Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Clinical Results of Mitral Valve Replacement with St. Jude Medical Valve

St. Jude Medical 판막에 의한 승모판치환술의 임상성적

  • 장원채 (전남대학교 의과대학 흉부외과학교실) ;
  • 신성현 (전남대학교 의과대학 흉부외과학교실) ;
  • 나국주 (전남대학교 의과대학 흉부외과학교실) ;
  • 김상형 (전남대학교 의과대학 흉부외과학교실)
  • Published : 1998.03.01
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Abstract

A total of 172 cases of MVR using the St. Jude Medical valve was conducted in the period from August 1986 to May 1996. The hospital mortality rate was 3.5% (n=6) and the late mortality rate was 3.3% (n=5). According to the follow-up of 161 surviving patients, the average length of survival was 50.23$\pm$0.27 months. Three cases of prosthetic valve related complication deaths were identified. Two cases could be ascribed to left atrial thrombi and resulting cerebral infarction, and one case was prosthetic valve endocarditis. Two cases were caused by hemorrhagic complications that we presume to have been accompanied by anti-coagulation therapy. The actuarial survival rate of all cases at 10 years was 92.3%. We conclude that good clinical results and a low complication rate could be achieved through mitral valve replacement with the St. Jude Medical valve. We also conclude that mid-term and long-term follow-ups were instrumental and necessary.

저자들은 1986년 8월부터 1996년 5월까지 172례의 환자에서 St. Jude Medical 판막을 사용하여 승모판 치환술을 시행하였다. 병원사망률(hospital mortaliy rate)은 3.5%(6례)였고, 만기사망률(late mortality rate)은 3.3%(5례)였다. 생존한 161명의 환자에서 추적관찰(follw-up)을 시행하였는데 평균기간은 50.23$\pm$0.27개월이었다. 인공판과 관련된 합병증으로는 좌방혈전 및 이로인한 뇌경색으로 사망한 예가 2례있었고, 인공판 심내막염(Prosthetic valve endocarditis)이 발생하여 사망한 예가 1례 있었으며, 항응고요법에 동반된 것으로 추정되는 출혈성 합병증은 2례에서 발생하였다. 전체환자의 10년 생존률은 92.3%이었다. 이상으로 본 흉부외과교실에서는 St. Jude 기계판을 사용하여 승모판 치환술의 중단기 임상성적을 문헌고찰과 함께 보고하는 바이며, 앞으로 계속해서 장기추적관찰에 노력할 생각이다.

Keywords

References

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