Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Hybrid Procedure for Muscular Ventricular Septal Defects -2 case reports-

근육형 심실중격결손에 대한 하이브리드 수술법 -2예 보고-

  • Choi, Seon-Uoo (Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Yang, Ji-Hyuk (Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Jun, Tae-Gook (Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Park, Pyo-Won (Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Min, Sun-Kyung (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Inje University, Seoul Paik Hospital) ;
  • Kang, I-Seok (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 최선우 (성균관대학교 의과대학 삼성서울병원 흉부외과학교실) ;
  • 양지혁 (성균관대학교 의과대학 삼성서울병원 흉부외과학교실) ;
  • 전태국 (성균관대학교 의과대학 삼성서울병원 흉부외과학교실) ;
  • 박표원 (성균관대학교 의과대학 삼성서울병원 흉부외과학교실) ;
  • 민선경 (인제대학교 의과대학 서울백병원 흉부외과학교실) ;
  • 강이석 (성균관대학교 의과대학 삼성서울병원 소아과학교실)
  • Published : 2008.12.05
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Abstract

Although surgical closure is the standard approach for a muscular ventricular septal defect, the procedure may be complicated by poor visualization and the need for incision on the ventricle. Another approach is, catheter-based intervention. However, it also has limitations. A hybrid procedure, the intraoperative combined use of an interventional device may reduce the procedure's invasiveness. We successfully managed two cases of muscular ventricular septal defect with a hybrid procedure. We report here on these 2 cases along with a review of the literature.

근육형 심실중격결손의 표준적 치료로 알려져 있는 수술적 폐쇄는 시야확보가 어려울 경우 여러 합병증을 야기할 수 있으며 심실절개를 요하는 경우도 있다. 다른 접근법으로는 카테터 기구를 기반으로 하는 중재술이 있지만 이 또한 제한점이 있다. 수술적 치료와 중재술을 조합한 하이브리드 수술은 이러한 경우에 있어 침습성을 줄일 수 있다. 저자들은 근육형 심실중격결손에 대한 하이브리드 수술을 2예 시행하여 만족할 만한 결과를 얻었기에 문헌고찰과 함께 보고하고자 한다.

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References

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