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