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
- 2016.1
- 수록면
- 556 - 561 (6page)
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초록· 키워드
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Background and Objectives: Coarctation of the aorta in adulthood is generally associated with other cardiovascular disorders requiring surgical management. An extra anatomic bypass grafting from the ascending to descending aorta by posterior pericardial approach via median sternotomy could be a reasonable single stage surgical strategy for these patients. Subjects and Methods: Seven male patients aged between 14-41 years underwent an extra anatomic bypass grafting for coarctation repair concomitantly with the surgical management of the associated cardiovascular disorders via median sternotomy. Preoperative mean systolic arterial blood pressure was 161.8±24.5 mmHg, although the patients were under treatment of different combinations of antihypertensive agents. Additional surgical procedures were: aortic valve replacement (n=4), ventricular septal defect (VSD) closure (n=2), ascending aortic replacement (n=3) and Bentall procedure (n=1). None of our patients have been previously diagnosed or operated on for coarctation. Data were evaluated during their hospital stay and in post-operative follow-up. Results: The post-operative course was uneventful in all but one patient was re-operated on due to bleeding. There was neither mortality nor significant morbidity during the in-hospital period and all patients were discharged within 5-9 (mean: 6.3±1.5) days. The mean follow up period was 71.83±23 months (range: 23-95 months). Unfortunately one of our patients could not be contacted for a follow up period because of invalid personal data. Conclusion: Coarctation of the aorta in adulthood associated with other cardiovascular disorders can be operated on simultaneously via an extra anatomic bypass grafting technique with low morbidity and mortality.
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등록된 정보가 없습니다.
참고문헌 (18)
참고문헌 신청
Kenny D / 2011 / Coarctation of the aorta: from fetal life to adulthood / Cardiol J 18:487~495
Campbell M / 1970 / Natural history of coarctation of the aorta / Br Heart J 32:633~640
Mulay AV / 1997 / Two-stage repair of adult coarctation of the aorta with congenital valvular lesions / Ann Thorac Surg 64:1309~1311
Vijayanagar R / 1980 / Aortic valvular insufficiency and postductal aortic coarctation in the adult. Combined surgical management through median sternotomy: a new surgical approach / J Thorac Cardiovasc Surg 79:266~268
Powell WR / 1983 / Repair of coarctation of aorta with intracardiac repair / Tex Heart Inst J 10:409~413
Campbell M / 1970 / Natural history of coarctation of the aorta / Br Heart J 32:633~640
Mulay AV / 1997 / Two-stage repair of adult coarctation of the aorta with congenital valvular lesions / Ann Thorac Surg 64:1309~1311
Vijayanagar R / 1980 / Aortic valvular insufficiency and postductal aortic coarctation in the adult. Combined surgical management through median sternotomy: a new surgical approach / J Thorac Cardiovasc Surg 79:266~268
Powell WR / 1983 / Repair of coarctation of aorta with intracardiac repair / Tex Heart Inst J 10:409~413
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