Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Mitral Insufficiency due to Isolated Cleft Mitral Valve in Anterior Mitral Leaflet - A case report-

단독 승모판막 전소엽 열구로 인한 승모판막폐쇄부전 -1예 보고-

  • Ko Moo Sung (Department of Thoracic and Cardiovascular Surgery, School of Medicine, Catholic University of Daegu) ;
  • Kwon Oh Choon (Department of Thoracic and Cardiovascular Surgery, School of Medicine, Catholic University of Daegu) ;
  • Ahn Wook Su (Department of Thoracic and Cardiovascular Surgery, School of Medicine, Catholic University of Daegu) ;
  • Lee Sub (Department of Thoracic and Cardiovascular Surgery, School of Medicine, Catholic University of Daegu) ;
  • Bae Chi Hoon (Department of Thoracic and Cardiovascular Surgery, School of Medicine, Catholic University of Daegu) ;
  • Park Ki Sung (Department of Thoracic and Cardiovascular Surgery, School of Medicine, Catholic University of Daegu)
  • 고무성 (대구가톨릭대학교 의과대학 흉부외과학교실) ;
  • 권오춘 (대구가톨릭대학교 의과대학 흉부외과학교실) ;
  • 안욱수 (대구가톨릭대학교 의과대학 흉부외과학교실) ;
  • 이섭 (대구가톨릭대학교 의과대학 흉부외과학교실) ;
  • 배지훈 (대구가톨릭대학교 의과대학 흉부외과학교실) ;
  • 박기성 (대구가톨릭대학교 의과대학 흉부외과학교실)
  • Published : 2005.04.01
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Abstract

A 45 year-old man who suffered with palpitation and dyspnea for 3 years visited our hospital. He was dianosed as mitral insufficieny due to isolated cleft mitral valve in anterior mitral leaflet on the basis of transthoracic echocardiogram In our case edges of the cleft were relatively thin and smooth. The entire length of the cleft was sutured with 5-0 Prolene? interrupted sutures. We report a case of direct suture repair in a patient with isolated cleft in anterior mitral valve leaflet.

45세 남자 환자가 3년간 심계항진 및 호흡곤란을 주소로 내원하여 경흉부 심초음파를 시행한 결과 단독 승모판막 열구로 인한 승모판막 폐쇄 부전로 진단되었다. 본원에서 경험한 경우는 승모판막 전소엽 열구의 양 가장자리의 섬유화 반응이 심하지 않고 판막조직이 부족하지 않아 직접 봉합으로 교정이 가능할 것으로 판단되어 5-0 Prolene을 이용하여 열구의 양 가장자리를 비연속적으로 봉합하였다. 수술 후 승모판막 폐쇄부전의 교정에 좋은 결과를 얻어 문헌고찰과 함께 보고한다.

Keywords

References

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