Journal of Chest Surgery

  • 제30권10호
  • /
  • Pages.986-990
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  • 1997
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  • 2765-1606(pISSN)
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  • 2765-1614(eISSN)
대한심장혈관흉부외과학회 (The Korean Society for Thoracic and Cardiovascular Surgery)
권호 표지

개심술시 우전측방흉부절개술의 효과

The Effects of Right Anterolateral Thoracotomy in Cardiac Surgery

  • 곽몽주 (전남대학교 의과대학 흉부외과학교실) ;
  • 오봉석 (전남대학교 의과대학 흉부외과학교실) ;
  • 이동준
  • Gwak, Mong-Ju (Dept.of troracic Surgery. Medical school, Chonnam National University) ;
  • O, Bong-Seok (Dept.of troracic Surgery. Medical school, Chonnam National University) ;
  • Lee, Dong-Jun
  • 발행 : 1997.10.01
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초록

23례의 환자에서 1989년 12월부터 1996년 12월까지 우전측방흉부절개술(RALT; right anterolateral thorncotomy)을 이용하여 선천성 심장병을 수술하였다. 22례에서 심방중격결손증(단순난원공형 13례, 하대정맥부 위로 확대된 저위형 쩨, 후방확대형 쎄, 정맥동형 1례, 일차공형 떼)이었고, 떼에서 심실중격결손증이었다. 우전측방흉부절개술(RALI)과 관련된 수술중 사망률이나 후기이환율은 없었다. 우전측방흉부절개술(RALI)은 선택된 환자에서(특히 여자) 정중흉골절개술에 비해 안전하고 효과적인 방법으로 생각되며, 추적관찰시 미용의 측면에서 결과는 매우 좋았다.

Twenty-three patients underwent operations to repair a congenital heart disease through right anterolateral thoracotomy(RALT) between December 1989 and December 1996. Defects repaired 22 atrial septum(13 ostium secundum;3 lower sepal defect;4 posterior septal defect; 1 sinus venosus;1 ostium primum) and 1 ventricular septal defect. There was no operative mortality or late morbidity directly related to RALT. The RALT incision is a safe and effective me hod to a median sternotomy in selective patients(especicially female). The cosmetic results are very good during the follow up periods.

키워드

참고문헌

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