초록접수 현황
| 14F-097 | 구연 발표 |
Experiences of Surgical Treatment for Juxtarenal Aortic Occlusion
전희재, 허운, 이성광, 강도균, 민호기, 황윤호
Department of Thoracic and Cardiovascular Surgery, Haeundae Paik Hospital, Inje University, Busan, Korea
Background : To evaluate the outcomes of juxtarenal aortic occlusion (JRAO), a review of 15 patients who were performed aortic bypass replacement following aortorenal thrombectomy, especially focusing on the safety of suprarenal aortic clamping or transient aortic compression was undertaken.
Methods : During the period from June 2001 to November 2012, 15 patients of JRAO (chronic 15) were analyzed retrospectively. JRAO combined stenosis of renal artery were in 2 patients, renal artery thrombus in 8 patients, and normal in 5 patients.
Results : All were males. Mean age was 61.7±11.2. There were 14 aortobifemoral bypass grafting, and 1 aortobiiliac bypass grafting. 6 Dacron and 9 PTFE artificial Y-graft were implanted to the aorta with end-to-end anastomosis in proximal aorta. Suprarenal aortic clamp were performed in 7 patients, supraceliac clamp were in 2 patients, and transient aortic compression were in 6 patients. The cases of aortic clamping time less than 10 minutes were 13, over 10 minutes were 2. The thrombectomy of aorta and renal artery were performed in 10(66.7%) patients. There was no operative mortality case. The preioperative morbidity rate was 26.7% (4/15). Preoperative renal function was impaired in four patients. The renal functions of these cases were recovered postoperatively.
Conclusion : Aortic bypass replacement following aortorenal thrombectomy with suprarenal aortic clamping or transient aortic compression for JRAO is the optimal treatment. It is important to focus on the short renal ischemic time with suprarenal aortic clamp for prevention of renal damage. It provides unmatched perioperative and long-term results.
Methods : During the period from June 2001 to November 2012, 15 patients of JRAO (chronic 15) were analyzed retrospectively. JRAO combined stenosis of renal artery were in 2 patients, renal artery thrombus in 8 patients, and normal in 5 patients.
Results : All were males. Mean age was 61.7±11.2. There were 14 aortobifemoral bypass grafting, and 1 aortobiiliac bypass grafting. 6 Dacron and 9 PTFE artificial Y-graft were implanted to the aorta with end-to-end anastomosis in proximal aorta. Suprarenal aortic clamp were performed in 7 patients, supraceliac clamp were in 2 patients, and transient aortic compression were in 6 patients. The cases of aortic clamping time less than 10 minutes were 13, over 10 minutes were 2. The thrombectomy of aorta and renal artery were performed in 10(66.7%) patients. There was no operative mortality case. The preioperative morbidity rate was 26.7% (4/15). Preoperative renal function was impaired in four patients. The renal functions of these cases were recovered postoperatively.
Conclusion : Aortic bypass replacement following aortorenal thrombectomy with suprarenal aortic clamping or transient aortic compression for JRAO is the optimal treatment. It is important to focus on the short renal ischemic time with suprarenal aortic clamp for prevention of renal damage. It provides unmatched perioperative and long-term results.
책임저자: 전희재
인제대학교 의과대학 해운대백병원 흉부외과학교실
연락처 : 전희재, Tel: 051-704-9971 , E-mail : cs523@dreamwiz.com
