지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.1
- 수록면
- 216 - 220 (5page)
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초록· 키워드
오류제보하기
Ventricular septal defect (VSD) can be associated with various complications such as aortic regurgitation (AR). AR in VSD come from a deficiency or hypoplasia of the conal septum which leads to abnormal apposition in diastole and prolapse of the poorly supported noncoronary or right coronary cusp through the VSD into the right ventricle resembling subpulmonic stenosis and subsequently results in distortion of the aortic valve and progressive AR. AR often increases in severity with age and it indicates a worse prognosis. Therefore, appropriate timing of surgical repair in progressive AR in VSD might be important. Until now,many earlier experiences about surgical repair of AR complicating VSD were on adolescents or young adults. We reported a case of AR in 48-year-old male patient with right coronary cusp prolapse complicating the subarterial type of VSD which was properly assessed by echocardiography and was successfully treated with surgical repair. Right coronary cusp or noncoronary cusp prolapse should be suspected in AR complicating VSD through proper echocardiographic assessment and the surgical repair on VSD and distorted aortic valve should be considered in the old patient, as well as the young.
목차
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참고문헌 (22)
참고문헌 신청
Ammash NM / 2001 / Ventricular septal defects in adults / Ann Intern Med 135 : 812 ~ 824
Backer CL / 1991 / Surgical management of the conal (supracristal) ventricular septal defect / J Thorac Cardiovasc Surg 102 : 288 ~ 295
Elgamal MA / 1999 / Risk factors for failure of aortic valvuloplasty in aortic insufficiency with ventricular septal defect / Ann Thorac Surg 68 : 1350 ~ 1355
Ellis JH 4th / 1987 / Ventricular septal defect in the adult: natural and unnatural history / Am Heart J 114 : 115 ~ 120
Gabriel HM / 2002 / Long-term outcome of patients with ventricular septal defect considered not to require surgical closure during childhood / J Am Coll Cardiol 39 : 1066 ~ 1
Backer CL / 1991 / Surgical management of the conal (supracristal) ventricular septal defect / J Thorac Cardiovasc Surg 102 : 288 ~ 295
Elgamal MA / 1999 / Risk factors for failure of aortic valvuloplasty in aortic insufficiency with ventricular septal defect / Ann Thorac Surg 68 : 1350 ~ 1355
Ellis JH 4th / 1987 / Ventricular septal defect in the adult: natural and unnatural history / Am Heart J 114 : 115 ~ 120
Gabriel HM / 2002 / Long-term outcome of patients with ventricular septal defect considered not to require surgical closure during childhood / J Am Coll Cardiol 39 : 1066 ~ 1
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