Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Occlusion of the Right Coronary Artery Ostium due to Rheumatic Aortic Valve Stenosis

류마티스성 대동맥 판막협착증에 의한 우관상동맥 개구부 폐쇄

  • Seo, Hong-Joo (Department of Thoracic and Cardiovascular Surgery, Chosun University College of Medicine) ;
  • Oh, Sam-Se (Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Heart Research Institute) ;
  • Kim, Jae-Hyun (Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Heart Research Institute) ;
  • Kim, Soo-Cheol (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Kyung Hee University) ;
  • Na, Chan-Young (Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Heart Research Institute)
  • 서홍주 (조선대학교 의과대학 흉부외과학교실) ;
  • 오삼세 (부천세종병원 흉부외과, 세종심장연구소) ;
  • 김재현 (부천세종병원 흉부외과, 세종심장연구소) ;
  • 김수철 (경희대학교 의과대학 흉부외과학교실) ;
  • 나찬영 (부천세종병원 흉부외과, 세종심장연구소)
  • Published : 2007.06.05
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Abstract

Occlusion of a coronary artery ostium and especially occlusion of the right by an aortic cusp is a rare condition. We experienced an adult patient with occlusion of the right coronary ostium that was due to fusion of the right coronary cusp to the aortic wall along with underlying rheumatic aortic valve stenosis. During the operation, the adherent right coronary cusp was excised. After confirming that the right coronary ostium was patent, the other cusps were removed, and this followed by replacement of the aortic valve with a mechanical valve. The postoperative course was uneventful.

관상동맥 개구부의 폐쇄, 특히 우관상판첨에 의한 경우는 매우 드물다. 저자들은 류마티스성 대동맥판막협착증과 함께 우관상판첨이 대동맥 벽에 유착되면서 발생한 우관상동맥 개구부 폐쇄를 경험하였다. 수술 시 유착된 우관상판첨을 절제한 후 우관상동맥 개구부는 폐쇄가 없음을 확인할 수 있었고 다른 판첨들을 제거한 후 기계판막을 이용하여 대동맥 판막 치환술을 시행하였다. 환자는 양호한 상태로 외래에서 추적관찰중이다.

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References

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