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완전방실중격결손의 수술적 교정에 대한 장기성적
DC Field | Value | Language |
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dc.contributor.author | 박영환 | - |
dc.date.accessioned | 2016-02-19T11:04:45Z | - |
dc.date.available | 2016-02-19T11:04:45Z | - |
dc.date.issued | 2001 | - |
dc.identifier.issn | 3012-2859 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/142347 | - |
dc.description.abstract | Background :The purpose of this study was to evaluate the long-term surgical result and to analysis the risk factors associated postoperative death and residual left atrioventricular valve regurgitation after surgical repair of complete atrioventricular septal defect. Material and Method : Case histories of the patients with atrioventricular septal defect presenting to our institution between July 1989 and June 2000 were reviewed. Seventy consecutive patients(M:36, F:34, age range, 1 month to 19 years, mean body weight 8.9 ±6.6 kg) underwent primary intracardiac repair of complete atrioventricular septal defect. Down syndrome was present in 39(55.7%). The 42 valves were postoperatively classified as Rastelli type A(60.0%), 6 type B(8.6%), and 20 type C(28.6%) and 2 valves were not clearly classified. Median follow-up time was 45.3 months. Result : Operative mortality was 12.9%(9 patients). Operative mortality, however, decreased over the period of the study from 20.0% before 1996 to 7.7% during the recent 5 years. Residual left atrioventricular valve regurgitation(over grade III/IV) was present in 10 patients(14.3%). Five-year and ten-year survival rate was 79.4% and five-year and ten-year freedom from reoperation was 91.4%. Multivariate logistic regression analysis identified only residual left atrioventricular valve regurgitation(over grade III/IV) as risk factor (odds ratio=38.5, p=0.001) for postoperative death and the commissure repair of left atrioventricular valve after cleft repair(odds ratio=6.72, p=0.02) as risk factor for residual left atrioventricular valve regurgitation(over grade III/IV). Conclusion : Repair of complete atrioventricular septal defect during the infancy and the early childhood has acceptable early mortality, long-term survival rate and a low incidence of reoperation. For postoperative good function of left trioventricular valve and improved survival rate, surgical method should be focused on the leakless repair of AV valve. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 311~321 | - |
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.title | 완전방실중격결손의 수술적 교정에 대한 장기성적 | - |
dc.title.alternative | Long-term Surgical Result for Complete Atrioventricular Septal Defects | - |
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 | 박영환 | - |
dc.contributor.googleauthor | 송석원 | - |
dc.contributor.googleauthor | 조범구 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A01574 | - |
dc.relation.journalcode | J02127 | - |
dc.contributor.alternativeName | Park, Young Hwan | - |
dc.contributor.affiliatedAuthor | Park, Young Hwan | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 34 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 311 | - |
dc.citation.endPage | 321 | - |
dc.identifier.bibliographicCitation | Korean Journal of Thoracic and Cardiovascular Surgery (대한흉부외과학회지), Vol.34(4) : 311-321, 2001 | - |
dc.identifier.rimsid | 30932 | - |
dc.type.rims | ART | - |
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