Journal of Chest Surgery

  • 제32권11호
  • /
  • Pages.1046-1048
  • /
  • 1999
  • /
  • 2765-1606(pISSN)
  • /
  • 2765-1614(eISSN)
대한심장혈관흉부외과학회 (The Korean Society for Thoracic and Cardiovascular Surgery)
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심방중격류의 수술적 교정

Atrial Septal Aneurysm

  • 이승진 (순천향대학교 흉부외과학교실) ;
  • 이석열 (순천향대학교 흉부외과학교실) ;
  • 장인성 (순천향대학교 흉부외과학교실) ;
  • 정윤섭 (순천향대학교 흉부외과학교실) ;
  • 염욱 (순천향대학교 흉부외과학교실)
  • Lee, Seung-Jin (Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Hospital, SoonChunhyang University College of Medicine) ;
  • Lee, Seock-Yeol (Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Hospital, SoonChunhyang University College of Medicine) ;
  • Chang, In-Sung (Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Hospital, SoonChunhyang University College of Medicine) ;
  • Jeong, Yoon-Seop (Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Hospital, SoonChunhyang University College of Medicine) ;
  • Youm, Wook (Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Hospital, SoonChunhyang University College of Medicine)
  • 발행 : 1999.11.01
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초록

A life-long anticoagulation for the prevention of ischemic cerebral events by thromboemboli has been conventionally introduced for the treatment of an atrial septal aneurysm. However, due to the recent decrease of the risks in the open heart surgery, the alternative therapeutic modality has been introduced for the prevention of complications of the anticoagulation. A 41-year old female with dizziness was admitted to our hospital. She was diagnosed a shaving atrial fibrillation and a cerebellar infarction, and an atrial septal aneurysm was detected by transesophagel echocardiography that was not detected by the transthoracic echocardiography. Surgery was approached to the right submammarial anterolateral thoracotomy. The atrial septal aneurysm was obliterated by a purse-string suture and plication. Surgial results were excellent with normal sinus rhythms and esthetically satisfying appearance.

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참고문헌

  1. Am J Cardiol v.54 Aneurysm(redundancy) of the atrial septum(fossa ovale membrane) and prolapse(redundancy) of the mitral valve Roberts WC
  2. Am J Cardiol v.6 Diagnosis and classification of atrial septal aneurysm by two dimensional echocardiography : Report of 80 consecutive cases Hanley PC;Tajik AJ;Hynes JK(et al.)
  3. J Am Coll Cardiol v.18 Atrial septal aneurysm and stroke : a transesophagel echocardiographic study Pearson AC;Nagelhout D;Castello R;Goimez CR;Labovitz AJ
  4. J Am Coll Cardiol v.23 ultrasound in patients with cerebral ischemia : prevalence of findings and recurrent stroke risk Comess KA;DeRook FA;Beach KW;Lytle NJ;Golby AJ
  5. Ann Intern Med v.118 Risk factors for complication of chronic anticoagulation : a multicenter study Fihn SD;McDonell M;Martin D(et al.)