초록접수 현황
| 17F-011 | Video session발표 |
Sutureless Frozen Elephant Trunk in the Elephant Trunk
Woon Heo¹, Suk-Won Song¹, Tae-Hoon Kim¹, Shin-Young Lee¹, Min-Young Baek¹, Kyung-Jong Yoo², Bum-Koo Cho³
¹Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea, ²Department of Thoracic and Cardiovascular Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea, ³The Korea Heart Foundation
Purpose : In recent years, the open stent grafting technique has been used widely for extended aortic repair. We report a case of stent grafting in the elephant trunk for extended aortic repair.
Methods : In patient with ruptured aortic arch aneurysm and severe atherosclerotic change in the proximal descending aorta, emergent total arch replacement was performed using with 4-brached graft (Siena, Vascutek, Ltd, Renfrewshire, Scotland, United Kingdom). After the distal anastomosis, antegrade open stent grafting was performed under the vision of the angioscope. Since the diameter of normal portion of the proximal descending thoracic aorta (DTA) was 28.5 mm, a 34 mm diameter and 150 mm length GoreTAG (W.L. Gore & Assoc, Flagstaff, AZ) was used.
Results : Operation, cardiopulmonary bypass, antegrade cerebral perfusion and lower body circulatory arrest times were 236, 146, 101 and 48 min, respectively. Postoperative computed tomography revealed the atherosclerotic lesion of proximal DTA was covered by 4-branched graft and stent graft and there were no evidences of anastomotic leak and any type of endo-leak. The patient was discharged at 20 days postoperatively without complication.
Conclusion : In the case of extensive atherosclerotic aortic arch aneurysm, stent grafting in the elephant trunk is a safe alternative of conventional frozen elephant procedure.
Methods : In patient with ruptured aortic arch aneurysm and severe atherosclerotic change in the proximal descending aorta, emergent total arch replacement was performed using with 4-brached graft (Siena, Vascutek, Ltd, Renfrewshire, Scotland, United Kingdom). After the distal anastomosis, antegrade open stent grafting was performed under the vision of the angioscope. Since the diameter of normal portion of the proximal descending thoracic aorta (DTA) was 28.5 mm, a 34 mm diameter and 150 mm length GoreTAG (W.L. Gore & Assoc, Flagstaff, AZ) was used.
Results : Operation, cardiopulmonary bypass, antegrade cerebral perfusion and lower body circulatory arrest times were 236, 146, 101 and 48 min, respectively. Postoperative computed tomography revealed the atherosclerotic lesion of proximal DTA was covered by 4-branched graft and stent graft and there were no evidences of anastomotic leak and any type of endo-leak. The patient was discharged at 20 days postoperatively without complication.
Conclusion : In the case of extensive atherosclerotic aortic arch aneurysm, stent grafting in the elephant trunk is a safe alternative of conventional frozen elephant procedure.
책임저자: Suk-Won Song
Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea
발표자: Woon Heo, E-mail : woonheo@yuhs.ac