Journal of Chest Surgery

  • 제28권8호
  • /
  • Pages.784-787
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  • 1995
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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

Fontan 수술 후 전폐절제술 -1례 보고-

Pneumonectomy after Fontan Operation -A Case Report-

  • 발행 : 1995.08.01
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초록

A 3-year old female who underwent modified Fontan operation for the double outlet right ventricle with hypoplastic left ventricle at the age of 15 month was admitted with hemoptysis, which was developed 4 days prior to visit. Cardiac catheterization revealed that multiple collaterals from descending thoracic aorta supplied the right lung and drained to the right pulmonary artery. Chest magnetic resonance imaging [MRI showed that the right lung was consolidated by the secondary long-term pulmonary congestion. We decided to perform pneumonectomy because the consolidated right lung and the back-flow from the right pulmonary aretry would worsen the present hemodynamic state of patient. Post-operative course was uneventful, and she could be discharged with good general conditions.

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참고문헌

  1. Ann. Thorac Surg. v.59 Extent of aortopulmonary collateral blood flow as a risk factor for Fontan operations Ichikawa,H.;Yagihara,T.;Kishimoto,H.(et al.)
  2. J. Am. Coll. Cardiol. v.22 Prevalence and risk factors for aortopulmonary collateral vessels after Fontan and bidirectional Glenn procedures Triedman,J.K.;Bridges,N.D.;Mayer,J.E.Jr.;Lock,J.E.
  3. Am. Heart J. v.84 no.4 Pulmonary complications of congenital heart dIsease : Hemoptysis Haroutunian,L.M.;Neil,C.A.
  4. 대흉외지 v.34 Fontan 수술후 저심장박출 및 지속성 흉막 삼출액 이 발생되는 해부생리학적 원인 한재진;서경필
  5. J. Thorac Cardiovasc. Surg. v.80 Orthoterminal corrective operation in the presence of severe hypoplasia of a pulmonary artery Sade,R.M.;Riopel,D.A.;Taylor,A.B.
  6. J. Thorac Cardiovasc. Surg. v.87 Management of pulmonary arteriovenous fistulas after superior vena cava-right pulmonary artery (Glenn) anastomosis Gomes,A.S.;Benson,L.;George,B.;Laks,H.
  7. J. AM. Coll. Cardiol. v.22 Coil embolization to occlude aortopulmonary collateral vessels and shunt in patients with congenital heart disease Perry,S.B.;Radtke,W.;Fellows,K.E.;Kaene,J.F.;Lock,J.E.