Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Acute Mesenteric Ischemia after Aortic Valve Replacement -A case report-

대동맥 판막 치환술 후 발생한 급성 창자간막 허혈 -1예 보고-

  • Jun, Yang-Bin (Department of Thoracic and Cardiovascular Surgery, Gachon University Gil Medical Center) ;
  • Ahn, Young-Chan (Department of Thoracic and Cardiovascular Surgery, Gachon University Gil Medical Center) ;
  • Park, Chul-Hyun (Department of Thoracic and Cardiovascular Surgery, Gachon University Gil Medical Center) ;
  • Choi, Chang-Hyu (Department of Thoracic and Cardiovascular Surgery, Gachon University Gil Medical Center) ;
  • Lee, Jae-Ik (Department of Thoracic and Cardiovascular Surgery, Gachon University Gil Medical Center) ;
  • Park, Kook-Yang (Department of Thoracic and Cardiovascular Surgery, Gachon University Gil Medical Center)
  • 전양빈 (가천의과학대학 길병원 흉부외과) ;
  • 안영찬 (가천의과학대학 길병원 흉부외과) ;
  • 박철현 (가천의과학대학 길병원 흉부외과) ;
  • 최창휴 (가천의과학대학 길병원 흉부외과) ;
  • 이재익 (가천의과학대학 길병원 흉부외과) ;
  • 박국양 (가천의과학대학 길병원 흉부외과)
  • Published : 2006.12.05
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Abstract

Acute mesenteric ischemia after cardiac surgery is a serious complication associated with high mortality. Superior mesenteric artery is most commonly affected artery. Acute obstruction of mesenteric artery generally has an unfavorable prognosis because of late diagnosis. The keys to a successful outcome are early diagnosis and appropriate operative intervention. We successfully treated a patient with acute mesenteric ischemia after aortic valve replacement. Therefore, we report a case with a review of articles.

심장 수술 후 발생한 급성 창자간막 허혈은 사망률이 높은 심각한 합병증이다. 주로 위창자간막 동맥의 폐쇄로 발생하며, 보통 진단이 늦어져 불량한 예후를 가진다. 따라서, 빠른 진단과 적절한 수술적 치료만이 성공적인 결과를 가져올 수 있다. 저자들은 대동맥 판막 치환술 후 급성 창자간막 허혈이 발생한 환자 1예를 성공적으로 치료하였기에 문헌 고찰과 함께 보고하는 바이다.

Keywords

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