Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Tricuspid Valve Insufficiency due to Intracardiac Migration of a Stent Inserted into Rt. Subclavian Vein to the Right Ventricle after the Treatment of Central Venous Stenosis

중심정맥 협착 환자에서 우측 쇄골하정맥에 삽입한 스텐트의 우심실 이동으로 인한 삼첨판막 폐쇄부전 치험

  • Cho, Seong-Ho (Department of Thoracic and Cardiovascular Surgery, Gospel Hospital, College of Medicine, Kosin University) ;
  • Cho, Sung-Rae (Department of Thoracic and Cardiovascular Surgery, Gospel Hospital, College of Medicine, Kosin University) ;
  • Park, Eok-Sung (Department of Thoracic and Cardiovascular Surgery, Gospel Hospital, College of Medicine, Kosin University) ;
  • Kim, Jong-In (Department of Thoracic and Cardiovascular Surgery, Gospel Hospital, College of Medicine, Kosin University)
  • 조성호 (고신대학교 의과대학 복음병원 흉부외과학교실) ;
  • 조성래 (고신대학교 의과대학 복음병원 흉부외과학교실) ;
  • 박억숭 (고신대학교 의과대학 복음병원 흉부외과학교실) ;
  • 김종인 (고신대학교 의과대학 복음병원 흉부외과학교실)
  • Received : 2010.08.30
  • Accepted : 2010.11.11
  • Published : 2010.12.05
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Abstract

Two stents were placed across the right subclavian vein due to stenosis of the right subclavian vein in a 40-year-old patient with chronic renal failure on hemodialysis. During the follow up period, one of stents migrated into the right ventricle inducing tricuspid valve insufficiency. Percutaneous stent removal had failed and the stent was removed by open heart surgery with Tricuspid valve repair with a good result, and then we report the case.

투석중인 40세의 만성 신부전 환자가 우측 쇄골하정맥 협착증으로 지역병원에서 2개의 스텐트를 삽입하였다. 경과 관찰 중 한 개의 스텐트가 우심실로 이동하면서 삼첨판막 폐쇄부전이 발생하였다. 경피적으로 스텐트 제거를 시도하였으나 실패하여 개흉 성장수술로 제거하면서 삼첨판막 성형술을 시행하여 좋은 결과를 보였기에 보고하고자 한다.

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References

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