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KMID : 0364019970300030336
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Korean Journal of Thoracic and Cardiovascular Surgery
1997 Volume.30 No. 3 p.336 ~ p.339
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Total Replacement of Aorta in Chronic Type I Aortic Dissection
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홍종면
노윤우/이조한/안재호/홍장수
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Abstract
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The surgical treatment of diseases of thoracic aorta has had much better success rate in recent years compaired to the past. Aortic aneurysms or dissections that extend along the entire thoracic aorta are usually approached in two or three
stages.
Recently we successfully performed one-stage aortic replacement from the aortic root to the abdominal aorta in chronic DeBakey type I dissection.
A 25 year-old man who had dyspnea on exertion (NYHA Fc II) and a Marfanoid feature was operated under the diagnosis of chronic type I dissection with severe aortic regurgitation.
At operation, a huge ascending aorta with two intimal tearings was seen and the blood supply of intercostal arteries and right renal artery was done from the false lumen.
Modified Bentall operation with total aortic replacement was done successfully, and the patient is being followed-up without major complications.
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KEYWORD
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