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外科的治療를 加한 廣範圍 胸腹部 大動脈瘤 1例

A Case of Extensuve Thoraco-abdominal Aortic Aneurysm Treated by Excision and Replacement of Dacron Graft

대한흉부외과학회지 1970년 3권 2호 p.139 ~ 142
柳會性, 柳元夏,
소속 상세정보
柳會性 (  ) - 國立醫療院 胸部外科
柳元夏 (  ) - 國立醫療院 胸部外科

Abstract


A Case of thoraco-abdominal aortic aneurysm involving from the lower descending thoracic aorta to bifurcation of abdominal aorta into both common iliac artery is presented in special view-point of its surgical technic and postoperative complication.
Operative technic is the most popular method of Dr. De Bakey´s shunt of Dacron which is bridging thoracic aorta to terminal abdominal aorta primarily as temporary shunt but after anastomosing the individual branch of left Renal, Celiac, Sup. mesenteric and right Renal artery to corresponding part of the Dacron tube, the Dacron graft is fixed as permanent graft in stead of excised thoraco-abdominal aorta.
The patient died of acute renal failure and increasing evidence of CNS damage due to respiratory acidosis on 6th postoperative day but this report will be a good experience in respect of further progress of aortic surgery in Korea.

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