Journal of Chest Surgery

  • 제41권6호
  • /
  • Pages.759-763
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  • 2008
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  • 2765-1606(pISSN)
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  • 2765-1614(eISSN)
대한심장혈관흉부외과학회 (The Korean Society for Thoracic and Cardiovascular Surgery)
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좌측 전폐절제술을 받았던 환자에서 시행한 승모 판막 치환술

Mitral Valve Replacement following Prior Left Pneumonectomy

  • 이근동 (울산대학교 의과대학 서울아산병원 흉부외과학교실) ;
  • 정철현 (울산대학교 의과대학 서울아산병원 흉부외과학교실) ;
  • 정재승 (울산대학교 의과대학 서울아산병원 흉부외과학교실) ;
  • 이재훈 (울산대학교 의과대학 서울아산병원 흉부외과학교실) ;
  • 정성호 (울산대학교 의과대학 서울아산병원 흉부외과학교실)
  • Lee, Geun-Dong (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Chung, Cheol-Hyun (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Jung, Jae-Seung (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Lee, Jae-Hoon (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Jung, Sung-Ho (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine)
  • 발행 : 2008.12.05
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초록

전폐절제술을 받았던 환자에서 시행하는 심장 수술은 수술 후 합병증과 사망의 위험이 높다. 내원 33년전 폐결핵으로 좌측 전폐절제술을 받았던 71세 남자환자에서 승모판막 치환술 및 삼첨판막륜 성형술을 성공적으로 시행하였기에 증례와 함께 수술 전 후 폐기능 저하의 예방, 수술 중 승모판막의 노출 및 수술 후 발생한 부정맥에 대한 내용을 문헌고찰과 함께 보고하는 바이다.

Cardiac surgery in patients with a prior pneumonectomy has a high prevalence of postoperative complications and mortality. We have successfully performed a mitral valve replacement and tricuspid annuloplasty in a 71-year-old man who had a left pneumonectomy 33 years previously due to pulmonary tuberculosis. We report this case with a literature review on the issue of the prevention perioperative pulmonary impairment, the technique of mitral valve exposure during surgery and postoperative rhythm disturbance.

키워드

참고문헌

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