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Korean J Med > Volume 87(6); 2014 > Article
The Korean Journal of Medicine 2014;87(6): 716-721.
급성대동맥박리 가강으로 좌측 총장골동맥 폐색시 흉부 대동맥 스텐트로 치료한 1예
양미진, 장혜윤, 최종현, 전무송, 이혜원, 이한철, 김상필
부산대학교 의학전문대학원 부산대학교병원 순환기내과 심혈관센터
Complicated Acute Aortic Dissection with Malperfusion of the Left Common Iliac Artery Treated with Thoracic Endovascular Aortic Repair
Mi Jin Yang, Hye Yoon Jang, Jong Hyun Choi, Moo Song Jeon, Hye-Won Lee, Han Cheol Lee, Sang-Pil Kim
Division of Cardiology, Cardiovascular Center, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea
Corresponding Author: Sang-Pil Kim ,Tel: +82-51-240-7217, Fax: +82-51-240-7796, Email: nicecure@daum.net
Received: November 15, 2013;   Revised: December 27, 2013;   Accepted: March 30, 2014.
ABSTRACT
Acute aortic dissection with malperfusion syndrome is associated with poor clinical outcomes, and surgical treatment for complicated descending aortic dissections is associated with a high risk of operative mortality. Endovascular repair is emerging as a good alternative to surgery. Endovascular repair for a descending aortic dissection with malperfusion syndrome offers good clinical outcomes because of technical and anatomical benefits. Here, we report a case of descending aortic dissection and malperfusion syndrome in the left common iliac artery that was successfully treated with an aortic stent graft and peripheral stent.
Keywords: Aorta; Aortic dissection; Stents; Malperfusion
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