Clinical and Experimental Pediatrics

대한소아청소년과학회 (The Korean Pediatric Society)
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총 폐정맥 환류 이상 완전교정술 후 이차적으로 발생한 폐정맥 협착에서 스텐트 삽입술 2례

Stent implantation to relieve secondary pulmonary venous stenosis in total anomalous pulmonary venous connection: case report

  • 신윤호 (포천중문 의과대학교 소아과학교실) ;
  • 김기은 (포천중문 의과대학교 소아과학교실) ;
  • 권해식 (연세대학교 의과대학 소아과학교실 심장혈관병원 소아심장과) ;
  • 유병원 (연세대학교 의과대학 소아과학교실 심장혈관병원 소아심장과) ;
  • 최재영 (연세대학교 의과대학 소아과학교실 심장혈관병원 소아심장과)
  • Shin, Youn Ho (Department of Pediatrics, Pochon CHA University College of Medicine) ;
  • Kim, Ki Eun (Department of Pediatrics, Pochon CHA University College of Medicine) ;
  • Kwon, Hae Sik (Division of Pediatric Cardiology, Department of Pediatrics, Severance Cardiovascular Center, Yonsei University College of Medicine) ;
  • Yoo, Byung Won (Division of Pediatric Cardiology, Department of Pediatrics, Severance Cardiovascular Center, Yonsei University College of Medicine) ;
  • Choi, Jae Young (Division of Pediatric Cardiology, Department of Pediatrics, Severance Cardiovascular Center, Yonsei University College of Medicine)
  • 투고 : 2007.07.09
  • 심사 : 2007.08.01
  • 발행 : 2007.09.15
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초록

폐정맥 협착은 선천적 또는 총 폐정맥 환류 이상 완전교정술 후에 이차적으로 발생한다. 선천적, 후천적 폐정맥 협착은 많은 연구에도 불구하고 예후가 대단히 불량한 것으로 알려져 있다. 저자들은 총 폐정맥 환류 이상 완전교정술 후에 이차적으로 발생한 폐정맥 협착 환아 2명에게 풍선 혈관 성형술 후 협착부가 다시 좁아져서 스텐트 삽입술을 시행하여 증상이 호전되다가 다시 진행성 협착이 발생하여 사망한 2례를 보고하는 바이다.

Pulmonary venous stenosis may be congenital or acquired. Regardless of its origin, the prognosis for patients affected with PVS remains poor. There have been many attempts to palliate PVS with little success. This report describes two patients with PVS which became evident after repair of total anomalous pulmonary venous connection. Intravascular stents were successfully implanted, but progressive restenoses in the stents occurred and eventually both of the patients died. The pertinent literature is reviewed.

키워드

참고문헌

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