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ATS 기계 판막의 10년 임상경험
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 유경종 | - |
dc.contributor.author | 임상현 | - |
dc.contributor.author | 장병철 | - |
dc.contributor.author | 홍유선 | - |
dc.date.accessioned | 2015-06-10T12:47:30Z | - |
dc.date.available | 2015-06-10T12:47:30Z | - |
dc.date.issued | 2006 | - |
dc.identifier.issn | 2233-601X | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/110451 | - |
dc.description.abstract | Background: This study is to evaluate the safety of ATS valve by examining the clinical results of ten-years experience. Material and Method: From July 1995 to March 2005, we reviewed 305 patients with ATS valve implantation. Mean age was 49.8±11.7 years and 140 (45.6%) males were included. Etiologies were rheumatic diseases in 207 cases (67.4%), degenerative changes in 57 cases (18.6%), valve dysfunction in 23 cases (7.5%) and infective endocarditis in 14 cases (4.6%). AVR was performed in 72 patients (23.5%), MVR in 156 patients (50.8%), DVR (AVR+MVR) in 63 patients (20.5%) and TVR in 16 patients (5.2%). Result: There were 9 operative mortalities (2.9%). Follow up period was 56.5±34.0 (0∼115) months and 96.4% patients were followed up with 9 late deaths. Five and ten years survival rates were 94.9±1.3%, 91.2±2.3% using Kaplan-Meier’s methods. Valve related event free survival rates in 5 and 10 years were 90.8±2.0% and 86.9±3.2%. There were 16 anticoagulation-related hemorrhages, 6 thromboembolisms, 3 prosthetic valve endocarditis and 1 paravalvular leakage. NYHA class improved after operation (p<0.05). Postoperative echocardiography showed significant decrease in LA size, LVEDD and LVESD (p<0.01). Patients with 19 and 21 mm valve showed significantly higher transvalvular pressure gradient in aortic position (p<0.001, p<0.001). Conclusion: ATS valve showed good hemodynamic results with few valve related complications and thus can be used with acceptable risk. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 891~899 | - |
dc.relation.isPartOf | Korean Journal of Thoracic and Cardiovascular Surgery (대한흉부외과학회지) | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | ATS 기계 판막의 10년 임상경험 | - |
dc.title.alternative | Ten Years Experiences of ATS Mechanical Valve | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Thoracic & Cardiovascular Surgery (흉부외과학) | - |
dc.contributor.googleauthor | 이기종 | - |
dc.contributor.googleauthor | 배미경 | - |
dc.contributor.googleauthor | 임상현 | - |
dc.contributor.googleauthor | 유경종 | - |
dc.contributor.googleauthor | 장병철 | - |
dc.contributor.googleauthor | 홍유선 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A02453 | - |
dc.contributor.localId | A03366 | - |
dc.contributor.localId | A03430 | - |
dc.contributor.localId | A04421 | - |
dc.relation.journalcode | J02127 | - |
dc.subject.keyword | Heart valve | - |
dc.subject.keyword | mechanical | - |
dc.subject.keyword | Hemorrhage | - |
dc.subject.keyword | Thromboembolism | - |
dc.contributor.alternativeName | Yoo, Kyung Jong | - |
dc.contributor.alternativeName | Lim, Sang Hyun | - |
dc.contributor.alternativeName | Chang, Byung Chul | - |
dc.contributor.alternativeName | Hong, You Sun | - |
dc.contributor.affiliatedAuthor | Yoo, Kyung Jong | - |
dc.contributor.affiliatedAuthor | Lim, Sang Hyun | - |
dc.contributor.affiliatedAuthor | Chang, Byung Chul | - |
dc.contributor.affiliatedAuthor | Hong, You Sun | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 39 | - |
dc.citation.number | 12 | - |
dc.citation.startPage | 891 | - |
dc.citation.endPage | 899 | - |
dc.identifier.bibliographicCitation | Korean Journal of Thoracic and Cardiovascular Surgery (대한흉부외과학회지), Vol.39(12) : 891-899, 2006 | - |
dc.identifier.rimsid | 39177 | - |
dc.type.rims | ART | - |
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