Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Tricuspid Replacement through Right Thoracotomy in Reoperation - A case report -

재수술 시 우측 개흉을 통한 삼첨판막 치환술 -1예 보고

  • Kim Hyuck (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hanyang University) ;
  • Han San Woong (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hanyang University) ;
  • Chung Won Sang (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hanyang University) ;
  • Kang Jung Ho (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hanyang University) ;
  • Chon Soon Ho (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hanyang University) ;
  • Lee Chul Bum (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hanyang University) ;
  • Kim Young Hak (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hanyang University)
  • 김혁 (한양대학교 흉부외과학교실) ;
  • 한산웅 (한양대학교 흉부외과학교실) ;
  • 정원상 (한양대학교 흉부외과학교실) ;
  • 강정호 (한양대학교 흉부외과학교실) ;
  • 전순호 (한양대학교 흉부외과학교실) ;
  • 이철범 (한양대학교 흉부외과학교실) ;
  • 김영학 (한양대학교 흉부외과학교실)
  • Published : 2005.10.01
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Abstract

In an extremely enlarged right heart, the repeated midline sternotomy was considered to involve the risk of massive hemorrhage. A right thoracotomy provides a convenient and safe way to approach the tricuspid valve in patient who have had previous heart surgery through a midline sternotomy.

우측심장이 매우 확장되어 있는 경우 정중흉골 재절개는 대량출혈의 위험성을 내포하고 있음을 고려해야 한다. 일차 수술에서 정중흉골절개를 통하여 수술했던 환자에서 우측개흉은 삼첨판막에 쉽고 안전하게 접근할 수 있는 방법이다.

Keywords

References

  1. Carrier M, Hebert Y, Pellerin M, et al. Tricuspid valve replacement: An analysis of 25 years of experience at a single center. Ann Thorac Surg 2003;75:47-50 https://doi.org/10.1016/S0003-4975(02)04162-0
  2. Londe S, Sugg WL. The challege of reoperation in cardiac surgery. Ann Thorac Surg 1984;37:273 https://doi.org/10.1016/S0003-4975(10)60728-X
  3. Husebey DG, Pluth JR, Piekler JM, et al. Reoperation on prosthetic heart valves. An analysis of risk factor in 552 patients. J Thorac Cardiovasc Surg 1983;86:543-52
  4. Dbritz S, Sachweh J, Walter M, Messmer BJ. Closure of atrial septal defects via limited right anterolateral thoracotomy as a minimal invasive approach in female patients. Eur J Cardiothorac Surg 1999;15:18-23 https://doi.org/10.1016/S1010-7940(98)00267-X
  5. Berreklouw E, Alifieri O. Revival of right thoracotomy to approach atrioventricular valves in reoperations. Thorac Cardiovasc Surg 1984;32:331-3 https://doi.org/10.1055/s-2007-1023417
  6. Tribble CG, Killinger WA, Harman K, Crosby IK, Nolan AP, Kron IL. Anterolateral throacotomy as an alternative to repeat median sternotomy for replacement of the mitral valve. Ann Thorac Surg 1987;43:380-2 https://doi.org/10.1016/S0003-4975(10)62807-X
  7. Kypson AP, Glower DD. Minimally invasive tricuspid operation using port access. Ann Thorac Surg 2002;74:43-5 https://doi.org/10.1016/S0003-4975(02)03598-1