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심실중격 결손이 없는 폐동맥 폐쇄의 내과-외과적 협동치료

Other Titles
 Medico-Surgical Cooperative Treatment of Pulmonary Atresia with Intact Ventricular Septum 
Authors
 김경식  ;  권병철  ;  조범구  ;  박영환  ;  이승규  ;  설준희  ;  최재영  ;  이종균 
Citation
 Journal of the Korean Pediatric Association (소아과), Vol.46(3) : 250-258, 2003 
Journal Title
 Journal of the Korean Pediatric Association (소아과) 
ISSN
 1738-1061 
Issue Date
2003
MeSH
Percutaneous pulmonary balloon valvotomy(PPV) ; Surgical RVOT repair ; Total cavopulmonary connection(TCPC) ; Right ventricle dependent coronary circulation(RVDCC) ; Balloon pulmonary valvuloplasty(BPV)
Keywords
Percutaneous pulmonary balloon valvotomy(PPV) ; Surgical RVOT repair ; Total cavopulmonary connection(TCPC) ; Right ventricle dependent coronary circulation(RVDCC) ; Balloon pulmonary valvuloplasty(BPV)
Abstract
Purpose : The actual clinical examples of co-appliance of catheter intervention with surgical procedures in the treatment of pulmonary atresia with an intact ventricular septum(PA/IVS) which we have experienced in our institution are here shown, and the anatomical and hemodynamical profiles between each method is compared. Methods : Medical records of 33 patients with PA/IVS who underwent various treatment from January, 1995 to December, 2000 were reviewed for a retrograde study. Results : In three out of 10 patients who underwent percutaneous balloon pulmonary valvotomy (PPV), residual pulmonary stenosis were observed in their out patient department(OPD) follow-ups, eventually necessitatig balloon pulmonary valvuloplasty(BPV). One out of three patients exhibited deterioration of tricuspid regurgitation after BPV, requiring surgical tricuspid annuloplasty(TAP). Two out of the seven patients who received primarily surgical right ventricle outlet tract(RVOT) repair without any systemic-pulmonary shunt or intervention needed additional intervention employing cardiac catheterization after operation. Two patients received interventional catheterization before surgical RVOT repair. In five out of 11 cases of Fontan type operation, coil embolization of collateral circulation was done before total cavo-pulmonary connection(TCPC), and in three cases, interventional catheterization was needed after TCPC. Conclusion : Both medical and surgical treatment modalities are widely used in management of PA/IVS patients, and recent results prove that medico-surgical cooperative treatment is essential.
Files in This Item:
T200307442.pdf Download
DOI
OAK-2003-01491
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아청소년과학교실) > 1. Journal Papers
7. Others (기타) > Dept. of Health Promotion (건강의학과) > 1. Journal Papers
Yonsei Authors
Kwon, Byoung Chul(권병철)
Park, Young Hwan(박영환)
Sul, Jun Hui(설준희)
Lee, Sung Kyu(이승규)
Lee, Jong Kyun(이종균)
Cho, Bum Koo(조범구)
Choi, Jae Young(최재영) ORCID logo https://orcid.org/0000-0002-1247-6669
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/114651
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