• Journal of Chest Surgery
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• 제7권1호
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• pp.101-108
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• 1974

Repair of incomplete endocardial cushion defect was accomplished in two cases in September 1973 in this department. In each case a low atrial septal defect and a cleft of mitral septal cusp were found. Interrupted suture repair on the cleft mitral cusp and closure of the atrial septal defect with dacron patch were done successfully. Rigg-Kyvsgaard bubble oxygynator and Sigma motor were utilized for extracorporeal circulation. Follow up study, six months after discharge, revealed satisfactory results.

• Journal of Chest Surgery
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• 제53권5호
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• pp.306-309
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• 2020

A 59-year-old man presented for possible durable ventricular assist device (VAD) implantation. He had previously been diagnosed with congenitally corrected transposition of the great arteries, a ventricular septal defect, an atrial septal defect, pulmonary valve stenosis, and aortic valve regurgitation. In the previous 22 years, he had undergone palliative cardiac surgery 3 times. VAD implantation as a bridge to transplantation was planned. Owing to severe adhesions, mesocardia, a left ascending aorta, and moderate aortic regurgitation, we performed VAD implantation and aortic valve closure via a dual left thoracotomy and partial sternotomy.

• Journal of Chest Surgery
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• 제49권2호
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• pp.112-114
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• 2016

The half-turned truncal switch (HTTS) operation has been reported as an alternative to the Rastelli or $r{\acute{e}}paration$ $\grave{a}$ $l^{\prime}{\acute{e}}tage$ ventriculaire procedures. HTTS prevents left ventricular outflow tract (LVOT) obstruction in patients with complete transposition of the great arteries (TGA) with a ventricular septal defect (VSD) and pulmonary stenosis (PS), or in those with a Taussig-Bing anomaly with PS. The advantages of the HTTS procedure are avoidance of late LVOT or right ventricular outflow tract (RVOT) obstruction, and of overstretching of the pulmonary artery. We report the case of a patient who underwent HTTS for TGA with VSD and PS, in whom there was no LVOT obstruction and only mild aortic regurgitation and mild RVOT obstruction, including observations at 12-year follow-up. Our experience with long-term follow-up of HTTS supports a solution for late complications after the Rastelli procedure.

• Journal of Chest Surgery
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• 제43권4호
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• pp.417-420
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• 2010

다중판막을 침범한 감염성 심내막염은 단일 심내막염에 비해 사망률이 높고 합병증의 발생이 빈번하여 일반적으로 조기수술이 권장된다. 저자들은 고열을 주소로 입원한 46세 환자에서 심초음파 검사로 폐동맥판막, 삼첨판막, 승모판막을 침범한 급성 심내막염 및 심실중격결손을 진단하였고, 항생제 치료에도 감염증이 악화되어 응급수술을 시행하였다. 비교적 드문 증례를 성공적으로 치료하였기에 문헌고찰과 함께 보고하는 바이다.

• Journal of Chest Surgery
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• 제19권4호
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• pp.627-632
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• 1986

This report describes our 17-years experience with intracardiac repair in 123 patients older than 15 years with tetralogy of Fallot. Major clinical manifestation was cyanosis and clubbing [102 Pts], but other minor associated manifestation were infective endocarditis, pulmonary tuberculosis, brain abscess, congestive heart failure, nephrotic syndrome, and tuberculous spondylitis. Prior palliative shunts had been performed in 10 patients. Preoperative hemoglobin ranged from 9.7 gm/dl to 25 gm/dl [mean 19 gm/dl]. The type of ventricular septal defect were typical perimembranous type, and total canal defect [13%]. The right ventricular outflow tract obstruction was due to combined [58.5%], infundibular [35%], and valvular stenosis [6.5%]. Transannular patch was used in 17% of patients. Hospital mortality was 9.8% in overall, but decreased to 1.7% since 1982. There was two late death [12 year actuarial survival [97%] due to fulminant hepatitis, residual abnormalities [PS, VSD]. Ninety two percent of survivors at follow-up are asymptomatic and leading an active normal life. Residual ventricular septal defect was detected with radionuclide single pass study in 15.3% of patients but almost cases were Qp/Qs less than 1.5, and only two patients had been candidates for reoperation.

• Journal of Chest Surgery
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• 제14권3호
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• pp.241-246
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• 1981

A series of 132 consecutive cases of secundum type atrial septal defect operated from 1963 to 1980 in the department of Thoracic Surgery of Seoul National University Hospital is analysed. The ages of the patients ranged from 12 months to 57 years and the ratio of men to women was 1 to 1.4. Clinical analysis revealed 33 patients [26%] were asymptomatic and 15 patients [12%]had congestive heart failure. Hemodynamic analysis revealed that severe pulmonary hypertension which is the most serious risk factor is ASD developed in 10 patients [9%] and pulmonary artery pressure significantly increased after the age of 20 years. There were 10 patients with sinus venosus defect and 7 patients with partial anomalous pulmonary venous return. The operative mortality was 2.2%.

• Journal of Chest Surgery
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• 제41권4호
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• pp.480-483
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• 2008

질환에 따라서 많은 논란이 있으나, 최근 선천성 심기형의 수술적 교정시 조기의 일단계 완전 교정술을 시행하는 쪽이 장점이 부각되고 있다. 저체중(low birth weight) 미숙아에서 체외순환을 통한 개심술은 여러 가지 이유로 수술이 쉽지 않아 환자의 체중 및 장기 기능이 발달할 때까지 단계적으로 수술을 시행하는 경우가 대부분이다. 본 증례에서는 심실 중격 결손을 동반한 대동맥축착증을 가진 태내주수 29주, 출생체중 1,280 g, 수술 당시 체중 1,250 g의 미숙아의 성공적인 일단계 완전 교정술을 보고하고자 한다.

• Journal of Chest Surgery
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• 제13권4호
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• pp.418-421
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• 1980

During the period from August 1959 to end of July 1980, 69 cases of Type I VSD were noted among 235 cases of ventricular septal defect who were operated utilizing cardiopulmonary bypass in the Department of Cardio-thoracic Surgery, College of Medicine, Seoul National University(29.4%). During the same period 1162 open heart surgery cases were experienced among whom 778 cases were congenital anomalies. There were no significent differences between Type I '||'&'||' other tvpo:s of VSD in sex and age distribution. In Type I VSD frequency of aortic regurgitation association was much higher than rest of the types. (8.7% to 2.6%). Necessity of patch closure in Type I was not different from other types. The high incidence of Type I VSD is quite similar to Japanese references which show quite higher ratio compared with from Euroamerican caucasian patients materials. All cases were operated on with bubble type oxygenator mainly Shiley**" oxygenator utilizing hypothermic hemodilution perfusion technique.echnique.

• Journal of Chest Surgery
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• 제50권4호
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• pp.298-299
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• 2017

We report the case of a 17-year-old girl who presented with an indentation in the right ventricle caused by an incomplete pericardium on preoperative 3-dimensional reconstructed computed tomography. She was to undergo surgery for a partial atrioventricular septal defect and secundum atrial septal defect. Preoperative electrocardiography revealed occasional premature ventricular beats. We found the absence of the left side of the pericardium intraoperatively, and this absence caused strangulation of the diaphragmatic surface of the right ventricle. After correcting the lesion, the patient's rhythm disturbances improved.

• 한국임상수의학회지
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• 제16권2호
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• pp.478-481
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• 1999

A 8 years old male Pomeranian weighing 4 kg was referred because of coughing of 4 months' duration. Heart sounds and cardiac apex beat were showed more intense on the right side. On radiographic views, loss of normal line of the diaphragm, gas-containing intestines and stomach in thoracic cavity, and right displacement of heart were observed. Ultrasonography revealed that liver located adjacent to the heart. Although the dog died due to severe respiratory disorder in surgical procedure, in thoracic and abdominal surgery, a large defect was found in the left and right ventral muscular portion and left central tendon of the diaphragm, extending from the esophageal hiatus to rib. Left and right cranial lobe of liver, small intestines, stomach and spleen were herniated in the thoracic cavity. Because of the size and chronicity of the defect in the diaphragm, closure was impossible with an abdominal muscle graft.