Transmyocardial Laser Revascularzation for Patients with Recurrent Angina after CABG -Report of 3 cases -

관상동맥 우회로술 후 재발한 협심증의 경심근 레이저 혈류 재건술 치험 3례

  • Lee, Ho-Seok (Department of Thoracic and Cardiovascular Surgery Samsung Medical Center SungKyunkwan University School of Medicine) ;
  • Park, Kay-Hyun (Department of Thoracic and Cardiovascular Surgery Samsung Medical Center SungKyunkwan University School of Medicine) ;
  • Jun, Tae-Gook (Department of Thoracic and Cardiovascular Surgery Samsung Medical Center SungKyunkwan University School of Medicine) ;
  • Park, Pyo-Won (Department of Thoracic and Cardiovascular Surgery Samsung Medical Center SungKyunkwan University School of Medicine) ;
  • Chae, Hurn (Department of Thoracic and Cardiovascular Surgery Samsung Medical Center SungKyunkwan University School of Medicine)
  • 이호석 (성균관대학교 의과대학 삼성서울병원 흉부외과) ;
  • 박계현 (성균관대학교 의과대학 삼성서울병원 흉부외과) ;
  • 전태국 (성균관대학교 의과대학 삼성서울병원 흉부외과) ;
  • 박표원 (성균관대학교 의과대학 삼성서울병원 흉부외과) ;
  • 채헌 (성균관대학교 의과대학 삼성서울병원 흉부외과)
  • Published : 2000.07.01

Abstract

Transmycardial laser revascularization has made its position as a sole therapy for patients with chronic angina nonamenable to maximal medical therapy, percutaneous transluminal coronary angioplasty, and coronary artery bypass grafting. We report three cases of transmyocardial laser revascularization as a sole therapy for patients with recurrent angina after CABG.

경심근 레이저 혈류 재건술(transmyocardial laser revascularization, TMR)은 현재 허혈성 심질환 환자에게 널리 사용되고 있는 시술인 경피적 관상동맥 확장술(percutaneous transluminal coronary angioplasty, PTCA)과 관상동맥 우회로술(coronary artery bypass grafting, CABG)에 적응이 되지 않는 환자들에게서 단독 치료 방법으로서 자리를 잡아가고 있다. 본원에서는 관상동맥 우회로술 후에 협심증이 재발한 환자 3 례에서 단독 치료로서 경심근 레이저를 사용하였기에 그 경험을 보고하는 바이다.

Keywords

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