Journal of Chest Surgery

  • 제33권2호
  • /
  • Pages.139-145
  • /
  • 2000
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  • 2765-1606(pISSN)
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  • 2765-1614(eISSN)
대한심장혈관흉부외과학회 (The Korean Society for Thoracic and Cardiovascular Surgery)
권호 표지

단순 심실중격결손증 수술 후 합병증 및 잔존 결손

Complicatons and Residual Defects After Correction of Noncomplicated Ventricular Septal Defect

  • 전태국 (성균관대학교 의과대학 흉부외과학교실 삼성서울병원 흉부외과) ;
  • 황경환 (성균관대학교 의과대학 흉부외과학교실 삼성서울병원 흉부외과) ;
  • 이호석 (성균관대학교 의과대학 흉부외과학교실 삼성서울병원 흉부외과) ;
  • 허정희 (성균관대학교 의과대학 흉부외과학교실 삼성서울병원 흉부외과) ;
  • 박계현 (성균관대학교 의과대학 흉부외과학교실 삼성서울병원 흉부외과) ;
  • 박표원 (성균관대학교 의과대학 흉부외과학교실 삼성서울병원 흉부외과) ;
  • 채헌 (성균관대학교 의과대학 흉부외과학교실 삼성서울병원 흉부외과)
  • Jun, Tae-Gook (Department of Thoracic and Cardiovascular Surgery, Samsung Seoul Hospital, SungKyunkwan University School of Medicine) ;
  • Hwang, Kyung-Hwan (Department of Thoracic and Cardiovascular Surgery, Samsung Seoul Hospital, SungKyunkwan University School of Medicine) ;
  • Lee, Ho-Seok (Department of Thoracic and Cardiovascular Surgery, Samsung Seoul Hospital, SungKyunkwan University School of Medicine) ;
  • Huh, Jung-Hee (Department of Thoracic and Cardiovascular Surgery, Samsung Seoul Hospital, SungKyunkwan University School of Medicine) ;
  • Park, Kay-Hyun (Department of Thoracic and Cardiovascular Surgery, Samsung Seoul Hospital, SungKyunkwan University School of Medicine) ;
  • Park, Pyo-Won (Department of Thoracic and Cardiovascular Surgery, Samsung Seoul Hospital, SungKyunkwan University School of Medicine) ;
  • Chae, Hurn (Department of Thoracic and Cardiovascular Surgery, Samsung Seoul Hospital, SungKyunkwan University School of Medicine)
  • 발행 : 2000.02.01
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초록

Background: The purpose of this study is to review the clinical course after the correction of noncomplicated ventricular septal defect and to analyze the morbidity and risk factors of postoperative complications and evaluate residual defect during the follow-up period. Material and Method: From September 1994 to June 1998 24 patients(median age 10 months) underwent surgery under the diagnosis of ventricular septal defect. We made a retrospective review of the clinical records including the operation notes critical care unit records echocardiography results and the follow-up records. Result: There was no early mortality nd late mortality. There was no postoperative complete conduction block. Respiratory complication was the most common complication. The body weight age type of ventricular septal defect associated anomalies and operative procedure were not related to the incidence of complications. residual ventricular septal defects aortic valve regurgitation and tricuspid valve regurgitation were insignificant in postoperative hemodynamics, Conclusions: Correction of the noncomplicated ventricular septal defect was done without mortality and complete heart block. Aggressive preoperative medical treatment and early surgical treatment may decrease postoperative complications. Postoperative residual shunt and tricuspid regurgitation were not problematic during the follow-up

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참고문헌

  1. Am Heart J. v.114 Twenty-five-year experience with ventricualr septal defect in infants and children Van Hare GF.;Soffer LJ.;Lietman J.
  2. Am J.cardiol v.68 Late results(30 to 35 years)after operative closure of isolated ventricular septal defect from1954 to 1960 Moller JH.;Patton C.;Lillehei W.
  3. 대흉외지 v.30 조기 영아기 심실중격결손의 개심술 최종범;양현웅;이삼윤
  4. J.Thorac Cardiovasc Surg v.72 Optimal age and results in repair of large ventricular septal defects Blackstone EH.;Kirklin JW.;Bradley EL.;DuShane JW.;Appelbaum A.
  5. Surg Today v.24 no.5 Long-term results of primary colsure for ventricular septal defects in the first year of life Kuribayashi R.;Sekine S.;Aida H.
  6. J.Am coll cardiol v.3 Primary surgical closure of ventricular septal detect in the first year of life;results in 128 patients Yeager S.;Fread M.;Castaneda A.
  7. Circulation v.50 no.SUP. Recent results of two-stage surgical treatment of large ventricular septal defect Girod DA.;Hurwitz RA.;King H.;Jolly W.
  8. Circulation v.48 no.SUP.Ⅱ Development of subaortic stenosis after pulmonary artery banding Freed MD.;Rosentahl A.;Plauth WH Jr.;Nadas AS.
  9. J.Thorac Cardiovasc Surg v.80 Incremental risk factors in hospital mortality rate after repair of ventricular septal defect Rizzoli G.;Blackstone E.;Kirklin J.
  10. 대한흉부 외과학회지 v.29 10kg이하의 소아에서 시행한 심실중격결손증 수술에 대한 임상적 고찰 변정욱;김정철;구본일 등
  11. 대한흉부 외과학회지 v.29 영아기 심실중격결손의 개심술 조준용;허동만;전상훈 등
  12. Am J.Cardiol v.79 Primary repair of isolated ventricular septal defect in infancy guided by echocardiography Carotti A.;Marino B.;Bevilacaua
  13. Scand J.Thorac Cardiovasc Surg v.24 Pediatric cardiac surgery guided by echocardiography.Established indications and new trends Marino B.;Corno A.;Carotti A.;Pasquini L.;et al.
  14. Can J.Cardiol v.12 no.9 Perimembranous ventricular septal defect repair;keeping it simple Mullen JC.;Schipper SA.;Bentley MJ.