Complicated Acute Aortic Dissection with Malperfusion of the Left Common Iliac Artery Treated with Thoracic Endovascular Aortic Repair

Mi Jin Yang, Hye Yoon Jang, Jong Hyun Choi, Moo Song Jeon, Hye-Won Lee, Han Cheol Lee, Sang-Pil Kim
2014 Korean Journal of Medicine  
Acute aortic dissection with malperfusion syndrome is associated with poor clinical outcomes, and surgical treatment for complicated descending aortic dissections is associated with a high risk of operative mortality. Endovascular repair is emerging as a good alternative to surgery. Endovascular repair for a descending aortic dissection with malperfusion syndrome offers good clinical outcomes because of technical and anatomical benefits. Here, we report a case of descending aortic dissection
more » ... ortic dissection and malperfusion syndrome in the left common iliac artery that was successfully treated with an aortic stent graft and peripheral stent. (Korean J Med 2014;87:716-721) 서 론 급성 대동맥박리(acute aortic dissection)는 초기 사망률이 매 우 높은 질환이며 대동맥박리의 침범 부위에 따라 치료 방법 이 결정된다. 일반적으로 상행 대동맥박리(ascending aortic dissection)의 경우 수술적 치료, 하행 대동맥박리(descending aort-ic dissection)의 경우 약물 치료가 적용이 된다. 그러나 약물 치료의 적응증이 되는 하행 대동맥박리의 경우라도 직경이 큰 대동맥류(aneurysm), 대동맥 파열(aneurysmal rupture), 경 동맥(carotid artery), 상장간막동맥(superior mesenteric artery), 복강동맥(celiac artery), 신장동맥(renal artery), 장골동맥(iliac artery) 등의 혈류장애 등의 합병증이 발생하는 경우는 수술
doi:10.3904/kjm.2014.87.6.716 fatcat:rjsyw2hhefb6pfkjxus76g24da