Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지

Pediatric Valve Replacement

소아심장판막치환술

  • Kim, Hyuk (Department of Thoracic & cardiovascular Surgery Buchon Sejong Hospital) ;
  • Yu, Jae-Hyeon (Department of Thoracic & cardiovascular Surgery Buchon Sejong Hospital) ;
  • Seo, Pil-Won (Department of Thoracic & cardiovascular Surgery Buchon Sejong Hospital) ;
  • Lee, Won-Yong (Department of Thoracic & cardiovascular Surgery Buchon Sejong Hospital) ;
  • Baek, Wan-Ki (Department of Thoracic & cardiovascular Surgery Buchon Sejong Hospital) ;
  • Park, Kook-Yang (Department of Thoracic & cardiovascular Surgery Buchon Sejong Hospital) ;
  • Lee, Young-Tak (Department of Thoracic & cardiovascular Surgery Buchon Sejong Hospital) ;
  • Park, Young-Kwan (Department of Thoracic & cardiovascular Surgery Buchon Sejong Hospital) ;
  • Hong, Sung-Nok (Department of Thoracic & cardiovascular Surgery Buchon Sejong Hospital) ;
  • Lee, Yung-Kyoon (Department of Thoracic & cardiovascular Surgery Buchon Sejong Hospital)
  • 김혁 (부천세종병원 흉부외과학교실) ;
  • 유재현 (부천세종병원 흉부외과학교실) ;
  • 서필원 (부천세종병원 흉부외과학교실) ;
  • 이원용 (부천세종병원 흉부외과학교실) ;
  • 백완기 (부천세종병원 흉부외과학교실) ;
  • 박국양 (부천세종병원 흉부외과학교실) ;
  • 이영탁 (부천세종병원 흉부외과학교실) ;
  • 박영관 (부천세종병원 흉부외과학교실) ;
  • 홍승록 (부천세종병원 흉부외과학교실) ;
  • 이영균 (부천세종병원 흉부외과학교실)
  • Published : 1994.04.01
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Abstract

Between 1985 and 1993, 29 children from 1 to 15 years of age have undergone cardiac valve replacements at Buchon Sejong Hospital. The patients were composed of 20 males and 9 females and 17 patient had congenital heart disease and 12 patients had acquired heart disease. Two of these patients have had second valve replacements due to paravalvular leakage and valve thrombosis. Single valve replacements were 29 and double valve replacements were 2. All the patients had received prosthetic valves except one. Among the 25 patients who had definite post-operative records, the overall mortality was 12%[4% was early mortality and 8% was late mortality].25 patients were followed up with coumadin anticoagulation for total 633 patient-months[minimum 2 months to maximum 93 months, mean 25.3 months] and actuarial survival rate was 88.5 $\pm$ 6.3% at 7 years and event free rate was 70.3 $\pm$ 11.7% at 7 years. These results suggest that pediatric valve replacements can now be performed at a low operative risk although various problems are still remained and the choice of valve is prosthetic valve mainly due to its durability at the present time.

Keywords

References

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