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방실중격결손증의 외과적 치료

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Author(s)
이광숙라찬영최세영박창권유영선
Keimyung Author(s)
Lee, Kwang SookNa, Chan YoungChoi, Sae YoungPark, Chang KwonYoo, Young Sun
Department
Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
Journal Title
대한흉부외과학회지
Issued Date
1989
Volume
22
Issue
6
Abstract
Since 1984, 24 patients underwent repair of atrioventricular septal defect. Nineteen had a partial defect and 5 had a complete atrioventricular septal defect. There were 9 men and 15 women, ranging in age from 1 to 50 years [mean age, 13.3 years]. Four patients had a Downs syndrome. Additional congenital heart defects were present in 11 patients. One patient had palliative operation prior to total correction. In partial defects, the primum atrial septal defect was closed with Xenomedica patch and the mitral valve was repaired with simple closure of the septal commissure. Central incompetence from annular dilatation was repaired by a local annuloplasty. In complete defect, the septal defects were closed with two patches except one. Operative mortality was 5% in partial defects and 60% in complete defects and low cardiac output was the commonest etiology. In a mean follow-up period of 27.9 months [range, 4 to 63 months] there were no late death and no instances of late-onset complete heart block. One patient required reoperation [MVR] for residual mitral regurgitation. The majority of patients were asymptomatic and mean postop. NYHA functional class was 1.2.
Alternative Title
Surgical Treatment of Atrioventricular Septal Defect
Keimyung Author(s)(Kor)
이광숙
나찬영
최세영
박창권
유영선
Publisher
School of Medicine
Citation
이광숙 et al. (1989). 방실중격결손증의 외과적 치료. 대한흉부외과학회지, 22(6), 990–995.
Type
Article
ISSN
0301-2859
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/40033
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
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