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KMID : 0364020130460050365
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Korean Journal of Thoracic and Cardiovascular Surgery
2013 Volume.46 No. 5 p.365 ~ p.368
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Two-Stage Endovascular Repair for Concurrent Penetrating Atherosclerotic Ulcers of the Thoracic and Abdominal Aorta
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Kong Joon-Hyuk
Baek Kang-Seok
Kwun Woo-Hyung
Kim Young-Hwan
Kim Duk-Sil
Kim Sung-Wan
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Abstract
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We report a case of concurrent saccular aneurysms caused by a penetrating atherosclerotic ulcer of the thoracic and abdominal aorta that were successfully treated by staged endovascular repair. Even though surgical open re-pair or endovascular repair is the treatment option, use of endovascular repair is now accepted as an alternative treatment to surgery in selected patients. To prevent contrast medium-induced nephropathy and spinal cord ische-mia caused by a simultaneous endovascular procedure, a saccular aneurysm of the descending thoracic aorta was excluded by stent graft, followed by the placement of a bifurcated stent graft in the infrarenal abdominal aorta one month later.
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KEYWORD
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Aortic aneurysm, Endovascular procedures, Contrast media, Spinal cord ischemia
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