세균성 심내막염에 의한 폐색전증이 동반된 동맥관 개존증의 수술치험 -1례 보고-

Surgical Treatment of Persistent Ductus Arteriosus Complicated by Bacterial Endocarditis with Pulmonary Artery Embolism 1 case report

  • 오정우 (전남대학교병원 흉부외과) ;
  • 오봉석 (전남대학교병원 흉부외과) ;
  • 이동준 (전남대학교병원 흉부외과)
  • Oh, Jeong-Woo (Department of Thoracic and Cardiovascular Surgery, Chonnam University Medical School) ;
  • Oh, Bong-Suk (Department of Thoracic and Cardiovascular Surgery, Chonnam University Medical School) ;
  • Lee, Dong-Joon (Department of Thoracic and Cardiovascular Surgery, Chonnam University Medical School)
  • 발행 : 1997.02.01

초록

15세 남자환자가 갑자기 발생한 흉통과 각혈, 호흡곤란을 주소로 본원 응급실로 내원하였다. 환자는 동맥관 개존증 및 감염성 심내막염띠 합병된 폐색전증으로진단되었다. 3주간 적절한 항생제 치료를 한 후 체외순환하에 동맥관 개존증 패취봉합 및 폐동맥 판막 성형술을 시행하였다. 이후 환자는 순조롭게 회복되어 퇴원 하였다. 동맥관 개존증에 합병된 급성심내막염으로 폐동맥 혈전증이 발생한 환자를 수술 치험하여 좋은 결과를 얻었기 에 보고하는 바이다.

A fifteen-year-old boy was transported to our hospital emmergency room due to sudden onset of chest pain, hemoptysis and dyspnea. He was diagnosed as persistent ductus arteriosus that had developed acute bacterial endocarditis with pulmonic valve vegetation and pulmonary embolism with pulmonary infarction. After conservative antibiotic therapy (vancomycin + aminoglycoside), we operated this patient successfully - patch closer of the ductus and pulmonary valve valvuloplasty - under the cardiopulmonary bypass.

키워드

참고문헌

  1. Clinical Heart Disease in Infant and Childern Infective Endocarditis Franke E;Berkowitz;David G;Duke E;William J;Dorothy G;Ross M;Randall C
  2. Heart Disease in Infant, Children, and Adolescents(5th ed.) v.2 Endocarditis Edward C;Stanford T;Frrest H;George C;Thomas A
  3. Eur. J Cardio thorac Surg v.6 Surgical treatment of persistent ductus arteriosus complicated by bacterial endocarditis Stejkal L;Stark J
  4. Glenn's Thoracic and Cardiovascular Surgery(6th ed.) Surgery for Bacterial Endocarditis Robert WM;Arthur E;Alexander S;Graem L;Keith S