Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지

Extended Unroofing Procedure for Creation of a New Ostium for an Anomalous Right Coronary Artery Originating from the Left Coronary Sinus - A case report -

좌관상동맥동에서 이상 기시하는 유관상동맥 질환에서 새로운 개구부를 만드는 Extended Unroofing 수술 - 1예 보고 -

  • Park, Jung-Sik (Department of Thoracic and Cardiovascular Surgery, Gil Medical Center, Gachon University of Medicine and Science) ;
  • Lee, Hyang-Lim (Department of Thoracic and Cardiovascular Surgery, Gil Medical Center, Gachon University of Medicine and Science) ;
  • Kim, Keun-Woo (Department of Thoracic and Cardiovascular Surgery, Gil Medical Center, Gachon University of Medicine and Science) ;
  • Choi, Chang-Hyu (Department of Thoracic and Cardiovascular Surgery, Gil Medical Center, Gachon University of Medicine and Science) ;
  • Lee, Jae-Ik (Department of Thoracic and Cardiovascular Surgery, Gil Medical Center, Gachon University of Medicine and Science) ;
  • Jean, Yang-Bin (Department of Thoracic and Cardiovascular Surgery, Gil Medical Center, Gachon University of Medicine and Science) ;
  • Park, Kook-Yang (Department of Thoracic and Cardiovascular Surgery, Gil Medical Center, Gachon University of Medicine and Science) ;
  • Park, Chul-Hyun (Department of Thoracic and Cardiovascular Surgery, Gil Medical Center, Gachon University of Medicine and Science)
  • 박정식 (가천의과학대학교 길병원 흉부외과학교실) ;
  • 이향림 (가천의과학대학교 길병원 흉부외과학교실) ;
  • 김건우 (가천의과학대학교 길병원 흉부외과학교실) ;
  • 최창휴 (가천의과학대학교 길병원 흉부외과학교실) ;
  • 이재익 (가천의과학대학교 길병원 흉부외과학교실) ;
  • 전양빈 (가천의과학대학교 길병원 흉부외과학교실) ;
  • 박국양 (가천의과학대학교 길병원 흉부외과학교실) ;
  • 박철현 (가천의과학대학교 길병원 흉부외과학교실)
  • Published : 2008.02.05
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Abstract

An anomalous origin of the coronary artery with subsequent coursing between the great vessels is a rare congenital heart defect that may cause myocardial ischemia and sudden death. Several surgical techniques have been described to address this defect. An extended unroofing procedure to create an alternative ostium for the right coronary artery was successfully carried out in a patient having an anomalous origin of the right coronary artery. The newly constructed orifice was widely patent 3 months later, without any episodes of myocardial ischemia or aortic regurgitation.

대혈관 사이로 주행하는 관상동맥의 이상 기시는 매우 드문 심기형으로 심근허혈이나 급사를 초래할 수 있다. 이런 기형을 교정하기 위해 몇몇 술식들이 소개되어 왔다. 우관상동맥의 이상기시 환자에서 우관상동맥의 또 다른 개구부를 만들어주는 Extended Unroofing 술식을 성공적으로 수행하였다. 술 후 3개월 째 심근허혈이나 대동맥판막역류증 없이 새로 만든 개구부는 넓게 잘 유지되었다.

Keywords

References

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