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심장 점액종의 임상적 고찰

DC FieldValueLanguage
dc.contributor.author임세중-
dc.contributor.author하종원-
dc.contributor.author하종원-
dc.date.accessioned2020-07-02T17:12:30Z-
dc.date.available2020-07-02T17:12:30Z-
dc.date.issued1998-
dc.identifier.issn1738-5520-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/176667-
dc.description.abstractBackground 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.statementOfResponsibilityopen-
dc.languageKorean-
dc.publisher대한심장학회-
dc.relation.isPartOfKorean Circulation Journal (순환기)-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.title심장 점액종의 임상적 고찰-
dc.title.alternativeA Review of Cardiae Myxoma-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Internal Medicine (내과학교실)-
dc.contributor.googleauthor강웅철-
dc.contributor.googleauthor하종원-
dc.contributor.googleauthor장병철-
dc.contributor.googleauthor권진욱-
dc.contributor.googleauthor임세중-
dc.contributor.googleauthor정남식-
dc.contributor.googleauthor조승연-
dc.contributor.localIdA03372-
dc.contributor.localIdA04257-
dc.contributor.localIdA04257-
dc.contributor.localIdA04257-
dc.contributor.localIdA04257-
dc.relation.journalcodeJ01953-
dc.identifier.eissn1738-5555-
dc.contributor.alternativeNameRim, Se Joong-
dc.contributor.affiliatedAuthor임세중-
dc.contributor.affiliatedAuthor하종원-
dc.contributor.affiliatedAuthor하종원-
dc.contributor.affiliatedAuthor하종원-
dc.contributor.affiliatedAuthor하종원-
dc.citation.volume28-
dc.citation.number7-
dc.citation.startPage1131-
dc.citation.endPage1140-
dc.identifier.bibliographicCitationKorean Circulation Journal (순환기), Vol.28(7) : 1131-1140, 1998-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

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