Journal of Chest Surgery

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

New Chords Formation -6 cases reports-

새로운 건삭형성술 -6례 보고-

  • 이현우 (서울중앙병원 흉부외과학교실) ;
  • 이재원 (서울중앙병원 흉부외과학교실)
  • Published : 1996.01.01
Download PDF
⟨ Previous Next ⟩

Abstract

New chords formation of mitral valve using expended-polytetrafluoroethylene sutures was performed in six patients with mitral regurgitation (MR) from April, 1994 to March, 1995. There were 3 men and 3 women whose mean age was 65 years, ranged from 55 to 75. A double-armed pledget suture was passed through the lateral portion of papillary muscle head and tied. Each arm of the suture was brought up to the free margin of the leaflet and passed through the area where the native chorda was attached. At leaflet surface, one more weaving was made. fter the lengths of the two arms were adjusted, the ends were tied. There were no operative deaths. Patients have been followed up from 2 to 13 months, mean 8. Echocardiographic sutudies were performed at 10 days after operation and revealed normal mitral valve function in all patients.

1994년 4월부터 1995년 3월까지 승모판폐쇄부전 환자 6명에서 확장성 polytetrafluoroethylene을 사용하여 건삭재건 수술술기인 새로운 건삭형성술을 이용하여 승모판 재건을 시도하였다. 승모판 폐쇄부전의 원인으로는 3명에서 전첨탈출(anterior leaflet prolapse), 나머지 3명은 양첨탈출(both leaflet prolapse)이었다. 6례 환자의 평균연령은 65세(범위 55∼75)였으며, 남성 3명, 여성 3명이었다. 수술 사망례는 없었고, 수술후 합병증 없이 퇴원하여 현재 관찰중이다.

Keywords

References

  1. J Thorac Cardiovasc Surg v.86 Cardiac valve surgery-the French correction Carpentier,A.
  2. Ann Surg v.157 The repair of mitral insufficiency associated with ruptured chordae tendineae Kay,J.H.;William,S.;Egerton,W.S.
  3. Biologic and bioprosthetic valves Replacement of chordae tendineae of mitral valve using the new expanded PTFE suture in sheep Vetter,H.O.;Burack,J.H.;Factor,S.M.;Maculso,F.;Frater,R.W.M.;Bordnar,E.(ed.);Yacoub,M.(ed.)
  4. J Thorac Cardiovasc Surg v.97 Generation of chordae tendineae with polytetrafluoroethyene stents: results of mitral valve chordal replacement in sheep Revuelta,J.M.;Garcia-Rinadli,R.;Gaite,L.;Val,F.;Garijo,F.
  5. J Thorac Cardiovasc Surg v.108 New surgical method of chordal replacement for mitral valve incompetence with echocardiographic guidace Shimono,T.;Yuasa,H.;Mizumoto,T.(et al.)
  6. Ann Thorac Surg v.45 Treatment of ruptured or elongated anterior mitral valve chordae by partial transposition of the posterior leaflet : experience with 29 patients Lessana,A.;Romano,M.;Lutfallf,G.(et al.)
  7. J Cardiac Surg v.4 Replacement of chordae tendineae with expanded polytetrafluoroethylene sutures David,T.E.
  8. Ann Thorac Surg v.50 Artificial mitral valve chordae : experimental and clinical experience Zussa,C.;Frater,R.W.M.;Polesel,E.(et al.)