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청색증 심장기형에 대한 Modified Blalock-Taussig Shunt의 효과

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Author(s)
김경렬이광숙유영선박창권최세영신현종
Keimyung Author(s)
Lee, Kwang SookChoi, Sae YoungPark, Chang KwonYoo, Young Sun
Department
Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
Journal Title
대한흉부외과학회지
Issued Date
1995
Volume
28
Issue
8
Keyword
Heart defect, congenitalShuntCyanosis
Abstract
Between February 1987 and April 1994,30 modified Blalock- Taussing shunts[MBTS were carried out at the Department of Thoracic and Cardiovascular Surgery of the Keimyung University Dongsan Medical Center.The operation consists of interposing between the subclavian artery and the pulmonary artery a polytetrafluoroethylene graft.There were 19 boys and 11 girls.The average age at the time of shunt construction was 14 months [range 4 days to 5 years .Seventy-six percent [23/30 were less than 1 year of age.Cardiac defects treated with MBTS included tetralogy of Fallot[10 , pulmonary atresia with ventricular septal defect[8 , pulmonary atresia with intact ventricular septum[4 , uni-ventricular heart[3 , and other complex cardiac anomalies[5 .Prosthesis of 4mm were used in 13 cases, and 5mm in 17.Of the 30 operations, 21 were performed on the right side and 9 on the left side.The hemoglobin level decreased from 21.1 gm/dl preoperatively to 16.3 gm/dl postoperatively and systemic oxygen saturation level increased from 60.5 % preoperatively to 85.4 % postoperatively.In the 30 patients who recieved MBTS, there were one early [3% and three late deaths [10% .Seven patients have had an corrective operation and two patient required second palliative procedure.The remaining patients are awaiting further operation with ingestion of aspirin [5 mg/kg/day as an antiplatelet agent.These results indicate that the MBTS provide excellent palliation at a low operative mortality for most patients.
Alternative Title
The Effect of Modified Blalock-Taussig Shunt to Cyanotic Heart Disease
Keimyung Author(s)(Kor)
이광숙
최세영
박창권
유영선
Publisher
School of Medicine
Citation
김경렬 et al. (1995). 청색증 심장기형에 대한 Modified Blalock-Taussig Shunt의 효과. 대한흉부외과학회지, 28(8), 754–758.
Type
Article
ISSN
0301-2859
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/36329
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
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