Aortic Valve Replacement in Patient with Small Aortic Annulus

협소 대동맥 판막륜이 있는 환자에서의 인공판막치환술 1례

  • Choi, K.J. (Department of Thoracic and Cardiovascular Surgery, Pusan Paik Hospital, College of Medicine, Inje University) ;
  • Lee, S.K. (Department of Thoracic and Cardiovascular Surgery, Pusan Paik Hospital, College of Medicine, Inje University) ;
  • Lee, S.J. (Department of Thoracic and Cardiovascular Surgery, Pusan Paik Hospital, College of Medicine, Inje University) ;
  • Jung, S.H. (Department of Thoracic and Cardiovascular Surgery, Pusan Paik Hospital, College of Medicine, Inje University) ;
  • Lee, Y.H. (Department of Thoracic and Cardiovascular Surgery, Pusan Paik Hospital, College of Medicine, Inje University) ;
  • Hwang, Y.H. (Department of Thoracic and Cardiovascular Surgery, Pusan Paik Hospital, College of Medicine, Inje University) ;
  • Cho, K.H. (Department of Thoracic and Cardiovascular Surgery, Pusan Paik Hospital, College of Medicine, Inje University)
  • 최강주 (인제대학교 부속 부산백병원 흉부외과학교실) ;
  • 이상권 (인제대학교 부속 부산백병원 흉부외과학교실) ;
  • 이상진 (인제대학교 부속 부산백병원 흉부외과학교실) ;
  • 정신현 (인제대학교 부속 부산백병원 흉부외과학교실) ;
  • 이양행 (인제대학교 부속 부산백병원 흉부외과학교실) ;
  • 황윤호 (인제대학교 부속 부산백병원 흉부외과학교실) ;
  • 조광현 (인제대학교 부속 부산백병원 흉부외과학교실)
  • Published : 1992.07.01

Abstract

A 17-year-old male patient of aortic stenoinsufficiency with a small aortic annulus underwent aortic valve replacement[St. Jude Medical valve 21mm] with Rittenhouse-Man-ouguian procedure[patch enlargement of the area of the noncoronary sinus and anterior mitral leaflet] The used patch was made from tubular dacron graft[the longitudinal length was 35mm, the width 20mm]. The length of incision into anterior mitral leaflet was 10mm and the aortic annulus was enlarged in 10mm, The patient was evaluated with two-dimensional echocardiography at 4 month after operation and the result was excellent.

Keywords