성인 활로 4징증에 대한 개심술

Surgical correction of adult tetralogy : Results of repair in 123 patients

  • 안혁 (서울대학교 의과대학 흉부외과학 교실) ;
  • 서경필 (서울대학교 의과대학 흉부외과학 교실) ;
  • 이영우 (서울대학교 의과대학 내과학 교실)
  • An, Hyuk (Dept. of Thoracic and Cardiovascular Surgery College of Medicine, Seoul National University Hospital) ;
  • Suh, Kyung-Phill (Dept. of Thoracic and Cardiovascular Surgery College of Medicine, Seoul National University Hospital) ;
  • Lee, Yung-Woo (Dept. of Medicine, College of Medicine, Seoul National University Hospital)
  • 발행 : 1986.12.01

초록

This report describes our 17-years experience with intracardiac repair in 123 patients older than 15 years with tetralogy of Fallot. Major clinical manifestation was cyanosis and clubbing [102 Pts], but other minor associated manifestation were infective endocarditis, pulmonary tuberculosis, brain abscess, congestive heart failure, nephrotic syndrome, and tuberculous spondylitis. Prior palliative shunts had been performed in 10 patients. Preoperative hemoglobin ranged from 9.7 gm/dl to 25 gm/dl [mean 19 gm/dl]. The type of ventricular septal defect were typical perimembranous type, and total canal defect [13%]. The right ventricular outflow tract obstruction was due to combined [58.5%], infundibular [35%], and valvular stenosis [6.5%]. Transannular patch was used in 17% of patients. Hospital mortality was 9.8% in overall, but decreased to 1.7% since 1982. There was two late death [12 year actuarial survival [97%] due to fulminant hepatitis, residual abnormalities [PS, VSD]. Ninety two percent of survivors at follow-up are asymptomatic and leading an active normal life. Residual ventricular septal defect was detected with radionuclide single pass study in 15.3% of patients but almost cases were Qp/Qs less than 1.5, and only two patients had been candidates for reoperation.

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