초록접수 현황
| 16F-122 | 포스터 발표 |
Thoracic Aortic Aneurysm Associated with Pseudocoarctation
Jin Hong Wi¹, Hyoung Chae Lee², Kyung-Taek Park¹, Il-Yong Han¹, Young Chul Yoon¹, Yang-Haeng Lee¹
¹Department of Thoracic and Cardiovascular Surgery, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan, Korea, ²Department of Thoracic and Cardiovascular Surgery, Dongkang Medical Center, Ulsan, Korea
Background : Pseudocoarctation is a rare congenital anomaly due to elongation of aortic arch. Pseudocoarctation of the aorta has been associated with aneurysm formation in the thoracic aorta, which may cause sudden rupture or dissection. Thus, the presence of an aneurysm in combination with pseudocoarctation of the aorta is thought to be an indication for surgery. We report an unusual case of pseudocoarctation associated with thoracic aortic aneurysm.
Methods : 29-year-old female presented with a history of dysphagia and left shoulder discomfort. Chest radiography demonstrated a superior mediastinal mass. CT revealed elongated, kinked and high riding aortic arch with dilatation of aortic arch (maximal diameter: 60mm). We perfomed surgery through a median sternotomy with incision in left subclavian fossa. Cardiopulmonary bypass was initiated and cooled to 26°C, one-branched woven graft was anastomosed to the distal aorta, and then proximal aorta between left common carotid artery and left subclavian artery was anastomosed. The graft limb was anastomosed to the left subclavian artery in the subclavian fossa to restore the arterial blood flow to left upper limb.
Results : Her postoperative course was uneventful, and she was discharged on postoperative day 11. At the eighteen-month follow-up, no evidence of complication other than hoarseness has been shown.
Conclusion : Review of the literature and experience with this case demonstrate that pseudocoarctation of the aorta cannot necessarily be regarded as a benign condition. Surgical treatment is recommended for all symptomatic patients and for those with associated aneurysm formation.
Methods : 29-year-old female presented with a history of dysphagia and left shoulder discomfort. Chest radiography demonstrated a superior mediastinal mass. CT revealed elongated, kinked and high riding aortic arch with dilatation of aortic arch (maximal diameter: 60mm). We perfomed surgery through a median sternotomy with incision in left subclavian fossa. Cardiopulmonary bypass was initiated and cooled to 26°C, one-branched woven graft was anastomosed to the distal aorta, and then proximal aorta between left common carotid artery and left subclavian artery was anastomosed. The graft limb was anastomosed to the left subclavian artery in the subclavian fossa to restore the arterial blood flow to left upper limb.
Results : Her postoperative course was uneventful, and she was discharged on postoperative day 11. At the eighteen-month follow-up, no evidence of complication other than hoarseness has been shown.
Conclusion : Review of the literature and experience with this case demonstrate that pseudocoarctation of the aorta cannot necessarily be regarded as a benign condition. Surgical treatment is recommended for all symptomatic patients and for those with associated aneurysm formation.
책임저자: Jin Hong Wi
Department of Thoracic and Cardiovascular Surgery, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan, Korea
발표자: Jin Hong Wi, E-mail : wiccy@hanmail.net