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Rastelli 술식후 임상경과의 평가 및 영향인자

Other Titles
 Postoperative Progress and Influencing Factors in Patients after Rastelli Procedure 
 김경식  ;  이승규  ;  조범구  ;  박영환  ;  설준희  ;  최재영  ;  이종균  ;  김세희 
 Journal of the Korean Pediatric Association (소아과), Vol.46(3) : 259-264, 2003 
Journal Title
Journal of the Korean Pediatric Association(소아과)
Issue Date
Rastelli procedure ; Hemodynamcis ; Atrioventricular discordance ; Cardiac catheterization ; Echocardiography
Rastelli procedure ; Hemodynamcis ; Atrioventricular discordance ; Cardiac catheterization ; Echocardiography
Purpose : We have performed an analysis on patients who received Rastelli operation in our institute and reviewed their progress postoperatively. Various factors with suspected relationship to the outcome have been considered to help in future treatment and follow-up. Methods : We analyzed retrospectively 43 patients who either received Rastelli operation in Yonsei University Cardiovascular Center from March 1995 to April 1997 or who received post-procedural cardiac catheterization and follow-up echocardiography in the out-patient department after the procedure. Results : No statistically valid relationships were found between the age of the patient, their body weight, preoperative pulmonary arterial index and pressure, presence of pulmonary branchial stenosis and postoperative results. Cases with atrioventricular concordance showed lower age and body weight, and discordant cases exhibited lower ejection fraction 3 days postoperatively. Upon follow up, lower NYHA score was seen in patients with severe residual stenosis. In the group that received cardiac catheterization after the procedure, residual stenosis and right ventricular pressure measurement in echocardiography showed good correlation with the catheterization data. Conclusion : In cases where conduit insertions of the right ventricular outflow tract are required to achieve total correction in complex cardiac deformity, early operation does not seem to provide a clear risk to the patient. In patients with atrioventricular discordance, careful postoperative observation of the ventricular function seems to be needed. Also, echocardiography appears to be a sound method in follow-up of patients after the correctional procedure.
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Appears in Collections:
6. Others (기타) > Dept. of Health Promotion (건강의학과) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
Yonsei Authors
Park, Young Hwan(박영환) ORCID logo https://orcid.org/0000-0001-9802-8017
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
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