Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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A Case of Total Aortic Arch Replacement with Root Plasty with Right Coronary Artery Bypass and Distal Open Stent-graft Insertion in Acute Type I Aortic Dissection

급성대동맥박리중에서 전궁치환술 시 근부성형술 및 우관상동맥우회로술과 하행대동맥 내 스텐트인조혈관삽입 동시 시술 증례

  • Bang Jung Hee (Department of Thoracic & Cardiovascular Surgery, College of Medicine, DongA University) ;
  • Woo Jong Su (Department of Thoracic & Cardiovascular Surgery, College of Medicine, DongA University) ;
  • Kim Si Ho (Department of Thoracic & Cardiovascular Surgery, College of Medicine, DongA University) ;
  • Choi Pil Jo (Department of Thoracic & Cardiovascular Surgery, College of Medicine, DongA University) ;
  • Cho Kwang Jo (Department of Thoracic & Cardiovascular Surgery, College of Medicine, DongA University)
  • 방정희 (동아대학교 의과대학 흉부외과학교실) ;
  • 우종수 (동아대학교 의과대학 흉부외과학교실) ;
  • 김시호 (동아대학교 의과대학 흉부외과학교실) ;
  • 최필조 (동아대학교 의과대학 흉부외과학교실) ;
  • 조광조 (동아대학교 의과대학 흉부외과학교실)
  • Published : 2005.06.01
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Abstract

Since the operative mortality rate of the Acute aortic dissection has been reducing, a more extensive primary repair of the dissected aorta is preferred for acute aortic dissection to reduce the needs of secondary procedures. We performed a total aortic arch replacement with distal stent-grafting in acute type A aortic dissection. The patient was a 50-years old man. He recovered from the operation and was followed up for 7 months. The pseudolumen in the descending aorta was obliterated with the stent.

급성대동맥박리증의 수술 사망률이 점차 줄어들면서 치료는 이차 수술의 위험을 낮추고자 점차 치환범위가 넓어지는 경향으로 발전되고 있다. 이에 저자 등은 A형 급성대동맥박증을 일으킨 50대 남자 환자에서 상행대동맥과 전궁치환술, 대동맥근부 성형술 및 우 관상동맥 우회로술과 함께 하행대동맥에 스텐트 인조혈관 삽입술을 시행하여 대동맥판역류 및 하행대동맥류의 병발을 막는 근치적인 수술을 시행하여 좋은 결과를 얻었기에 보고한다.

Keywords

References

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