수술적 치료로 완치된 대동맥궁 혈전 1예
Successful Surgical Treatment of Trombus in the Aortic Arch
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초록
저자들은 59세 남자에서 본원에서 이면성 심장 초음파에서 종괴를 처음 발견하여, 다른 영상의학검사(컴퓨터 전산촬영술 및 자기공명영상)에서 종양 등의 다른 질환을 배제하였고, 혈전을 의심하여 혈전 제거술 및 대동맥궁 치환술을시행하고, 병리학적으로 확진한 대동맥궁 혈전 1예를 보고하는 바이다.
Abstract
Thrombi within the aortic arch are rare, and are generally detected after cerebral, visceral, or peripheral embolization. Although the indications for treatment remain controversial, there is increasing interest in the etiopathogenesis of this rare clinical entity and the development of appropriate diagnostic and therapeutic approaches. We report a case in which a thrombus was detected in the proximal aortic arch on echocardiography and computed tomography angiography as the origin of upperextremity ischemia. This pedunculated thrombus was attached to the atherosclerotic aortic wall and was removed surgically. (Korean J Med 2012;82:476-480)
참고문헌 (17)
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