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폐동맥 고혈압과 우심실 부전이 동반된 만성 승모판막 질환 환자에서 승모판막 대치술이 수술 직후 우심실 기능에 미치는 영향
DC Field | Value | Language |
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dc.contributor.author | 곽영란 | - |
dc.contributor.author | 심연희 | - |
dc.date.accessioned | 2016-02-19T11:05:26Z | - |
dc.date.available | 2016-02-19T11:05:26Z | - |
dc.date.issued | 2001 | - |
dc.identifier.issn | 0302-5780 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/142373 | - |
dc.description.abstract | Background: In patients with mitral valvular disease with pulmonary hypertension (PHT) accompanying right ventricular (RV) dysfunction, mitral valve replacement (MVR) improves RV function and other hemodynamic variables in long term follow-up. However, there are controversies in improvement of RV function in the immediate postoperative period. We compared the RV function immediately after a MVR with a pulmonary artery catheter (PAC) between patients with normal and decreased RV function with PHT preoperatively. Methods: Twenty nine patients undergoing a MVR were included in the study. The patients (n = 14) with mean pulmonary arterial pressure (PAP) ≤ 25 mmHg were assigned to group I and the patients (n = 15) with mean PAP 25 mmHg were assigned to group II. A PAC with rapid response-thermistors which enables us to determine right ventricular ejection fraction (RVEF) was inserted in all patients and hemodynamic variables were measured before and after cardiopulmonary bypass (CPB). Results: After CPB, PAP, pulmonary vascular resistance index (PVRI), and RV end-diastolc volume (RVEDV) were significantly decreased and RVEF was significantly increased in group II compared with group I in which no hemodynamic variables were changed. Conclusions: A MVR decreased RV afterload and increased RV function more significantly in patients with preoperative PHT accompanying RV dysfunction than in patients with normal PAP preoperatively. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 16~21 | - |
dc.relation.isPartOf | Journal of Korean Society of Anesthesiologist (대한마취과학회지) | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | 폐동맥 고혈압과 우심실 부전이 동반된 만성 승모판막 질환 환자에서 승모판막 대치술이 수술 직후 우심실 기능에 미치는 영향 | - |
dc.title.alternative | The Effect of Preoperative Pulmonary Arterial Pressure and Right Ventricular Function on the Changes in Right Ventricular Function after Mitral Valve Replacement | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Anesthesiology (마취통증의학) | - |
dc.contributor.googleauthor | 강상화 | - |
dc.contributor.googleauthor | 곽영란 | - |
dc.contributor.googleauthor | 심연희 | - |
dc.contributor.googleauthor | 오영준 | - |
dc.contributor.googleauthor | 남상범 | - |
dc.contributor.googleauthor | 박준희 | - |
dc.contributor.googleauthor | 홍용우 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A00172 | - |
dc.contributor.localId | A02196 | - |
dc.relation.journalcode | J01540 | - |
dc.subject.keyword | blood pressure | - |
dc.subject.keyword | hypertension | - |
dc.subject.keyword | heart | - |
dc.subject.keyword | pulmonary | - |
dc.subject.keyword | hemodynamics | - |
dc.subject.keyword | right ventricular ejection fraction | - |
dc.subject.keyword | surgery | - |
dc.subject.keyword | mitral valve replacement | - |
dc.contributor.alternativeName | Kwak, Young Lan | - |
dc.contributor.alternativeName | Shim, Yon Hee | - |
dc.contributor.affiliatedAuthor | Kwak, Young Lan | - |
dc.contributor.affiliatedAuthor | Shim, Yon Hee | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 40 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 16 | - |
dc.citation.endPage | 21 | - |
dc.identifier.bibliographicCitation | Journal of Korean Society of Anesthesiologist (대한마취과학회지), Vol.40(1) : 16-21, 2001 | - |
dc.identifier.rimsid | 30952 | - |
dc.type.rims | ART | - |
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