Journal of Chest Surgery

  • 제30권7호
  • /
  • Pages.719-723
  • /
  • 1997
  • /
  • 2765-1606(pISSN)
  • /
  • 2765-1614(eISSN)
대한심장혈관흉부외과학회 (The Korean Society for Thoracic and Cardiovascular Surgery)
권호 표지

판막 치환 수술 후 생긴 판막 주위 누출과 관련된 대동맥동류의 심실 중격 박리-1례 보고-

Aneurysm of the Sinus of Valsalva Oissecting into the Ventricular Septurn Associated with Paravalvular Leakage After Double Valve Replacement

  • 정일상 (세종병원 흉부외과) ;
  • 이영탁 (세종병원 흉부외과, 세종병원 내과, 단국대학병원 내과, 이대목동병원 내과)
  • 발행 : 1997.07.01
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

저자들은 대동맥 판막치환술 후 생긴 대동맥 판막 주위 누출과 관련된 대동맥동류의 심실 중격 박리를 경험하였다. 37세 남자 환자가 호흡 곤란의 증가를 주소로 응급실을 통하여 입원하였다. 그는 6년전 대동맥판 폐쇄 부전과 승모판 폐쇄 부전으로 인공 기계 판막(Carbomedic 23mm와 31mm)으로 치환 수술을 받고 정기적으로 추적 검진 중이었다. 진단은 경흉부및 경식도 심초음파로 이루어졌고, 대동맥 조영술로 확인되었다. 폐동맥판 동종이식편(Pulmonary homoyaft)를 사용하여 대동맥 판막 치환술을 다시 시행하였다. 심실중격내의 낭 입구에서 3-0 prolene을 사용하여 심근 내막, 외막과 homograft muscle shoulder를 한꺼번에 연속 봉합하였다. 술후 경과는 양호하여 환자는 수술 후 11일째 퇴원하였다.

We experienced a case of aneurysm of the sinus of Valsalva dissecting into the ventricular dseptum. This dissection was induced by paravalvular leakage after aortic and mitral valve replacement. This 37-year-old male was admitted via emergence room due to progressive dyspnea. He had undergone aortic valve replacement(carbomed c" 23 mm) and mitral valve replacement(carbomedic 31 mm) due to aortic regurgitation and mitral regurgitation about 6 years prior to admission and followed up regularly. The diagnosis was made by transthoracic and transesophageal echocardiography and reconfirmed by root aortography. The inlet of the ventricular septal aneurysmal sac was repaired by one layer suture with 3-0 prolene of the endocardium, epicardium and homograft muscle shoulder altogether. Postoperative course was uneventful and the patient was discharged on the 11th postoperative day. day.

키워드

참고문헌

  1. Ann Thorac Surg v.12 Aortic sinus fistula : Surgical considerations and results of operation Bonfils Roberts EA;Dushans JW;McGoon DC;Danielson GK
  2. Circulation v.63 Echocardiographic Diagnosis of Congenital Sinus of valsalva Aneurysm with Dissection Of the Interventricular Septum Peter J. Engel;John S. Held;Johanna van der Bel-Kahn;Harold Spitz
  3. Thorax v.12 The pathological anatomy of deficiencies between the aortic root and the heart including aortic sinus aneurysms Edwards JE;Burchell HB
  4. J Cardiovasc Surg v.36 Morphometric features of ruptured congenital sinus of valsalva aneurysm: implication for surgical treatment Van son JAM;Sim EKW;FRCS;Starr A
  5. J Thorac Cardiovasc Surg v.32 Ruptured aneurysms of the sinus valsalva Jansen EWL;Nauta ILD;Lacquet LK
  6. Surgery of the Chest(6th ed.) Aneurysms of the Sinuses of Valsalva William L. Holman;Sabiston, DC Jr.;Spencer
  7. J Am Soc Echocardiogr v.9 Echocardiographic Diagnosis of Right and Left Sinus of Valsalva Aneurysms Dissecting into the Ventricular Septum Silance PG;van Camp G;Cosyns B;Bruner A;Vandenbossche JL
  8. Am J Cardiol v.66 Echocardiographic Diagno- sis of Unruptured Aneurysm of the Sinus of Valsalva Dissecting into the Ventricular Septum Dev V;Shrivastava S