EVAR 시행 후 지속되는 1형 Endoleak 치료를 위한 지연 개복 수술 1예
Delayed Open Repair for Persistent Type I Endoleak after EVAR
엄방울, 이태승, 윤창진, 강성권, 민승기, 정인묵, 하종원, 정중기, 김상준,
소속 상세정보
엄방울 ( Eom Bang-Wool )
서울대학교 의과대학 외과학교실
이태승 ( Lee Tae-Seung )
서울대학교 의과대학 외과학교실
윤창진 ( Yoon Chang-Jin )
분당서울대학교병원 영상의학과
강성권 ( Kang Sung-Gwon )
분당서울대학교병원 영상의학과
민승기 ( Min Seung-Kee )
서울대학교 의과대학 외과학교실
정인묵 ( Jung In-Mok )
서울대학교 의과대학 외과학교실
하종원 ( Ha Jong-Won )
서울대학교 의과대학 외과학교실
정중기 ( Chung Jung-Kee )
서울대학교 의과대학 외과학교실
김상준 ( Kim Sang-Joon )
서울대학교 의과대학 외과학교실
KMID : 0904020080240010052
Abstract
Endovascular aneurysm repair (EVAR) is used with increasing frequency in the management of high-risk abdominal aortic aneurysm (AAA) patients. We report a delayed open repair for a persistent type I endoleak after EVAR in a patient with co-morbidities. An infrarenal AAA with a transverse diameter of 9.86 cm was detected on CT angiography; it extended from 8 mm below the renal artery to both common iliac arteries. The infrarenal angle was 90 degrees. After insertion of a Zenith stent graft (COOK, USA), a type I endoleak was detected on aortography, and several balloon dilatations were performed. The procedure was finished with a sustained type I endoleak. The endoleak persisted after 5 days on Doppler ultrasound, so open repair was performed. Total operative time was 240 minutes, and the duration of supra-celiac aorta clamping was approximately 35 minutes. The patient suffered an acute myocardial infarction on postoperative day 7 and recovered with conservative management. The patient was discharged on postoperative day 29.
키워드
혈관내 동맥류 시술;1형 혈류유출;지연 개복 수술
Endovascular aneurysm repair (EVAR);Type I endoleak;Delayed open repair
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