초록접수 현황
| 15F-154 | 포럼 발표 |
Reconstruction of Aorto-mitral Continuity with Bovine Pericardium; Surgical Outcome for 8 Years
유양기, 백만종
고려대학교 의과대학 구로병원 흉부외과학교실
Background : We report our mid-term surgical results in patitents with damaged aorto-mitral intervalvular fibrosa (IVF) by approaching the aortic and mitral valves through Manouguian incision between the aortic root and dome of the left atrium.
Methods : The clinical profiles were examined retrospectively by chart review. Reconstruction of the aorto-mitral intervalvular fibrosa (IVF) with bovine pericardium through the Manouguian incision was done in 9 adult patients between Aug 2007 and Aug 2015 because of infective endocarditis with annular abscess in 8 and prosthetic valve failure with extensive calcification in 1. Six patients had had previous operation.
Results : The aortic and mitral valves were replaced in all patients, Bentall’s procedure in 2. There was no death in perioperative period. Patients were followed up from 3 to 93 months, with a mean of 49 months. There was 1 late death by rectal cancer. There was no late patch dehiscence.
Conclusion : In conclusion, reconstruction of aorto-mitral intervalvular fibrosa (IVF) with bovine pericardium during aortic and mitral valve replacement in patients with infective endocarditis or heavy calcification is extremely effective.
Methods : The clinical profiles were examined retrospectively by chart review. Reconstruction of the aorto-mitral intervalvular fibrosa (IVF) with bovine pericardium through the Manouguian incision was done in 9 adult patients between Aug 2007 and Aug 2015 because of infective endocarditis with annular abscess in 8 and prosthetic valve failure with extensive calcification in 1. Six patients had had previous operation.
Results : The aortic and mitral valves were replaced in all patients, Bentall’s procedure in 2. There was no death in perioperative period. Patients were followed up from 3 to 93 months, with a mean of 49 months. There was 1 late death by rectal cancer. There was no late patch dehiscence.
Conclusion : In conclusion, reconstruction of aorto-mitral intervalvular fibrosa (IVF) with bovine pericardium during aortic and mitral valve replacement in patients with infective endocarditis or heavy calcification is extremely effective.
책임저자: 백만종
고려대학교 의과대학 구로병원 흉부외과학교실
연락처 : 유양기, Tel: 02-2626-1180 , E-mail : yuyanggi@hanmail.net
