Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Atrial Septal Aneurysm

심방중격류의 수술적 교정

  • Lee, Seung-Jin (Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Hospital, SoonChunhyang University College of Medicine) ;
  • Lee, Seock-Yeol (Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Hospital, SoonChunhyang University College of Medicine) ;
  • Chang, In-Sung (Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Hospital, SoonChunhyang University College of Medicine) ;
  • Jeong, Yoon-Seop (Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Hospital, SoonChunhyang University College of Medicine) ;
  • Youm, Wook (Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Hospital, SoonChunhyang University College of Medicine)
  • 이승진 (순천향대학교 흉부외과학교실) ;
  • 이석열 (순천향대학교 흉부외과학교실) ;
  • 장인성 (순천향대학교 흉부외과학교실) ;
  • 정윤섭 (순천향대학교 흉부외과학교실) ;
  • 염욱 (순천향대학교 흉부외과학교실)
  • Published : 1999.11.01
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Abstract

A life-long anticoagulation for the prevention of ischemic cerebral events by thromboemboli has been conventionally introduced for the treatment of an atrial septal aneurysm. However, due to the recent decrease of the risks in the open heart surgery, the alternative therapeutic modality has been introduced for the prevention of complications of the anticoagulation. A 41-year old female with dizziness was admitted to our hospital. She was diagnosed a shaving atrial fibrillation and a cerebellar infarction, and an atrial septal aneurysm was detected by transesophagel echocardiography that was not detected by the transthoracic echocardiography. Surgery was approached to the right submammarial anterolateral thoracotomy. The atrial septal aneurysm was obliterated by a purse-string suture and plication. Surgial results were excellent with normal sinus rhythms and esthetically satisfying appearance.

Keywords

References

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