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완전 방실중격결손증의 수술적 교정 후 잔존 좌측 방실판막부전에 대한 장기적 임상 경과 관찰
DC Field | Value | Language |
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dc.contributor.author | 박영환 | - |
dc.contributor.author | 박한기 | - |
dc.date.accessioned | 2015-07-15T17:16:51Z | - |
dc.date.available | 2015-07-15T17:16:51Z | - |
dc.date.issued | 2003 | - |
dc.identifier.issn | 0301-2859 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/114593 | - |
dc.description.abstract | The 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.statementOfResponsibility | open | - |
dc.format | application/pdf | - |
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.subject.MESH | Atrioventricular septal defect | - |
dc.subject.MESH | atrioventricular valve insufficiency | - |
dc.subject.MESH | echocardiography | - |
dc.subject.MESH | congenital heart defects | - |
dc.title | 완전 방실중격결손증의 수술적 교정 후 잔존 좌측 방실판막부전에 대한 장기적 임상 경과 관찰 | - |
dc.title.alternative | Fate of Regurgitation of Left Atrioventricular Valve Following Repair of Atrioventricular Septal Defect | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Thoracic & Cardiovascular Surgery (흉부외과학) | - |
dc.contributor.googleauthor | 김시호 | - |
dc.contributor.googleauthor | 박한기 | - |
dc.contributor.googleauthor | 박영환 | - |
dc.contributor.googleauthor | 방정희 | - |
dc.contributor.googleauthor | 조범구 | - |
dc.contributor.googleauthor | 장병철 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A01574 | - |
dc.contributor.localId | A01729 | - |
dc.relation.journalcode | J02127 | - |
dc.subject.keyword | Atrioventricular septal defect | - |
dc.subject.keyword | atrioventricular valve insufficiency | - |
dc.subject.keyword | echocardiography | - |
dc.subject.keyword | congenital heart defects | - |
dc.contributor.alternativeName | Park, Young Hwan | - |
dc.contributor.alternativeName | Park, Han Ki | - |
dc.contributor.affiliatedAuthor | Park, Young Hwan | - |
dc.contributor.affiliatedAuthor | Park, Han Ki | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 36 | - |
dc.citation.number | 12 | - |
dc.citation.startPage | 961 | - |
dc.citation.endPage | 969 | - |
dc.identifier.bibliographicCitation | Korean Journal of Thoracic and Cardiovascular Surgery (대한흉부외과학회지), Vol.36(12) : 961-969, 2003 | - |
dc.identifier.rimsid | 40050 | - |
dc.type.rims | ART | - |
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