Journal of Chest Surgery

  • 제28권9호
  • /
  • Pages.857-860
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  • 1995
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  • 2765-1606(pISSN)
  • /
  • 2765-1614(eISSN)
대한심장혈관흉부외과학회 (The Korean Society for Thoracic and Cardiovascular Surgery)
권호 표지

심근 경색후 발생한 좌심실 파열을 동반한 심실중격 결손의 외과적 치료 -1례 보고-

Surgical Treatment of Post-Infarction Ventricular Septal Defect with Left Ventricular Rupture -A Case Report-

  • 김현조 (서울대학교병원 흉부외과, 서울대학교 의과대학 흉부외과학교실) ;
  • 김두성 (서울대학교병원 흉부외과, 서울대학교 의과대학 흉부외과학교실) ;
  • 안혁 (서울대학교병원 흉부외과, 서울대학교 의과대학 흉부외과학교실)
  • Kim, Hyun-jo (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Kim, Doo-Sang (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Ahn, Hyuk (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine)
  • 발행 : 1995.09.01
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초록

In a 53-year old male with post-infarction ventricular septal defect [VSD , owing to an acute exacerbation of pulmonary edema, respiratory failure developed, and the ventilatory support and intraaortic balloon counterpulsation [IABP were applied. At the following day, operation was performed with the aid of IABP. Under the cardioplumonary bypass, he underwent infarctectomy, trimming of VSD margin, patch closure of VSD and infarctectomy site. Left ventricular free wall rupture was detected during operation, which was confined with pericardial adhesion. Post-operative course was uneventful, and he could be discharged with minimal degree of dyspnea [NYHA class II .

키워드

참고문헌

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  6. Chest v.99 Ventricular freewall rupture after myocardial infarction : Treatment and outcome Pappas,P.J.;Cernaianu,A.C.;Baldino,W.A.(et al.)