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Hybrid approach for the treatment of thoracic aortic arch aneurysm in a patient with chronic obstructive lung disease and retrosternal adhesion.
MedLine Citation:
PMID:  21860646     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
A 73-year-old woman with a history of chronic hypertension and severe chronic obstructive pulmonary disease, presented to a district general hospital with thoracic pain in a profound state of shock. She was diagnosed with cardiac tamponade, severe mitral regurgitation, and Stanford type A (Debakey type I) intramural hematoma. Her ascending aorta was of a significant size and therefore emergent repair was done to replace the ascending aorta and mitral valve. After 6 months, an increased aneurysmal size of 6.0 cm was observed in a follow up contrast-enhanced computed tomography angiography. The patient was successfully treated by a staged hybrid procedure involving initial supra-aortic reconstruction.
Authors:
Ki Bang Kim; Won Ho Kim; Jin Ho Choi; Jeong Hee Kim; Yu Jeong Choi; Kyung Tae Jeong; Sun Chang Park; Sahng Lee
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Publication Detail:
Type:  Journal Article     Date:  2011-07-30
Journal Detail:
Title:  Korean circulation journal     Volume:  41     ISSN:  1738-5555     ISO Abbreviation:  Korean Circ J     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2011-08-23     Completed Date:  2011-11-10     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  101247141     Medline TA:  Korean Circ J     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  413-6     Citation Subset:  -    
Affiliation:
Division of Cardiology, Eulji University Hospital, Daejeon, Korea.
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