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완전 방실중격결손증의 수술적 교정 후 잔존 좌측 방실판막부전에 대한 장기적 임상 경과 관찰

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dc.contributor.author박영환-
dc.contributor.author박한기-
dc.date.accessioned2015-07-15T17:16:51Z-
dc.date.available2015-07-15T17:16:51Z-
dc.date.issued2003-
dc.identifier.issn0301-2859-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/114593-
dc.description.abstractThe purpose of this study was to evaluate the fate of left atrioventricular valve regurgitation(LAVVR) following repair of complete atrioventricular septal defects (AVSDs). Material and Method: Between July 1984 and March 2002, repair of complete AV defects were performed in 77 patients. Mean age at surgery was 30.23±69.11 months (range 1 to 456). Echocardiograms of all survivors after isolated AVSDs correction were reviewed. LAVVR were evaluated with color doppler echocardiography in 64 survival periodically. On each study, LAVVR severity was graded on a 1 to 4 scale, based upon the size of the regurgitated jet. Result: Mild deterioration of LAVV function was fairly common. LAVVR severity increased by >1 grade in 19 patients (30.2%) during the course of the study. However, the deterioration in LAVVR function occurred primarily between 12 and 24 months postoperatively. After the initial 24 postoperative months, LAVVR worsened on only 8 occasions and in each instance worsened by only 1 grade. Deterioration more than 3+ LAVVR occurred in only 3 patients. And deterioration to 4+ LAVVR was not observed after the initial 24 postoperative months but one. Survival curve analysis predicted a 88.2% of ten-year freedom rate from development of 4+ LAVVR after initial operation of complete AVSDs. Conclusion: Postoperative LAVVR remains fairly stable following AVSDs repair, Serious deterioration is rare after 24 postoperative months, especially after the initial 48 postoperative months. But serial follow-up study with echocariogram was need till 24 postoperative months after repair of complete AVSDs.-
dc.description.statementOfResponsibilityopen-
dc.formatapplication/pdf-
dc.relation.isPartOfKorean Journal of Thoracic and Cardiovascular Surgery (대한흉부외과학회지)-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAtrioventricular septal defect-
dc.subject.MESHatrioventricular valve insufficiency-
dc.subject.MESHechocardiography-
dc.subject.MESHcongenital heart defects-
dc.title완전 방실중격결손증의 수술적 교정 후 잔존 좌측 방실판막부전에 대한 장기적 임상 경과 관찰-
dc.title.alternativeFate of Regurgitation of Left Atrioventricular Valve Following Repair of Atrioventricular Septal Defect-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Thoracic & Cardiovascular Surgery (흉부외과학)-
dc.contributor.googleauthor김시호-
dc.contributor.googleauthor박한기-
dc.contributor.googleauthor박영환-
dc.contributor.googleauthor방정희-
dc.contributor.googleauthor조범구-
dc.contributor.googleauthor장병철-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA01574-
dc.contributor.localIdA01729-
dc.relation.journalcodeJ02127-
dc.subject.keywordAtrioventricular septal defect-
dc.subject.keywordatrioventricular valve insufficiency-
dc.subject.keywordechocardiography-
dc.subject.keywordcongenital heart defects-
dc.contributor.alternativeNamePark, Young Hwan-
dc.contributor.alternativeNamePark, Han Ki-
dc.contributor.affiliatedAuthorPark, Young Hwan-
dc.contributor.affiliatedAuthorPark, Han Ki-
dc.rights.accessRightsfree-
dc.citation.volume36-
dc.citation.number12-
dc.citation.startPage961-
dc.citation.endPage969-
dc.identifier.bibliographicCitationKorean Journal of Thoracic and Cardiovascular Surgery (대한흉부외과학회지), Vol.36(12) : 961-969, 2003-
dc.identifier.rimsid40050-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers

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