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인공판막치환술후 재수술

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Author(s)
유영선권영무최세영이광숙
Keimyung Author(s)
Yoo, Young SunChoi, Sae YoungLee, Kwang Sook
Department
Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
Journal Title
대한흉부외과학회지
Issued Date
1991
Volume
24
Issue
11
Abstract
Between January 1981 and January 1991, 554 patients underwent prosthetic valve replacement. A bioprosthetic valve was replaced in 238 cases and mechanical valve 316 cases. Thirty-eight patients underwent 40 reoperations for repair or replacement, an average of 53.6 months after initial implantation. There were 21 women and 19 men, aged 12 to 60 years[mean 35.3]. A bioprosthetic valve was implanted in 31 cases and a mechanical valve in 9 cases for initial operation. Indications for reoperation were primary tissue failure in 23 cases[57.5%], endocarditis in 9[22.5%], periprosthetic leak in 4[10%]. and valve thrombosis in 4[10%]. Operations performed included 5 aortic valve replacements, 26 mitral valve replacement, 8 double valve replacements, and 1 thrombectomy. A mechanical valve was replaced in 33 cases[84.6%] and a bioprosthesis in 6[15.4Zo] for reoperation. A second reoperation was required in 2 patients. Surgical mortality was 10% . Among the 34 early survivors followed-up for an average of 19.8 months. there was 1 late death and 3 were lost to follow-up. Among the 30 late survivors being followed up, 28[93.3%] remained in New York Heart Association Class I or II and two in Class III [6.7%].
Alternative Title
Reoperations for Prosthetic Valve Replacement
Keimyung Author(s)(Kor)
유영선
최세영
이광숙
Publisher
School of Medicine
Citation
유영선 et al. (1991). 인공판막치환술후 재수술. 대한흉부외과학회지, 24(11), 1090–1097.
Type
Article
ISSN
0301-2859
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/40067
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
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