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KMID : 0364019970300030300
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Korean Journal of Thoracic and Cardiovascular Surgery
1997 Volume.30 No. 3 p.300 ~ p.307
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Clinical Study of Surgical Treatment of Aortic Aneurysm
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Abstract
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We have experienced 25 cases of aortic aneurysm from October 1987 to Jnuary 1996.
Patients ranged in age from 26yrs to 73yrs(mean age 52. 5yrs). There were 13 males and 12 females. Eighteen cases were thoracic aneurysm and seven were abdominal aneurysm. There causes of aneurysm were dissecting in 16cases aneurysms and
non-dissecting
in 9 cases. Risk factors of aortic aneurysm were hypertension, hypercholesterolemia, Marfan's syndrome.
In thoracic aneurysm patients, 12 cases of dissecting aneurysm underwent aneurysmectomy and replacement of vessel interposition graft with or without coronary artery implantation on the graft. 6 cases of non-dissecting aneurysm underwent
operation
with
same policy as dissecting aneurysm. In 7 case of abdominal aneurysm, all patients underwent aneurysmectomy and graft interposition with straight or Y graft.
There were 5 postoperative death(mortality 20%). Several cases of complications were improved with proper managements. All survivors showed improvement in clinical symptom and sign and discharged without specific complications.
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KEYWORD
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