Journal of Chest Surgery

  • 제43권4호
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  • Pages.417-420
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  • 2010
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  • 2765-1606(pISSN)
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  • 2765-1614(eISSN)
대한심장혈관흉부외과학회 (The Korean Society for Thoracic and Cardiovascular Surgery)
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심실중격결손과 동반한 다중판막 감염성 심내막염의 수술적 치료

Surgical Treatment of Multivalvular Endocarditis with Ventricular Septal Defect

  • 김선희 (부산대학교병원 흉부외과) ;
  • 제형곤 (양산부산대학교병원 흉부외과) ;
  • 이상권 (양산부산대학교병원 흉부외과) ;
  • 김상필 (부산대학교병원 흉부외과)
  • Kim, Seon-Hee (Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital) ;
  • Je, Hyoung-Gon (Department of Thoracic and Cardiovascular Surgery, Pusan National University Yangsan Hospital) ;
  • Lee, Sang-Kwon (Department of Thoracic and Cardiovascular Surgery, Pusan National University Yangsan Hospital) ;
  • Kim, Sang-Pil (Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital)
  • 투고 : 2009.11.07
  • 심사 : 2010.01.12
  • 발행 : 2010.08.05
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초록

다중판막을 침범한 감염성 심내막염은 단일 심내막염에 비해 사망률이 높고 합병증의 발생이 빈번하여 일반적으로 조기수술이 권장된다. 저자들은 고열을 주소로 입원한 46세 환자에서 심초음파 검사로 폐동맥판막, 삼첨판막, 승모판막을 침범한 급성 심내막염 및 심실중격결손을 진단하였고, 항생제 치료에도 감염증이 악화되어 응급수술을 시행하였다. 비교적 드문 증례를 성공적으로 치료하였기에 문헌고찰과 함께 보고하는 바이다.

As higher mortality rate and frequent incidence of morbidity, early surgical treatment is generally recommended for the multivalvular endocarditis. A 46-year-old female presented with high fever. Echocardiography showed the vegetation on pulmonic valve, tricuspid valve and mitral valve with a ventricular septal defect. Emergency operation was conducted due to uncontrolled infection. We present a clinical success of this rare case with review of the medical literature.

키워드

참고문헌

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