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KMID : 0364019700030020139
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Korean Journal of Thoracic and Cardiovascular Surgery
1970 Volume.3 No. 2 p.139 ~ p.142
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A Case of Extensuve Thoraco-abdominal Aortic Aneurysm Treated by Excision and Replacement of Dacron Graft
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Abstract
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A Case of thoraco-abdominal aortic aneurysm involving from the lower descending thoracic aorta to bifurcation of abdominal aorta into both common iliac artery is presented in special view-point of its surgical technic and postoperative complication.
Operative technic is the most popular method of Dr. De Bakey´s shunt of Dacron which is bridging thoracic aorta to terminal abdominal aorta primarily as temporary shunt but after anastomosing the individual branch of left Renal, Celiac, Sup. mesenteric and right Renal artery to corresponding part of the Dacron tube, the Dacron graft is fixed as permanent graft in stead of excised thoraco-abdominal aorta.
The patient died of acute renal failure and increasing evidence of CNS damage due to respiratory acidosis on 6th postoperative day but this report will be a good experience in respect of further progress of aortic surgery in Korea.
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KEYWORD
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