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15F-270 포럼 발표

Surgical Outcome in Tetralogy of Fallot with Absent Pulmonary Valve Syndrome
전창석, 전태국
성균관대학교 의과대학 삼성서울병원 흉부외과학교실

목적 : This report describes our results and identify factors associated with perioperative mortality in Tetralogy of Fallot with Absent Pulmonary Valve Syndrome.

방법 : A retrospective review of the medical records of infants with Tetralogy of fallot with absent pulmonary valve syndrome between 1995 and 2014 was reviewed.

결과 : Eight patients were included and underwent complete repair. The right ventricular outflow tract (RVOT) was reconstructed with aorta homograft monocusp (n=3), pulmonary homograft monocusp (n=2), Gore-Tex monocusp (n=2) or valved conduit (n=1). All patients had reduction of the dilated pulmonary arteries. Seven patients (88%) had no ductus arteriosus. There were two perioperative deaths and ten year survival was 75%±15%. Freedom from RVOT reoperation was 83%±15% and 42%±22% at 5 and 10 years.

결론 : Preoperative respiratory symptoms requiring intubation are associated with perioperative death but asymptomatic or mildly symptomatic infants show relatively good outcomes.


책임저자: 전태국
성균관대학교 의과대학 삼성서울병원 흉부외과학교실
연락처 : 전창석, Tel: 010-6213-0814 , E-mail : csjeonmd@gmail.com

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