hybrid arch surgery ( total arch replacement with open stent graft insertion) seoul national...
TRANSCRIPT
Hybrid Arch Surgery(Total Arch Replacement with
Open Stent Graft Insertion)
Seoul National University Bundang HospitalSeoul National University Bundang Hospital
Department of Thoracic and Cardiovascular SurgeryDepartment of Thoracic and Cardiovascular Surgery
최진호 , 정의석 , 이해영 , 임청 , 박계현
Background
Open antegrade stent graft insertion (S&G Biotech Inc.)
Material and Method
Case 1 – CABG + ascending aorta & total arch replacement
Case 2 – CABG + ascending aorta & total arch replacement
Case 3 – transposition of Lt subclavian artery
Material and MethodCase 1 (M/71) Case 2 (M/70) Case 3 (F/74)
• CABG with bilateral ITA• Total arch replacement with arch-first technique (modified Spielvogel’s technique)
• Open stent graft insertion through aortotomy
Operative Procedures (Case I & II)
ResultsCase 1 (M/71) Case 2 (M/70) Case 3 (F/74)
Case 1 Case 2 Case 3
CPB time 190 206 161
arrest time 46 63 0
ACP time 32 14 34
감사합니다