증례 : 순환기 ; 고위험군 대동맥궁 동맥류에 대동맥 상부 혈관 우회술과 스텐트 그라프트 치료 2예 = Case Reports : Cardiology ; A Hybrid Approach for Thoracic Aortic Arch Aneurysms in Two Patients at High Operative Risk

국문 초록 (Abstract)

연령이 높고 수술 고위험군인 대동맥궁의 대동맥류에 대해 대동맥궁 상부동맥 우회술과 스텐트 이식편(stent-graft) 삽입을 같이 시행하는 Hybrid 수술을 시행하여 좋은 결과를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

다국어 초록 (Multilingual Abstract)

A large aortic aneurysm invading the aortic arch can be catastrophic if rupture occurs. In the past, the standard treatment was an open thoracotomy followed by total aortic arch replacement. However, open surgery is difficult in patients at high operative risk. Consequently, thoracic endovascular aortic repair (TEVAR) is preferred in high-risk patients. In patients with a short proximal landing whose aortic aneurysm invades the aortic arch, TEVAR is not available because of innominate, left carotid, and left subclavian artery occlusion. We report two cases in which aortic aneurysms invaded the aortic arch, and who were treated with TEVAR after a supra-aortic artery bypass operation. (Korean J Med 2014;86:218-223)

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