Arterial Switch Operation in 1140gm LBW Premie Baby with TGA, IVS

1140gm의 미숙아에 대한 동맥치환술

  • Park Soon Ik (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Lee Seung Hyun (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Park Jeong-Jun (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim Young Hwee (Department of Pediatric Cardiology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Koh Jae Kon (Department of Pediatric Cardiology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Park In-Sook (Department of Pediatric Cardiology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Seo Dong-Man (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine)
  • 박순익 (아산재단 서울아산병원 흉부외과, 소아심장외과 분과, 울산대학교 의과대학) ;
  • 이승현 (아산재단 서울아산병원 흉부외과, 소아심장외과 분과, 울산대학교 의과대학) ;
  • 박정준 (아산재단 서울아산병원 흉부외과, 소아심장외과 분과, 울산대학교 의과대학) ;
  • 김영휘 (아산재단 서울아산병원 소아과, 소아심장 분과, 울산대학교 의과대학) ;
  • 고재곤 (아산재단 서울아산병원 소아과, 소아심장 분과, 울산대학교 의과대학) ;
  • 박인숙 (아산재단 서울아산병원 소아과, 소아심장 분과, 울산대학교 의과대학) ;
  • 서동만 (아산재단 서울아산병원 흉부외과, 소아심장외과 분과, 울산대학교 의과대학)
  • Published : 2005.11.01

Abstract

Cardiac surgery in the neonate with congenital heart disease has progressed dramatically in the past three decades. However, low-birth-weight premie with congenital heart disease continue to challenge the intellectual and technical skills of those who care for them. We report a case of successful arterial switch operation in 1140g premie with TGA, IVS after 4 week care 1317gm.

최근 30년 동안 선천성 심기형의 수술적 교정은 많은 발전을 거듭해, 어리고 적은 체중에서도 큰 문제없이 시행되고 있지만, 아직 저체중(low birth weight), 극저체중(very low birth weight) 출산아의 개심술에는 많은 어려움을 겪고 있다. 본원에서는 대혈관전위증(TGA)을 동반한 태내주수 35주, 출생체중 1140g의 미숙아를 생후 27일까지 키워 체중 1317gm일때 동맥치환술을 성공적으로 시행하였으며, 추적관찰한 결과 양호하였기에 보고하는 바이다.

Keywords

References

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