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KMID : 0364019920250050550
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Korean Journal of Thoracic and Cardiovascular Surgery
1992 Volume.25 No. 5 p.550 ~ p.554
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Surgical Treatment of Aneurysm of the Ascending Aorta with Aortic Insufficiency
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장재현
조재호/김한용/이필수/송원영/유병하
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Abstract
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The selection of an appropriate surgical technique for repair of aneurysm of the ascending aortia with aortic insufficiency is unsettled. The etiology of the disease process has been the best indicator for the type of repair. Placement of a
supracoronary graft(separate graft and valve) is a compromise if the coronary ostia are displaced cephalad by the aneurysm, where as insertion of a valved conduit is difficult and unnecessary if the coronary ostia are normally placed.
A 53 year old female patient underwent primary repaiar of proximal dissected layer and aortic valve replacement with 24 mm carbomedics.
The operative findings consisted of a supravalvular intimal tear, cicumferential dissection, dilated aortic annulus and normal position of coronary ostia.
She is good physical activity now 11 months posoperatively.
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KEYWORD
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