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승모판 폐쇄부전증에서 승모판막 재건술 및 중기성적

Other Titles
 Mid-term Resuits of Mitral Valve Repair in Mitral Regurgitation 
Authors
 윤양구  ;  장병철  ;  유경종  ;  김시호 
Citation
 Korean Journal of Thoracic and Cardiovascular Surgery (대한흉부외과학회지), Vol.29(1) : 24-31, 1996-01 
Journal Title
Korean Journal of Thoracic and Cardiovascular Surgery(대한흉부외과학회지)
ISSN
 0301-2859 
Issue Date
1996-01
Abstract
Between January 1992 and February 1995, 36 patients with mitral regurgitation were treated by a mitral repair. There were nineteen men and seventeen women whose mean age was 41.8 years, ranged from 10 to 71. Seventeenth patients had dystrophic
change of
mitral valve, twelve patients had rheumatic change of mitral valve, second patients had infective change of mitral valve and another fifth patients had functional change of mitral valve. Operation procedures were suture annuloplasty(35 cases),
resection
of leaflet(25 cases), chordae shortening(9 cases) and commisurotomy(1 cases). These procedures were combined in most patients.
Two third of the patients were in New York Heart Association class III or IV and fifth of the patients were in mitral regurgitation grade III or IV by doppler echocardiogram. After mitral valve repair, the patients were improved hemodynamic,
echocardiographic data and functional class. Intraoperative TEE had been used in all most patients after weaning of bypass. Is there remained MR more than grade 2, the valve was re-repaired of replacement. There were no operative death. The late
mortality was 5.5% and cause of death was congestive heart failure. Patients have been followed up from 3 to 40 months, mean 15. Second patients underwant reoperation due to recurred mitral regurgitation, 4 and 19 days after the operation. During
reoperation, we found that the repair suture was disrupted in both patients. This expierence demonstrated that intraoperative TEE is accurate and predictable and excellent immediate and mid-term results have been achieved by mitral valve repair.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
Yonsei Authors
Yoo, Kyung Jong(유경종) ORCID logo https://orcid.org/0000-0002-9858-140X
Yoon, Dong Sup(윤동섭) ORCID logo https://orcid.org/0000-0001-6444-9606
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/183324
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