Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Modified Extracardiac Fontan Procedure in a Univentricular Heart with Separate Hepatic and Inferior Vena Caval Drainage

분리된 간정맥 및 하대정맥 환류를 동반한 단심실 환자에서의 변형 심장외 도관 폰탄술식 - 1례 보고 -

  • Lee, Jeong-Ryeol (Department of Thoracic and Cardiovascular Surgery, Seoul National University College of Medicine, Seoul National University Children's Hospital) ;
  • Lee, Cheul (Department of Thoracic and Cardiovascular Surgery, Seoul National University College of Medicine, Seoul National University Children's Hospital) ;
  • Chang, Ji-Min (Department of Thoracic and Cardiovascular Surgery, Seoul National University College of Medicine, Seoul National University Children's Hospital)
  • 이정렬 (서울대학교 의과대학 흉부외과학교실, 서울대학교 어린이병원 흉부외과) ;
  • 이철 (서울대학교 의과대학 흉부외과학교실, 서울대학교 어린이병원 흉부외과) ;
  • 장지민 (서울대학교 의과대학 흉부외과학교실, 서울대학교 어린이병원 흉부외과)
  • Published : 2001.10.01
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Abstract

In a patient with single ventricle associated with complex systemic and/or pulmonary venous drainage, intraatrial Fontan procedure is sometimes technically difficult due to the complex spatial relationship between their orifices in the atrium. We report a case of the modified extracardiac conduit Fontan procedure in a patient with a single ventricle in which the inferior vena cava and the hepatic vein drained separately into the atrium and the intraatrial orifice of the hepatic vein was abut to the orifice of the left lower pulmonary vein.

복잡한 체정맥 그리고/혹은 폐정맥 환류를 동반한 단심실 환자에서, 심방내 폰탄술식은 체정맥 및 폐정맥 입구들간의 복잡한 위치관계로 인하여 기술적으로 어려울 수 있다. 저자등은 간정맥과 하대정맥이 멀리 떨어져서 공통 심방으로 환류되며, 간정맥의 심방내 입구가 좌하폐정맥과 근접하였던 단심실 환자에 대해 변형 심장외 폰탄술식을 성공적으로 시행하여 이를 보고하는 바이다.

Keywords

References

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