Journal of Chest Surgery

  • 제41권3호
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  • Pages.363-365
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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)
권호 표지

소아에서 부승모판막(Accessoy Mitral Valve Tissue)에 의한 좌심실 유출로 협착 - 1예 보고 -

Left Ventricular Outflow Tract Obstruction Caused by Accessory Mitral Valve Tissue in a Child -A case report-

  • 이정은 (경상대학교 의과대학 흉부외과학교실, 경상대학교 건강과학원) ;
  • 이상호 (경상대학교 의과대학 흉부외과학교실, 경상대학교 건강과학원) ;
  • 최준영 (경상대학교 의과대학 흉부외과학교실, 경상대학교 건강과학원) ;
  • 양준호 (경상대학교 의과대학 흉부외과학교실, 경상대학교 건강과학원)
  • Lee, Chung-Eun (Department of Thoracic and Cardiovascular Surgery, Gyeongsang National University School of Medicine, Gyeongsang National University Institute of Health Sciences) ;
  • Lee, Sang-Ho (Department of Thoracic and Cardiovascular Surgery, Gyeongsang National University School of Medicine, Gyeongsang National University Institute of Health Sciences) ;
  • Choi, Jun-Young (Department of Thoracic and Cardiovascular Surgery, Gyeongsang National University School of Medicine, Gyeongsang National University Institute of Health Sciences) ;
  • Yang, Jun-Ho (Department of Thoracic and Cardiovascular Surgery, Gyeongsang National University School of Medicine, Gyeongsang National University Institute of Health Sciences)
  • 발행 : 2008.06.05
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초록

부승모판막(accessory mitral valve tissue)은 매우 드문 선천성 심장병이며, 좌심실 유출로 협착(left ventricular outflow tract obstruction)의 드문 원인 중의 하나이다. 심수축기시에 부승모판막이 낙하산처럼 펴지며 잡아당기고 있어서 앞승모판막첨(anterior mitral valve leaflet)이 좌심실 유출로 쪽으로 당겨지면서 유출로 협착을 유발한다. 저자들은 본 환자에서 심초음파 검사를 통해 대동맥판막하 협착(subaortic stenosis)의 진단 하에 수술을 하였으며, 수술 중 부승모판막을 화인하고 수술을 하였기에 증례 보고를 하는 바이다.

Accessory mitral valve tissue is a very rare congenital cardiac malformation and it is an uncommon cause of left Ventricular outflow tract obstruction(LVOTO). The pathogenetic mechanism of subaortic obstruction is thought to be systolic ballooning of the abnormal valve tissue into LVOT. We are reporting a case of an accessory mitral valve tissue that was associated with LVOTO, and this was completely relieved after trans-aortic surgical excision of the accessory tissue.

키워드

참고문헌

  1. McLean LD, Culligan JA, Kane DJ. Subaortic stenosis due to accessory tissue on mitral valve. J Thorac Cardiovasc Surg 1963;45:382-7
  2. Iba Y, Saito S, Kawai A. Mitral valve prolapse associated withaccessory mitral valve. Circulation 2005;111:107 https://doi.org/10.1161/01.CIR.0000156459.33167.ED
  3. Uslu N, Gorgulu S, Yildirim A, Eren M. Accessory mitral valve tissue: report of two asymptomatic cases. Cardiology 2006;105:155-7 https://doi.org/10.1159/000091290
  4. Tanaka H, Okada K, Yamshita T, Nakagiri K, Matsumori M, Okita Y. Accessory mitral valve causing left ventricular outflow tract obstruction and mitralinsufficiency. J Thorac Cardiovasc Surg 2006;132:160-1 https://doi.org/10.1016/j.jtcvs.2006.01.062
  5. Aoka Y, Ishizuka N, Sakomura Y, et al. Accessory mitral valve tissue causing severe left ventricular outflow tract obstruction in an adult. Ann Thorac Surg 2004;77:713-5 https://doi.org/10.1016/S0003-4975(03)01217-7
  6. Prifti E, Frati G, Bonacchi M, Vanini V, Chauvaud S. Accessory mitral valve tissue causing left ventricular outflow tract obstruction: case reports and literature review. J Heart Valve Dis 2001;10:774-8
  7. Costa J, Almeida J, Barreiros F, Sousa R. Accessory mitral valve as cause of left ventricular obstruction in the adult. J Thorac Cardiovasc Surg 2003;125:1531-2 https://doi.org/10.1016/S0022-5223(03)00083-7