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KMID : 0364019940270100862
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Korean Journal of Thoracic and Cardiovascular Surgery
1994 Volume.27 No. 10 p.862 ~ p.867
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Use of a Intraluminal Sutureless Graft in the Surgical Treatment of Dissecting Aneurysm(Debakey type III) of the Thoracic Aorta
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홍순필
안광수/손제문/박기진/정원상/김영학/지행옥
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Abstract
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We experienced two cases of dissecting aneurysm(DeBakey type III) of the thoracic aorta treated using intraluminal sutureless graft.
Controversy still exists about the exact timing of surgical intervention for dissection of the descending thoracic aorta. The surgical indication of dissecting aneurysm (DeBakey type III) is continuous flow in the false lumen, continuous chest
pain,
compromise of arterial supply to a specific organ or limb, or extension of the dissection while the patient is receiving satisfactory medical treatment. Surgical therapy for dissection of the aorta has had a high mortality. One contributing
factor
has
been hemorrhage from the prosthesis and the suture lines. Recently, a new method of treatment with a intraluminal sutureless graft that requires no end-to-end anastomosis has been developed.
In our cases, cardiopulmonary bypass and circulatory arrest was utilized in repairing dissecting aneurysm of descending aorta(DeBakey type III) in order to avoid the aortic cross clamping because of friable aortic intima. The basic technique
consists of
vertical incision of descending aorta in the area of intimal tear and inserting the whole ringed graft into the true lumen of the dissected aorta and circumferentially ligating the aorta against the groove in the rings. Postoperative course was
uneventful. (Korean J Thoracic Cardiovas Surg 1994; 27:862-7)
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KEYWORD
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