Journal of Chest Surgery

  • 제27권4호
  • /
  • Pages.266-271
  • /
  • 1994
  • /
  • 2765-1606(pISSN)
  • /
  • 2765-1614(eISSN)
대한심장혈관흉부외과학회 (The Korean Society for Thoracic and Cardiovascular Surgery)
권호 표지

소아심장판막치환술

Pediatric Valve Replacement

  • 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)
  • 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)
  • 발행 : 1994.04.01
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

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.

키워드

참고문헌

  1. J Thorac Cardiovasc Surg v.78 Cardiac valve replacement n children: comparison of tissue with mechanical prosthesis Sade,R.M.;Ballengen,J.F.;Hohn,A.R.(et al.)
  2. J Thorac Cardiovasc Surg v.83 Valve replacement in children: A fifteen-year prospective Gardner,T.J.;Roland,J.M.A.;Neill,C.A.(et al.)
  3. 대흉외지 v.21 소아심장판막치환술의 장기성적 한재진;김용진;노준량;서경필
  4. Am Heart J v.91 Long-term survival following Aortic valve replacement Robeits,D.L.;DeWeese,J.A.;Mahoney,E.B.(et al.)
  5. J Thorac Surg v.71 Results of mitral valve replacement with the Beall prosthesis in 209 patients Fernandez,J.;Morse,D.;Spagna,P.(et al.)
  6. Am Heart J v.92 Living with prosthetic heart valves Katholi,R.E.;Nolan,S.P.;McGuire,L.B.
  7. Ann Thorac Surg v.44 Valve replacement in children: Guidelines for selection of prosthesis and timing of surgical intervention Ilbawi,M.N.;Idriss,F.S.;Deleon,S.Y.(et al.)
  8. J Thorac Cardiovasc Surg v.86 Early experience with the Ionescu-Shiley pericardial xenograft valve. Accelerated calcification in children Walker,W.E.;Duncan,J.M.;Frazier,O.H.(et al.)
  9. J Thorac Cardiovasc Surg v.84 Porcine heterograft valve replacement in children Williams,D.B.;Danielson,G.K.;McGoon,D.C.(et al.)
  10. Am J Cardiol v.46 Use of Hancock porcine xenografis in children and adolescents Sanders,S.P.;Levy,R.J.;Freed,M.D.(et al.)
  11. J Pediatric v.80 Replacement of cardiac valves in children Klint,R.;Hernandez,A.;Weldon,C.(et al.)
  12. J Thorac Cardiovasc Surg v.78 Patch enlargement of the aortic valve ring by extending the aortic incision into the anterior mitral leaflet New operative technique Manouguian,S.;Epting,W.S.
  13. Ann Thorac Surg v.31 Results of aortic valve replacement in patients with a narrow aortic annulus:Effects of enlargement of the aortic annulus Mori,T.;Kawashima,Y.;Kitamura,S.
  14. J Thorac Cardiovasc Surg v.100 Mitral valve replacement in the first year of life Kadoba,K.;Jonas,R.A.;Mayer,J.E.;Castaneda,A.R.
  15. J Thorac Cardiovasc Surg v.93 Prosthetic heart valve replacement in children. Results and follow up of 273 patients Makhlouf,A.E.I.;Friedli,B.;Oberh nsli I.(et al.)
  16. J Thorac Cardiovasc Surg v.86 Mitral valve replacement in the young patient with rheumatic heart disease John,S.;Bashi,V.V.;Jairaj,P.S.(et al.)
  17. J Thorac Cardiovasc Surg v.93 long-term follow up of viable frozen aortic homografts: A viable homograft valve bank Angel,W.W.;Angell,J.D.;Oury,J.H.(et al.)
  18. J Thorac Cardiovasc Surg v.94 A comparison of aortic valve replacement with viable cryopreserved and fresh allograft valves, with a note on chromosomal studies O'Brien,M.F.;Stafford,E.G.;Gardner,M.A.(et al.)