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KMID : 0364019730060010051
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Korean Journal of Thoracic and Cardiovascular Surgery
1973 Volume.6 No. 1 p.51 ~ p.55
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Surgical Resection of the Aneurysm of the Thoracic Aorta
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金英泰/Kim, Young Tae
池幸玉/金近鎬/李容雨/김완식/Jee, Heng Ok/Kim, Kun Ho/Lee, Yong Woo/Kim, Wan Sik
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Abstract
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This is one case report of successful resection of the aneurysm of the thoracic aorta, which detected by thoractomy unexpectedly, in the Department of Thoracic Surgery, Hanyang University Hospital.
The patient was a 34 years old woman and subjective complaints was not related with the aneurysm. Chest film showed a small round hazy shadow in the left margin of the upper posterior mediastinum.
A saccular aneurysm located on the descending thoracic aorta, 7cm. distal to the left subclavian artery and arised from the antero-lateral wall of the aorta.
Excision of the saccular aneurysm was performed by cross clamping the descending aorta above and below the aneurysm, and then the defect of the aortic wall was closed by aortorrhaphy with continuous suture. Crossclamping time was required 15 minute.
Histopathologically, the wall of the aneurysm consisted of all layers of the arterial wall, that is, intima, media and adventitia.
Postoperative course was uneventful and aortogram showed good cotinuity of the blood flow of the entire aorta.
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