Journal of Chest Surgery

  • 제30권11호
  • /
  • Pages.1125-1127
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  • 1997
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  • 2765-1606(pISSN)
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  • 2765-1614(eISSN)
대한심장혈관흉부외과학회 (The Korean Society for Thoracic and Cardiovascular Surgery)
권호 표지

소아에서의 심실중격 결손증 수술 후 발생한 대동맥 판막하 협착증 -증례 보고-

Subvalvular Aortic Stenosis Developed after Patch Closure of VSD in A Child -Case Report

  • 김용인 (경희분당 차병원 흉부외과) ;
  • 이건 (경희분당 차병원 흉부외과) ;
  • 김범식 (경희분당 차병원 흉부외과) ;
  • 최석민 (경희분당 차병원 소아 심장과) ;
  • 박정현 (경희분당 차병원 마취과)
  • Kim, Yong-In (Deparment of Thoracic and Cardiovascular Surgery, Kyung Hee Pundang CHA General Hospital) ;
  • Lee, Gun (Deparment of Thoracic and Cardiovascular Surgery, Kyung Hee Pundang CHA General Hospital) ;
  • Kim, Bum-Shik (Deparment of Thoracic and Cardiovascular Surgery, Kyung Hee Pundang CHA General Hospital) ;
  • Choi, Suk-Min (Deparment of Pediatric cardiology, Kyung Hee Pundang CHA General Hospital) ;
  • Park, Chung-Hyun (Deparment of Anesthesia, Kyung Hee Pundang CHA General Hospital)
  • 발행 : 1997.11.01
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초록

본 8kg, 18개월 환아는 다른 병원에서 심실 중격 결손증 수술을 받았으며 수술후 합병증으로 약물치료를 받아 왔으나 심실 비대와 심부전증이 악화되었으며 본원에서 시행한 심도자 결과 좌심실과 대동맥간 혈압 차이는 55mmHg를 보였다. 본원에서는 이와 같은 소아에서의 심실 중격 결손증 수술후 발생한 대동맥 판막하 협착증의 성공적 수술 증례를 보고하는 바이다.

Subvalvular aortic stenosis developed after patch closure of perimembranous'VSD is rarely reported. A 18-month-old, 8 kg child with this complication after VSD closure 8 months ago in other hospital has been treated medically and was admitted to this hospital because of severe cardiomegaly and sign of heart failure. Cardiac catheterization revealed 55 mmHg of pressure gradient between aorta and LV cavity. We report one successful redo case of surgically relieved subvalvular aortic stenosis in a child after patch closure of perimembranous VSD.

키워드

참고문헌

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  4. J Thorac Cardiovasc Surg v.87 The late prognosis after localized resection for fixed(discrete and tunnel) left ventricular outflow tract obstruction Moses RD;Barnhart GR;Jones M