Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Surgical Management of Aortic Valve Injury after Nonpenetrating Trauma

외상성 대동맥 판막 손상의 수술적 처치

  • Seo, Yeon-Ho (Department of Thoracic and Cardiovascular Surgery, Chonbuk National University School of Medicine) ;
  • Kim, Kong-Soo (Department of Thoracic and Cardiovascular Surgery, Chonbuk National University School of Medicine) ;
  • Kim, Jong-Hun (Department of Thoracic and Cardiovascular Surgery, Chonbuk National University School of Medicine)
  • 서연호 (전북대학교 의과대학 흉부외과학교실) ;
  • 김공수 (전북대학교 의과대학 흉부외과학교실) ;
  • 김종헌 (전북대학교 의과대학 흉부외과학교실)
  • Published : 2007.03.05
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Abstract

We present 2 cases of patients who underwent surgical repair and replacement of an injured aortic valve that was secondary to nonpenetrating trauma. Primary repair was undertaken on an 18-year old boy, but he had persistent moderate aortic regurgitation for five years after surgery. Another 64-year old man was treated successfully with surgical replacement of the aortic valve via employing a prosthetic mechanical valve. Attempts at valvuloplasty for the treatment of traumatic aortic valve injury have not been uniformly successful, and prosthetic valve replacement is recommended for repair, except for highly selected cases.

외상성 대동맥판막 손상 환자에게 대동맥 판막 성형술과 대동맥 판막 치환술로 각각 치료한 2예를 보고한다. 한 명은 18세 남자 환자로 대동맥 판막 성형술을 시행하였으나 수술 후 5년째 중등도의 잔존한 대동맥판막폐쇄부전증으로 추적관찰 중이며 다른 64세 남자 환자는 기계판막 치환술 후 관찰 중이다. 신중하게 선택된 일부의 환자를 제외한 외상성 대동맥판막폐쇄부전증에는 판막치환술을 우선적 수술 방법으로 귄유한다.

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References

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