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첨포를 이용한 좌주관상동맥 협착증의 치료

DC Field Value Language
dc.contributor.author김대준-
dc.contributor.author유경종-
dc.date.accessioned2020-07-02T18:08:45Z-
dc.date.available2020-07-02T18:08:45Z-
dc.date.issued1998-
dc.identifier.issn0301-2859-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/177197-
dc.description.abstractThe conventional surgical treatment of isolated critical stenosis of the left main coronary artery restores a less physiologic perfusion of the myocardium, leads to occlusion of the left coronary ostium, and consumes an appreciable length of bypass material. From June 1994 to February 1996, eleven patients, three male and eight female, underwent patch angioplasty and additional bypass graft to left anterior descending artery (10 internal mammary artery, 1 saphenous vein) in isolated critical left main coronary artery stenosis. Their ages ranged from 34 to 62 years, mean 44 years. All had 60% to 90% stenosis of the left main coronary artery and Class III angina. The angiogram showed nine osteal lesion and three main stem stenosis. The operation was performed with conventional cardiopulmonary bypass and cold blood cardioplegia. We approached anteriorly and used bovine pericardium as onlay patch in all patients. There were one leg wound dehiscence, but no operative deaths and infarctions. All patients are free of symptoms after a mean follow-up of 15.5 months. Angiographic restudy at an average 14.4 months was obtained in five patients and showed widely patent left main coronary artery with excellent runoff. But additional graft to left anterior descending coronary artery were stenosed in two patients and showed diminutive flow in others. Our preliminary results suggest that angioplasty of the left main coronary artery can be carried out with low operative risks. But additional bypass graft to left anterior descending coronary artery may be unnecessary. The technique appears to be a promising alternative to conventional coronary artery bypass grafting in isolated left main coronary artery stenosis.-
dc.description.statementOfResponsibilityopen-
dc.languageKorean-
dc.publisher대한흉부외과학회-
dc.relation.isPartOfKorean Journal of Thoracic and Cardiovascular Surgery (대한흉부외과학회지)-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.title첨포를 이용한 좌주관상동맥 협착증의 치료-
dc.title.alternativeThe Clinical Experiences of Patch Angioplasty in Isolated Critical Left Main Coronary Artery Stenosis-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Thoracic and Cardiovascular Surgery (흉부외과학교실)-
dc.contributor.googleauthor윤치순-
dc.contributor.googleauthor유경종-
dc.contributor.googleauthor이교준-
dc.contributor.googleauthor김대준-
dc.contributor.googleauthor강면식-
dc.contributor.localIdA00368-
dc.contributor.localIdA02453-
dc.relation.journalcodeJ02127-
dc.identifier.eissn2093-6516-
dc.contributor.alternativeNameKim, Dae Joon-
dc.contributor.affiliatedAuthor김대준-
dc.contributor.affiliatedAuthor유경종-
dc.citation.volume31-
dc.citation.number7-
dc.citation.startPage674-
dc.citation.endPage678-
dc.identifier.bibliographicCitationKorean Journal of Thoracic and Cardiovascular Surgery (대한흉부외과학회지), Vol.31(7) : 674-678, 1998-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers

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