심장질환의 외과적 치료 : 300례 보고

Abstract

Three hundred patients underwent open heart surgery with the aid of cardiopulmonary bypass from July, 1980 to July, 1984. There were 181 cases of congenital anomaly and 119 cases of acquired disease. In 181 congenital anomaly 115 patients were men and 66 were women, ranging from 12 months to 42 years of age with a mean 12.5 years. The most frequently operated congenital anomaly was ventricular septal defect. Hospital mortality rates for 124 acyanotic and 57 cyanotic patients were 2.4% and 24.6% respectively. Overall mortality rate in congenital anomaly was 9.4%. In 119 acquired disease 50 patients were men and 69 were women, ranging from 10 to 58 years with a mean 32.2 years. All acquired lesions, except one left atrial myxoma, were valvular heart disease. Among 119 acquired lesion, eight patients died in the hospital and five during the period of late follow-up. One hundred two patients underwent valve replacement. There were 79 mitral valve replacement, 18 aortic valve replacement and 5 double valve replacement. Operative mortality for valve replacement was 6.8%. In valve replacement Carpentier-Edwards Porcine Xenobioprosthesis were routinely used.