Journal of Chest Surgery

  • 제40권5호
  • /
  • Pages.376-379
  • /
  • 2007
  • /
  • 2765-1606(pISSN)
  • /
  • 2765-1614(eISSN)
대한심장혈관흉부외과학회 (The Korean Society for Thoracic and Cardiovascular Surgery)
권호 표지

심장 자상 후에 발생된 삼첨판막 폐쇄부전의 삼첨판막 성형술 - 1예 보고 -

Tricuspid Valve Repair for Tricuspid Valve Insufficiency Following a Cardiac Stab Injury - One case report -

  • 김동현 (순천향대학교 의과대학 천안병원 흉부외과학교실) ;
  • 이승진 (순천향대학교 의과대학 천안병원 흉부외과학교실) ;
  • 이철세 (순천향대학교 의과대학 천안병원 흉부외과학교실) ;
  • 이길노 (순천향대학교 의과대학 천안병원 흉부외과학교실) ;
  • 이석열 (순천향대학교 의과대학 천안병원 흉부외과학교실)
  • Kim, Dong-Hyun (Department of Thoracic and Cardiovascular Surgery, Cheonan Hospital, Soonchunhyang University College of Medicine) ;
  • Lee, Seong-Jin (Department of Thoracic and Cardiovascular Surgery, Cheonan Hospital, Soonchunhyang University College of Medicine) ;
  • Lee, Chol-Sae (Department of Thoracic and Cardiovascular Surgery, Cheonan Hospital, Soonchunhyang University College of Medicine) ;
  • Lee, Kihl-Rho (Department of Thoracic and Cardiovascular Surgery, Cheonan Hospital, Soonchunhyang University College of Medicine) ;
  • Lee, Seock-Yeol (Department of Thoracic and Cardiovascular Surgery, Cheonan Hospital, Soonchunhyang University College of Medicine)
  • 발행 : 2007.05.05
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

51세 환자가 3개월 전에 심장 자상으로 본원에 입원하여 심장봉합수술을 받았다. 이후 별다른 소견 없이 지내다가 약 2개월 전부터 발생된 호흡곤란을 주소로 내원하였다. 심장초음파상 심한 삼첨판막 페쇄부전이 관찰되었으며 삼첨판막의 건삭치환술과 판윤 성형술을 실시하였다. 이에 저자들은 심장 자상 후에 발생된 삼첨판막 폐쇄부전을 판막성형술로 치료하였기에 증례보고를 하는 바이다.

A 51-year-old male was admitted three month previously with a cardiac stab injury and he underwent direct cardiac repair He had no problem after this event. He complained of dyspnea that stalled 2 months after the original injury. Echocardiography showed severe tricuspid regurgitation and so, chordac replacement and ring annuloplasty was performed. Herein we report on a case of tricuspid valve repair for treating tricuspid insufficiency following a cardiac stab injury.

키워드

참고문헌

  1. Knott-Craig CJ, Dalton RP, Rossouw GJ, Barnard PM. Penetrating cardiac trauma: management strategy based on 129 surgical emergencies over 2 year. Ann Thorac Surg 1992; 53:1006-9 https://doi.org/10.1016/0003-4975(92)90375-E
  2. McDonald ML, Orszulak TA, Bannon MP, Zietlow SP. Mitral valve injury after blunt chest trauma. Ann Thorac Surg 1996; 61:1024-9 https://doi.org/10.1016/0003-4975(95)01034-3
  3. Morelli S, Perrone C, Bernardo ML, Voci P. Flail tricuspid valve in a patient with history of stab chest wound. Int J Cardiol 1998;66:111-3 https://doi.org/10.1016/S0167-5273(98)00142-9
  4. Topaloglu S, Aras D, Cagli K, et al. Penetrating trauma to the mitral valve and ventricular septum. Tex Heart Inst J 2006; 33:392-5
  5. Chirillo F, Totis O, Cavarzerani A, et al. Usefulness of transthoracic and transoesophageal echocardiography in recognition and management of cardiovascular injuries after blunt chest trauma. Heart 1996;75:301-6 https://doi.org/10.1136/hrt.75.3.301
  6. Shabidnoorai S, Ameli M. Post traumatic tricuspid insufficiency: when to intervene? J Cardiovasc Surg (Torino) 1991; 32:585-8
  7. Mukherjee D, Nader S, Olano A, Garcia MJ, Griffin BP. Improvement in right ventricular systolic function after surgical correction of isolated tricuspid regurgitation. J Am Soc Echocardiogr 2000;13:650-4 https://doi.org/10.1067/mje.2000.103958
  8. Maisano F, Lorusso R, Sandrelli L, et al. Valve repair for traumatic tricuspid regurgitation. Eur J Cardiothorac Surg 1996;10:867-73 https://doi.org/10.1016/S1010-7940(96)80313-7