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Sun Ho Hwang, Myung Ho Jeong, Weon Kim, Won Heum Shim, Han Gyun Kim, Wan Kim, Jung Chae Kang |
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서울의대 내과 |
| 증례 : 급성 폐부종을 동반한 성인 대동맥 축착증 환자에서 성공적으로 시행하였던 응급 스텐트 삽입술 (Case Reports : A successful stenting of the coarctation of aorta in a patient with acute pulmonary edema) |
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황선호, 정명호, 김원, 심원흠, 김한균, 김완, 강정채 |
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| Abstract |
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Coarctation of aorta is a rare vascular disorder which is one of causes of secondary hypertension.
Since the early 1990s stenting in the coarctation of aorta has been introduced as an alternative
treatment method, there were a few cases which were treated by stent implantation for the
coarctation of the aorta in Korea. But the case which was treated using stent in congestive heart
failure with pulmonary edema has never been reported.
We report on successful management of a 64-year-old female patient, who presented with acute
heart failure and pulmonary edema due to severe aortic coarctation. After endotracheal intubation,
aortogram was performed, which revealed a severe narrowing in the distal thoracic aorta with a peak
systolic pressure gradient of 100 mmHg across the lesion. Stent implantation was performed with 24
¡¿100 mm self-expandable Nitinol-S stent after predilation with 10¡¿40 mm balloon. After stenting,
patient's symptom and sign of congestive heart failure were remarkably improved and endotracheal
intubation tube was able to be removed. And no significant adverse cardiac events observed during
a nine-month clinical follow-up.(Korean J Med 70:216-220, 2006)
Key Words : Aorta, Coarctation, Angioplasty, Stents, Heart failure |
| Key Words:
Aorta, Coarctation, Angioplasty, Stents, Heart failure |
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