CAJ | 학술논문

目的探讨室间隔缺损合并主动脉瓣关闭不全的外科治疗.方法回顾115例室间隔缺损(VSD)合并主动脉瓣关闭不全(AI)病例,其中动脉干下型室间隔缺损者96例,膜周型者19例.手术均采用全身中度低温体外循环.室间隔缺损修补有16例行直接修补,余均采取补片修补术.对于主动脉瓣的病变,施行瓣膜成形术92例,5例无法作瓣膜成形者则施行主动脉瓣置换手术,18例单纯行室间隔补片修补术对主动脉瓣未作特殊处理.结果手术效果满意.术后随访4个月至2年,死亡10例,心功能Ⅰ级72例,Ⅱ级31例,Ⅲ级2例.结论室间隔缺损合并主动脉瓣关闭不全的患者进行同期外科治疗效果好.
목적 탐토실간격결손합병주동맥판관폐불전적외과치료.방법 회고115례실간격결손(VSD)합병주동맥판관폐불전(AI)병례,기중동맥간하형실간격결손자96례,막주형자19례.수술균채용전신중도저온체외순배.실간격결손수보유16례행직접수보,여균채취보편수보술.대우주동맥판적병변,시행판막성형술92례,5례무법작판막성형자칙시행주동맥판치환수술,18례단순행실간격보편수보술대주동맥판미작특수처리.결과 수술효과만의.술후수방4개월지2년,사망10례,심공능Ⅰ급72례,Ⅱ급31례,Ⅲ급2례.결론 실간격결손합병주동맥판관폐불전적환자진행동기외과치료효과호.
Objective To evaluate the surgical technique in ventricular septal defect(VSD)associated with aortic valve insufficiency(AI)patients.Methods 115 VSD patients associated with AI were retrospectively analyzed.96 patients belong subarterial to VSD,membranous defect in 19 cases.Moderate hypothermia circulatory arrest in all cases.Direct closure of the VSD was undertaken in 16 cases and other cases repaired with patches.Aortic valvuloplasty in 92 cases.and 5 patients underwent aortic valve replacement.The other 18 cases were directly repaired the VSD with patches.Results The results of surgical treatment is satisfactory.In the 4 months to 2 years follow up,10 patients died,NYHA cardic function 72 cases is Ⅰ,31 is Ⅱ and 2 is Ⅲ.Conclusion Early and concomitant surgical treatment ventricular septal defect associated with aortic valve insufficiency can obtain an ideal results.