Journal of Chest Surgery

  • 제26권11호
  • /
  • Pages.821-826
  • /
  • 1993
  • /
  • 2765-1606(pISSN)
  • /
  • 2765-1614(eISSN)
대한심장혈관흉부외과학회 (The Korean Society for Thoracic and Cardiovascular Surgery)
권호 표지

대동맥판맥 폐쇄 부전증이 동반된 심실중격 결손증의 수술성적

Surgical treatment for ventricular septal defect associated with aortic insufficiency

  • 발행 : 1993.11.01
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Between January 1983 and December 1992, we had experienced 79 patients of ventricular septal defect [ VSD ] associated with aortic insufficiency [AI] which constitute 4.6 % of total numbers of VSD. The mean age of the patients was 10.2 years with a range of 1 to 35 years and the average degree of aortic insufficiency classified by Sellers was 2.1. The type of VSD was subpulmonic in 57 patients and perimembranous in 22. Most common pathologic finding causing AI was prolapse of right coronary cusp [ 54 cases ; 71.4% ] ,followed by prolapse of both right and non-coronary cusp[ 12 cases ; 7.9% ]. VSD closure alone was performed in 51 patients and their mean age was 7.7 years [ ranged 1 to 13 years ]. VSD closure and aortic valve reconstruction was performed in 22 patients, VSD closure and aortic valve replacement in 6 patients, and the mean age of the patients was 14.5 years [ ranged 2 to 28 years ], 20.4 years [ ranged 18 to 35 years ] respectively. There was no hospital mortality. All patients were followed up from 1 month to 9 year 4 months [average; 21.4 months ] and there was one late death. Our data suggests that, early closure of VSD without any manipulation on the valve may be sufficient procedure to improve or at least withhold progression of AI in children and furthermore patients with VSD associated AI should be corrected promptly after diagnosis.

키워드

참고문헌

  1. Rev Med Paris v.50 Traite des maladies Carpentales du Cocur;Les souffles de (a maladie de Roger) Laubry,C.;Pezzi,C.;Routier,D.;Soulie,P.
  2. Am J Cardiol v.5 Ventricular septal defect with aortic insufficiency, Successful surgical correction of both defects by the transaortic approach Garamella,J.J.;Cruz,A.B.;Heupel,W.H.;Dahl,J.C.;Jensen,N.K.;Berman,R.
  3. Gibbon's surgery of chest(5th ed.) Sabiston,D.C.Jr.;Spencer,F.C.
  4. Cardiac Surgery(2nd ed.) Kirklin,J.W.;Barratt-Boyes,B.G.
  5. Ann Intern Med v.6 The clinical significance of the systolic murmur Freeman,A.R.;Levine,S.A.
  6. Surg Gynecol Obstet v.111 Surgical correction of aoric insufficiency associated with ventricular septal defect Starr,A.;Menasche,V.;Dotter,D.
  7. J Thorac Cardiovasc Surg v.65 Long-term Evaluation of aortic valvuloplasty for aortic insufficiency and ventricular septal defect Spencer,F.;Doyle,E.;Danilowicz,D.(et al.)
  8. J Thorac Cardiovasc Surg v.66 Repair of ventricular septal defect with aortic insufficiency Trusler,G.A.;Moes,C.A.F.;Kidd,B.S.L.
  9. Am Heart J v.75 Anatomic Types of Ventricular Septal Defect With Aortic Insufficiency Van Praagh,R.;NcMamara,J.J.
  10. J Thorac Cardiovasc Surg v.73 Ventricular septal defect and aortic insufficiency- Surgical treatment Moreno-Cabral,R.J.Jr.;Mamiya,R.T.;Nakamural,F.F.(et al.)
  11. Circulation v.24 Ventricular septal defect with aortic regurgitation Nadas,A.S.;Thilonius,O.G.;LaFarge,C.G.(et al.)
  12. Am Heart J v.89 Dianostic importance of aortography in conal ventricular septal defect Tatsuno,K.;Ando,M.;Takao,A.(et al.)
  13. J Thorac Cardiovasc Surg v.168 Experience with congenital anomalies of the heart in Japan Sakakibara,S.
  14. Am J Cardio v.59 Usefulness of electromagnetic flowmetery in intraoperative evaluation of aortic regurgitation associated with ventricular septal defect Kusuhara,K.;Miki,S.;Ueda,Y.;Okita,Y.;Tahata,T.;Komeda,M.
  15. Am J Cardiol v.60 Long term follow-up after aortic valvuloplasty and defect closure in ventrricular septal defect with aortic regurgitatin Leung,M.P.;Beerman,L.B.;Sieweres,R.D.;Bahnson,H.T.;Zuberbuhler,J.R.
  16. J Thorac Cardiovasc Surg v.82 Ventricular septal defect with associated aortic valve insufficiency Karpawich,P.P.;Duff,D.F.;Mullins,C.E.;Cooley,D.A.;McNamara,D.G.
  17. Circulation v.41 Aortic regurgitation with ventricular septal defect Somerville,J.;Brandao,A.;Ross,D.N.
  18. Jpn J Thorac Surg v.30 Valvuloplastic surgery for aortic insufficiency with ventricular septal defect-with special reference to long-term follow-up study Tatsuta,N.;Yokota,M.;Noguchi,K.;hikasa,Y.;Miki,S.;Minami,K.
  19. Circulation v.27 Ventricular Septal Defect With Aortic insufficiency : A Clinical and hemo-dynamic Study of 18 Proved Cases Keck,E.W.O.;Ongley,P.A.;Kincaid,O.W.;Swan,H.J.C.
  20. Circulation v.24 Ventricular septal defect with aortic regurgetaation Nadas,A.S.;Thilonius,O.G.;LaFarge,C.G.(et al.)
  21. 대흉외지 v.21 대동매판 폐쇄부전증이 동반된 심실중격결손증 수술의 장기성적-적절한 수술시기 및 수술방법 김진국;함시영;서경필
  22. 대흉외지 v.16 대동맥판폐쇄부전이 동반된 심실중격결손증 수술 치험 정경영;이두연;조범구;홍승록