대동맥 벽내혈종에서 발생한 국소 대동맥 박리증 치료를 위한 Stent-graft 삽입 1예
A case of stent-graft insertion for treatment of localized aortic dissection developed during medical treatment of aortic intramural hematoma
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본 증례는 대동맥 벽내혈종에서 국소 대동맥 박리증이 발생한 경우로 경관적 Stent-graft 삽입술이 기존의 치료에 비해 성공률이 높고, 합병증이 낮으며, 내막 파열을 폐쇄하여 치료 과정을 촉진할 수 있음을 보였다. 원위부 급성 대동맥 증후군에서 향후 장기적인 경과관찰과 더 많은 연구가 필요한 것으로 생각된다14).
Abstract
Aortic intramural hematoma, a variant form of classic aortic dissection, has been accepted as an increasingly recognized and potentially fatal entity of acute aortic syndrome. Although favorable clinical course and resorption of hematoma has been reported with medical treatment, it can progress to development of typical aortic dissection in a localized aortic segment. The standard treatment option for this lesion has not been established. We report a case of a 50 year-old male who developed localized aortic dissection during medical treatment for distal aortic intramural hematoma and was successfully treated with a stent-graft.(Korean J Med 71:203-207, 2006)
참고문헌 (14)
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