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KMID : 0368120110410070413
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Korean Circulation Journal
2011 Volume.41 No. 7 p.413 ~ p.416
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Hybrid Approach for the Treatment of Thoracic Aortic Arch Aneurysm in a Patient With Chronic Obstructive Lung Disease and Retrosternal Adhesion
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Kim Ki-Bang
Kim Won-Ho
Choi Jin-Ho
Kim Jeong-Hee
Choi Yu-Jeong
Jeong Kyung-Tae
Park Sun-Chang
Lee Sahng
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Abstract
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A 73-year-old woman with a history of chronic hypertension and severe chronic obstructive pulmonary disease, presented to a district general hospital with thoracic pain in a profound state of shock. She was diagnosed with cardiac tamponade, severe mitral regurgitation, and Stanford type A (Debakey type I) intramural hematoma. Her ascending aorta was of a significant size and therefore emergent repair was done to replace the ascending aorta and mitral valve. After 6 months, an increased aneurysmal size of 6.0 cm was observed in a follow up contrast-enhanced computed tomography angiography. The patient was successfully treated by a staged hybrid procedure involving initial supra-aortic reconstruction.
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KEYWORD
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Aortic aneurysm, thoracic, Vascular grafting, Endovascular procedure
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