Journal of Chest Surgery

  • 제40권6호
  • /
  • Pages.441-444
  • /
  • 2007
  • /
  • 2765-1606(pISSN)
  • /
  • 2765-1614(eISSN)
대한심장혈관흉부외과학회 (The Korean Society for Thoracic and Cardiovascular Surgery)
권호 표지

말판 증후군 환자에서 승모판막 역류의 교정을 위해 시행된 슬라이드 판막륜 성형술 및 판막륜 주름 성형술

Annular Plication Technique to Facilitate Sliding Annuloplasty in a Marfan's Syndrome Patient

  • 제형곤 (울산대학교 의과대학 서울아산병원 흉부외과학교실) ;
  • 이재원 (울산대학교 의과대학 서울아산병원 흉부외과학교실)
  • Je, Hyoung-Gon (Department of Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Lee, Jae-Won (Department of Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine)
  • 발행 : 2007.06.05
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

슬라이드 판막륜 성형술은 승모판막 폐쇄 부전증 환자에서 승모판막 성형술 후 드물게 발생하는 승모판막 전엽의 전방 운동의 발생을 막는 효과가 있다. 저자들은 과도한 판막륜 조직과 심각한 판막륜이완으로 인해 발생한 승모판막 역류를 보이는 말판 증후군 환자에서 벽측 판막륜 주름을 잡아 광범위한 사각절제술과 슬라이드 판막륜 성형술을 용이하게 하여 성공적인 판막 성형술을 시행하였기에 보고하는 바이다.

Sliding annuloplasty has been used for mitral valve repair in conjunction with posterior leaflet quadrangular resection to avoid systolic anterior motion of the anterior leaflet of the mitral valve. Herein, we report on a case of successful mitral valve repair with using the annular plication technique to facilitate sliding annuloplasty and extensive quadrangular resection was also done for treating a Marfan's syndrome patient who had an extremely redundant leaflet and a severely dilated annulus.

키워드

참고문헌

  1. Pyeritz RE. The marfan syndrome. Annu Rev Med 2000; 51:481-510 https://doi.org/10.1146/annurev.med.51.1.481
  2. Pyeritz RE, Wappel MA. Mitral valve dysfunction in the Marfan syndrome. clinical and echocardiographic study of prevalence and natural history. Am J Med 1983;74:797-807 https://doi.org/10.1016/0002-9343(83)91070-7
  3. Fuzellier JF, Chauvaud S, Fornes P, et al. Surgical man agement of mitral regurgitation associated with marfan's syndrome. Ann Thorac Surg 1998;66:68-72 https://doi.org/10.1016/S0003-4975(98)00314-2
  4. Adams DH, Filsoufi F. Another chapter in an enlarging book: repair degenerative mitral valves. J Thorac Cardiovasc Surg 2003;125:1197-9 https://doi.org/10.1016/S0022-5223(03)00576-2
  5. Bhudia SK, Troughton R, Lam BK, et al. Mitral valve surgery in the adult marfan syndrome patient. Ann Thorac Surg 2006;81:843-8 https://doi.org/10.1016/j.athoracsur.2005.08.055
  6. Marslow AD, Regan MM, Haering JM, et al. Echocardiographic Echocardiographic predictors of left ventricular outflow tract obstruction and systolic anterior motion of the mitral valve after mitral valve reconstruction for myxomatous valve disease. J Am Coll Cardiol 1999;34:2069-104
  7. Carpentier A. The sliding leaflet technique. Club Mirale Newslett 1988;1:2-3
  8. Gillinov AM, Cosgrove DM. Mitral valve repair for degenerative disease. J Heart Valve Dis 2002;11(Suppl 1):15-20