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심장 점액종의 임상적 고찰
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 임세중 | - |
dc.contributor.author | 하종원 | - |
dc.date.accessioned | 2020-07-02T17:12:30Z | - |
dc.date.available | 2020-07-02T17:12:30Z | - |
dc.date.issued | 1998 | - |
dc.identifier.issn | 1738-5520 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/176667 | - |
dc.description.abstract | Background and Objectives : Cardiac myxomas are uncommon. Early diagnosis and treatment are essential to reduce morbidity or mortality. Before 1970, preoperative diagnosis was difficult. With the development of echocardiography, a correct diagnosis is made before operation. We reviewed our clinical experience in diagnosis and management of 52 cases of myxomas seen over a 33-year period, 1966 to 1998. Patients and Methods : There were 20 males (38%) and 32 females (62%) ; age range 7 80. All the patients medical records were reviewed. In twenty-five patients in whom echocardiographic features could be reviewed, clinical fetures were compared according to two distinct echocardiographic features ; Round and polypoid type. Results : Eighty-four percents of the presenting symptoms were cardiac origin while systemic embolism (SE) accounted for 15%. Echocardiography was used most often for diagnosis. The myxomas were located in the left atrium in 50 (96%), right atrium in 2 (06). One patient had multiple myxoma. The incidence of SE was significantly higher in polypoid type than in round type (58% vs 0%, p<0.05). Multivariate regression analysis revealed polypoid type was the only independent predictor of SE(p = 0.0029). Follow-up duration was ranged from 1 to 266 months. There was no deaths associated with myxoma. One patient presented with a recurrence 3 years after resection, and reoperation was performed uneventfully. Conclusion : Due to the nonspecific presentation of myxoma, a high index of suspicion is needed. Surgical excision of myxoma can be considered curative with excellent long-term result. However, because of high possible occurrence of SE, a close attention should be given to those patients who have myxoma of polypoid type. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | Korean | - |
dc.publisher | 대한심장학회 | - |
dc.relation.isPartOf | Korean Circulation Journal (순환기) | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | 심장 점액종의 임상적 고찰 | - |
dc.title.alternative | A Review of Cardiae Myxoma | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학교실) | - |
dc.contributor.googleauthor | 강웅철 | - |
dc.contributor.googleauthor | 하종원 | - |
dc.contributor.googleauthor | 장병철 | - |
dc.contributor.googleauthor | 권진욱 | - |
dc.contributor.googleauthor | 임세중 | - |
dc.contributor.googleauthor | 정남식 | - |
dc.contributor.googleauthor | 조승연 | - |
dc.contributor.localId | A03372 | - |
dc.contributor.localId | A04257 | - |
dc.relation.journalcode | J01953 | - |
dc.identifier.eissn | 1738-5555 | - |
dc.contributor.alternativeName | Rim, Se Joong | - |
dc.contributor.affiliatedAuthor | 임세중 | - |
dc.contributor.affiliatedAuthor | 하종원 | - |
dc.citation.volume | 28 | - |
dc.citation.number | 7 | - |
dc.citation.startPage | 1131 | - |
dc.citation.endPage | 1140 | - |
dc.identifier.bibliographicCitation | Korean Circulation Journal (순환기), Vol.28(7) : 1131-1140, 1998 | - |
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