Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Hybrid Operation of a Kommerell’s Diverticulum with Left Aberrant Subclavian Artery

비정상 좌측 쇄골하동맥을 동반한 Kommerell 게실의 하이브리드 수술법

  • Kim, Hye-Won (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Lee, Jae-Won (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Jung, Sung-Ho (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Jung, Jae-Seung (Department of Thoracic and Cardiovascular Surgery, Anam Hospital, College of Medicine, Korea University) ;
  • Jung, Jong-Pil (Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, Ulsan University School of Medicine)
  • 김혜원 (울산대학교 의과대학 서울아산병원 흉부외과학교실) ;
  • 이재원 (울산대학교 의과대학 서울아산병원 흉부외과학교실) ;
  • 정성호 (울산대학교 의과대학 서울아산병원 흉부외과학교실) ;
  • 정재승 (고려대학교 의과대학 안암병원 흉부외과학교실) ;
  • 정종필 (울산대학교 의과대학 울산대학교병원 흉부외과)
  • Received : 2010.02.17
  • Accepted : 2010.04.29
  • Published : 2010.08.05
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Abstract

A 53-year-old woman had right aortic arch, Kommerell’s diverticulum and aberrant left subclavian artery (LSA) without any compressive symptoms. Hybrid operation was performed. This consisted of LSA bypass using a 6 mm ringed Gore-Tex graft between the left common carotid artery and aberrant LSA via a left supraclavicular incision, and stent graft insertion into the aortic arch via the right femoral artery. Postoperative computed tomography as well as intraoperative angiography demonstrated successful occlusion of Kommerell’s diverticulum and bypass of the aberrant LSA. There were no complications related to the operation or the intervention.

53세 된 여자 환자가 우측 대동맥 궁, Kommerell 게실 및 비정상 좌측 쇄골하동맥 등의 병변으로 내원하였으며 증상은 없었다. 6 mm ringed Gore-Tex 인조혈관을 이용하여 비정상 좌측 쇄골하동맥과 좌측 총경동맥을 연결하여 우회하고, 대동맥 궁의 Kommerell 게실을 막고자 stent graft를 삽입하는 hybrid 수술을 시행 하였다. 수술 직후 시행한 혈관 조영술과 수술 후 첫날 시행한 전산화 단층 촬영상 성공적인 대동맥류 차단 및 좌측 쇄골하동맥의 우회소견을 보여주었다. 수술 및 시술에 동반된 합병증은 없었다.

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References

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