관상동맥 개구부 직접 관류 후에 발생한 관상동맥 근위부 협착 -3예 보고-

Proximal Coronary Artery Stenosis after Direct Coronary Artery Ostial Perfusion -Report of 3 Cases -

  • Kim Jae-Hyun (Department of Thoracic and Cardiovascular Surgery, Buncheon Sejong General Hospital) ;
  • Oh Sam-Se (Department of Thoracic and Cardiovascular Surgery, Buncheon Sejong General Hospital) ;
  • Yie Kil-Soo (Department of Thoracic and Cardiovascular Surgery, Buncheon Sejong General Hospital) ;
  • Shinn Sung-Ho (Department of Thoracic and Cardiovascular Surgery, Buncheon Sejong General Hospital) ;
  • Na Chan-Young (Department of Thoracic and Cardiovascular Surgery, Buncheon Sejong General Hospital)
  • 발행 : 2006.09.01

초록

관상동맥 개구부 직접 관류법과 관련된 근위부 관상동맥 협착은 매우 드물게 발생하지만 환자의 생명을 위협할 수 있는 심각한 합병증이다. 저자들은 관상동맥 개구부 직접 관류법과 관련된 근위부 관상동맥 협착을 2000년 9월에 처음 경험한 이후 최근까지 모두 3예를 경험하였기에 보고하는 바이다.

Proximal coronary artery stenosis after direct coronary artery ostial perfusion is an infrequent but life-threatening complication. We had been experienced 3 cases of proximal coronary artery stenosis related to direct ostial perfusion since September, 2000. And now we report the cases.

키워드

참고문헌

  1. Trimble AS, Bigelow WG, Wigle ED, Silver MD. Coronary ostial stenosis: a late complication of coronary perfusion in open-heart surgery. J Thorac Cardiovasc Surg 1969;57:792-5
  2. Winkelmann BR, Ihnken K, Beyersdorf F, et al. Left main coronary artery stenosis after aortic valve replacement: genetic disposition for accelerated arteriosclerosis after injury of the intact human coronary artery? Coron Artery Dis 1993;4:659-67 https://doi.org/10.1097/00019501-199307000-00011
  3. Hadjimiltiades S, Harokopos N, Papadopoulos C, Gourassas I, Spanos P, Louridas G. Left main coronary artery stenosis after aortic valve replacement. Hellenic J Cardiol 2005;46: 306-9
  4. Chavanon O, Carrier M, Cartier R, Hébert Y, Pellerin M, Perrault LP. Early reoperation for iatrogenic left main stenosis after aortic valve replacement: a perilous situation. Cardiovasc Surg 2002;10:256-63 https://doi.org/10.1016/S0967-2109(02)00008-X
  5. Roberts WC, Morrow AG. Late postoperative pathological findings after cardiac valve replacement. Circulation 1967; 35(Suppl 4):148-62
  6. Yarus S, Göncü MT, Sezen M, Türk T. Iatrogenic left main and proximal right coronary artery stenoses after aortic valve replacement. Eur J Cardiothorac Surg 2002;22:472-5 https://doi.org/10.1016/S1010-7940(02)00332-9