Journal of Yeungnam Medical Science
- 제9권2호
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- Pages.321-326
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- 1992
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- 2799-8010(eISSN)
성인의 심방중격 결손의 외과적 치료
Surgical Treatment of Atrial Septal Defect in Adult Patients
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Lee, Dong-Hyup
(Department of Thoracic and Cardiovascular Surgery College of Medicine, Yeungnam University)
;
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Lee, Jung-Cheul
(Department of Thoracic and Cardiovascular Surgery College of Medicine, Yeungnam University)
;
- Han, Sung-Sae (Department of Thoracic and Cardiovascular Surgery College of Medicine, Yeungnam University)
- 발행 : 1992.12.30
초록
영남대학교 의과대학 흉부외과학 교실에서는 1985년 6월 부터 1992년 8월까지 35세이상의 성인 심방중격환자를 수술로 치험한 15례에서 다음과 같은 결과를 얻었다. 1. 수술은 11례(73%)에서 인조포편 및 자가심막을 사용하여 봉합하였다. 2. 단락정도와 수축기 폐동맥압과의 관계에서 특이한 상관관계가 없었다. 3. 술전의 뉴욕심장협회 기능분류 II가 6명, III이 8명 이었는데 술후 I이 8명, II가 6명으로 증상의 호전 있었다. 4. 심방세동 4례중 술후 3례에서 지속적으로 나타났고 1례에서는 정상리듬으로 돌아왔다. 5. 수술사망율은 없었고 수술결과는 만족하였다.
The study consisted of all patients over 35years old undergoing surgical repair of atrial septal defect for the period from June 1985, to August 1992. The following results were observed. 1. ASD was closed with patch in 11(73%) patients. 2. The relationship of pulmonary artery systolic pressure to Qp/Qs ratio was not significant. 3. Before operation 6 patients were in NYHA functional class II, 8 were in class III, After operation 8 patients were in class I, 6 were in class II. 4. Atrial fibrillation has persisted in 3 patients and returned regular rhythm in 1 patient after surgery. 5. There was no operative mortality and we had good surgical results regardless of patient's age.