suspected aortoenteric fistulae. During surgery, we found two primary aortoenteric fistulae. The one fistula was detected between the abdominal aorta and the third portion of the duodenum, and the other fistula was detected between the abdominal aorta and the sigmoid colon. We conducted the closure of the fistulae, the exclusion of the aneurysm, and axillo-bifemoral bypass with a polytetrafluoroethylene graft. The patient was discharged with no complications on the 21st postoperative day.

• Journal of Chest Surgery
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• 제43권2호
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• pp.204-207
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• 2010

68세 남자 환자가 흉통을 주소로 내원하여 시행한 심혈관 조영술에서 삼 혈관 질환이 발견되어 관상동맥 우회술을 계획하였다. 수술 전 검사로 시행한 컴퓨터 단층촬영 혈관 조영술에서 신동맥하 복부 대동맥부터 양측 총장골동맥에 걸친 거미줄 모양의 혈관 내 종괴가 발견되었다. 대동맥내 혈관 내막육종을 의심하고 심폐바이패스를 사용하지 않는 관상동맥 우회술과 함께 신동맥하 복부 대동맥과 양측 총장골동맥을 절제 후 치환하는 수술을 시행하였다. 병리검사 소견에서 대동맥 내 병변은 혈관 내막 육종이 의심되었다. 수술 후 3개월에 시행한 컴퓨터 단층촬영 혈관 조영술에서 잔존 또는 재발의 증거는 없었다.

• Journal of Chest Surgery
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• 제20권1호
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• pp.199-201
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• 1987

We have recently experienced a rare case of abdominal aortic injury caused by deceleration force during fall in upright position. The patient was 43-year-old brick-layer fell from 12 meter height and sustained compression fracture of the spine and both legs. The aortic injury was unnoticed at that time. About 2 years later, marked stenosis of the distal abdominal aorta was found together with clinical manifestations of ischemia of both legs. Aorto-femoral bypass on both sides has completely relieved the symptoms, Similar type of abdominal aortic injuries could not be found in the literatures.

• Journal of Chest Surgery
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• 제47권1호
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• pp.71-74
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• 2014

For high-risk patients, endovascular aortic aneurysm repair (EVAR) is a good option but may lead to serious complications, which should be addressed immediately. A 75-year-old man with a history of abdominal surgery underwent EVAR for an aneurysm of the abdominal aorta and iliac arteries. During EVAR, iliac artery rupture and graft limb occlusion occurred, and they were successfully managed by the additional deployment of an iliac stent graft and balloon thrombectomy, respectively. We, herein, report a rare case of the simultaneous development of the two fatal complications treated by the endovascular technique.

• Journal of Chest Surgery
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• 제27권5호
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• pp.394-398
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• 1994

Takayasu`s arteritis is one of chronic inflammatory disease characteristically involving the aorta and it`s major branches. We experienced two surgical cases of Takayasu`s arteritis associated with the stenosis of the descending thoracic aorta. One case was 15 year-old girl and she was admitted because of dyspnea on exertion for 12 months. Aortogram showed the stenosis of the descending thoracic aorta from just below left subclavian artery to the 9th thoracic vetebra. The other case was 10 year-old girl and she was admitted because of URI and hypertension. Aortogram showed narrowing of right innominate artery, but developed collateral circulation, and the stenosis of the descending thoracic aorta near the 9th thoracic vertebra. In each case, bypass graft from the ascending aorta to the abdominal aorta just above the inferior mesenteric artery was performed with satisfactory result.

• 대한방사선기술학회지:방사선기술과학
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• 제26권1호
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• pp.63-70
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• 2003

상장간맥동맥 증후군은 일반적인 검사에서 매우 탐지가 어려운 십이지장 만성폐색의 원인으로 대두되고 있다. 그러므로, 십이지장의 횡행부가 상장간막동맥과 복부대동 사이를 지나가기 때문에 복부대동맥과 상장간맥동맥 사이의 각도가 좁아져 십이지장 폐색의 원인을 야기시킨다. 이 각도의 측정은 일반혈관촬영으로는 복잡하고, 종종 부정확한 결과를 초래한다. 또한 한국인을 기준으로 각도 측정에 관한 시도 및 자료가 없는 실정이다. 따라서 본 연구자는 3차원 영상재구성을 위하여 범용컴퓨터에서 실행 가능한 Rapidia S/W를 이용함으로써 복부대동맥으로부터 상장간막동맥기시부의 각도를 측정하였는데, 상장간막동맥증후군이 없는 일반 환자를 대상으로 복부전산화단층촬영의 3차원영상을 이용하였다. 이 실험의 결과 상장간막동맥과 복부대동맥의 평균각도는 $50.05{\pm}15.87^{\circ}$이고 남자의 평균각도는 $53.64{\pm}16.57^{\circ}$이고 여자는 $46.46{\pm}14.98^{\circ}$로 남자의 각도가 약간 더 크게 나타났다. 이러한 연구를 통하여 얻은 각도가 상장간막동맥 증후군의 진단하는데 매우 중요한 지표가 될 것으로 사료된다.

• Journal of Chest Surgery
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• 제49권5호
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• pp.397-400
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• 2016

Essential thrombocytosis (ET) is a myeloproliferative disorder characterized by an anomalous increase in platelet production. Many patients with ET are asymptomatic. Few studies have reported ET-associated thromboembolism in large vessels such as the aorta. We report a patient with ET who presented with peripheral embolism from an abdominal aortic thrombus and developed acute limb ischemia. The patient underwent aortic replacement successfully. The patient's platelet count was controlled with hydroxyurea, and no recurrence was noted over 2 years of follow-up.