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복부대동맥 및 장골동맥벽의 중막층에서의 자연적 구열로 인한 고동맥 폐색과 신부전의 1예

A Case of Spontaneous Longitudinal Cleavage of Aorta, Iliac Arteries, and Renal Arteries

대한외과학회지 1970년 12권 4호 p.75 ~ 78
이경근, 최홍열, 조범구, 고석경, 황규철,
소속 상세정보
이경근 (  ) - 연세대학교 의과대학 외과학교실
최홍열 (  ) - 연세대학교 의과대학 병리학교실
조범구 (  ) - 연세대학교 의과대학 외과학교실
고석경 (  ) - 연세대학교 의과대학 외과학교실
황규철 (  ) - 연세대학교 의과대학 외과학교실

Abstract


We report a case of the spontaneous longitudinal cleavage of the abdominal aorta, iliac arteries, and the renal arteries associated with the symptoms and the signs of the right femoral artery occlusion and an acute renal failure.
The patient was 61 year old man with the history of hypertension. He was admitted to the hospital because of a sudden onset of severe pain, numbness, and coldness in the right lower extremity suggestive of acute femoral artery occlusion on that side. The manifestations of an acute renal failure occurred one day after admission and the patient finally died of renal failure two days later.
The postmortem examination showed the spontaneous longitudinal cleavage of the aorta extending to the iliac arteries and the renal arteries.
The entity was reported by Bauer and Hirsch in 1955 in detail. Before them observations on such entity were made by Babes and Mironescu in 1910, Whitman and Stein in 1924, and Gore and Seiwert in 1952 and 1953.
It is not clear that the spontaneous longitdinal cleavage of the aorta and the dissecting aneurysm are the same or the separate entity. The suggestion has been made that extravasation of blood with dissecting aneurysm of the aorta is secondary, and not a primary factor.

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