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단순 이차성 심방 중격 결손의 자연 경과와 성장에 따른 결손의 크기 변화

Other Titles
 The Natural Course and Size Change of Atrial Septal Defect Secundum 
Authors
 최덕영  ;  최재영  ;  이승규  ;  설준희  ;  김미진 
Citation
 Journal of the Korean Pediatric Association (소아과), Vol.46(9) : 871-875, 2003 
Journal Title
 Journal of the Korean Pediatric Association (소아과) 
ISSN
 1738-1061 
Issue Date
2003
MeSH
Atrial septal defect(ASD) secundum ; Size change ; Body surface area
Keywords
Atrial septal defect(ASD) secundum ; Size change ; Body surface area
Abstract
Purpose: This study was performed to follow the natural course and size change of isolated atrial septal defect(ASD) secundum. Methods: Among the newly diagnosed with ASD secundum at the division of pediatric cardiology in Yonsei cardiovascular hospital from January 1996 to December 2000, 89 patients with pure ASD secundum were checked by the serial echocardiographic evaluation to measure the size change. Results: There was a statistical difference(P<0.05) in the rate of spontaneous closure and size change of the defect between the group of bigger defect(>8 mm) and the group of smaller defect (≤8 mm). There was also a statistical difference(P<0.05) in the rate of spontaneous closure and size change of the defect between the group of younger than three years of age and the group of older than three years of age. The initial size of the defect and change of size were the significant influencing factors in the rate of spontaneous closing of ASD. In the group of patient who have persistent ASD, the size of defect showed a tendency of increasing size of defect with the age(P<0.05); however in the correction of these values by the body surface area of each patients, there was no statistical difference. Conclusion: The possibility of spontaneous closure of pure ASD secundum was higher in the group of patients who have smaller defect and who were younger. The ASD secundum that did not have spontaneous closure showed an increase in size with the growth of the patients; however when this size was corrected by the body surface area, there was no statistical difference. The closure of the defect was at 26.2 months of age so close follow-up of the patients is important.
Files in This Item:
T200307449.pdf Download
DOI
OAK-2003-01501
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아청소년과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Me Jin(김미진)
Sul, Jun Hui(설준희)
Lee, Sung Kyu(이승규)
Choi, Deok Young(최덕영)
Choi, Jae Young(최재영) ORCID logo https://orcid.org/0000-0002-1247-6669
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/114661
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