Àá½Ã¸¸ ±â´Ù·Á ÁÖ¼¼¿ä. ·ÎµùÁßÀÔ´Ï´Ù.

ÆÇ¸·°£ ¼¶À¯Ã¼ Àç°ÇÀ» ½ÃÇàÇÑ ÈÄ ¹ß»ýÇÑ ÀΰøÆÇ¸· ½É³»¸·¿°ÀÇ ¼ö¼úÀû Ä¡À¯ -1¿¹ º¸°í-

Surgical Treatment of Prosthetic Valve Endocarditis after Reconstruction of the Intervalvular Fibrous Trigon -A case report-

´ëÇÑÈäºÎ¿Ü°úÇÐȸÁö 2008³â 41±Ç 6È£ p.755 ~ 758
ÃÖ¼±¿ì ( Choi Sun-Woo ) - ¼º±Õ°ü´ëÇб³ Àǰú´ëÇÐ »ï¼º¼­¿ïº´¿ø ÈäºÎ¿Ü°úÇб³½Ç

ÀÌ¿µÅ¹ ( Lee Young-Tak ) - ¼º±Õ°ü´ëÇб³ Àǰú´ëÇÐ »ï¼º¼­¿ïº´¿ø ÈäºÎ¿Ü°úÇб³½Ç
¹ÚÇ¥¿ø ( Park Pyo-Won ) - ¼º±Õ°ü´ëÇб³ Àǰú´ëÇÐ »ï¼º¼­¿ïº´¿ø ÈäºÎ¿Ü°úÇб³½Ç
¹ÎÈ£±â ( Min Ho-Gi ) - ¼º±Õ°ü´ëÇб³ Àǰú´ëÇÐ »ï¼º¼­¿ïº´¿ø ÈäºÎ¿Ü°úÇб³½Ç
±è¿í¼º ( Kim Wook-Sung ) - ¼º±Õ°ü´ëÇб³ Àǰú´ëÇÐ »ï¼º¼­¿ïº´¿ø ÈäºÎ¿Ü°úÇб³½Ç
°­¹Î¿õ ( Kang Min-Woong ) - ¼º±Õ°ü´ëÇб³ Àǰú´ëÇÐ »ï¼º¼­¿ïº´¿ø ÈäºÎ¿Ü°úÇб³½Ç

Abstract

ÀúÀÚµéÀº 8³â Àü °¨¿°¼º ½É³»¸·¿°À¸·Î ´ëµ¿¸ÆÆÇ¸·°ú ½Â¸ðÆÇ ġȯ ¹× ¼¶À¯Ã¼ Àç°ÇÀ» ½ÃÇàÇÑ 65¼¼ ³²ÀÚ È¯ÀÚ¿¡¼­ ¹ß»ýÇÑ ÀΰøÆÇ¸· ½É³»¸·¿°¿¡ ´ëÇÏ¿© Àç¼ö¼úÀ» ½ÃÇàÇÑ ¿¹¸¦ º¸°íÇÑ´Ù. ȯÀÚ´Â ¼ú Àü ½ÉÃÊÀ½ÆÄ ¼Ò°ß»ó 1 cm Å©±âÀÇ ÆÇ¸·ÇÏ ³ó¾çÀ» µ¿¹ÝÇÑ ´ëµ¿¸Æ ÆÇ¸··û ³ó¾ç°ú ½Â¸ðÆÇ Vegetation ¹× ¼¶À¯Ã¼ °á¼ÕÀ» º¸¿´´Ù. ½ÉºÎÀü ¼Ò°ßÀÌ ½ÉÇÏ¿© ÀÀ±Þ¼ö¼úÀ» ½ÃÇàÇÏ¿´´Ù. µÎ°³ÀÇ ¼Ò ½É³¶ ÆÐÃ븦 ÀÌ¿ëÇÏ¿© ÀýÀçµÈ ´ëµ¿¸ÆÆÇ°ú ½Â¸ðÆÇÀÇ ÆÇ·û ¹× ¼¶À¯Ã¼¸¦ Àç°ÇÇÑ ´ÙÀ½ ±â°èÆÇ¸·À» ´ëÄ¡ÇÏ¿´´Ù. ¼ú ÈÄ ½ÉÃÊÀ½ÆÄ ¼Ò°ß»ó ÆÇ¸·ÁÖÀ§ ´©ÃâÀº ¾ø¾ú´Ù. ÇöÀç Æ¯º°ÇÑ ÇÕº´Áõ ¾øÀÌ Åë¿ø Ä¡·á ÁßÀÌ´Ù.

We report here on a case of performing a redo-operation for a 65-years-old male patient who had prosthetic endocarditis after reconstruction of the fibrous skeleton due to infective endocarditis 8 years earlier. An aortic annular abscess with a 1 cm sized subvalvular abscess and mobile mitral valve vegetation with destruction of the fibrous skeleton was shown on the preoperative echocardiography. An emergency operation was performed due to heart failure. Reconstruction of both the aortic and mitral annuli and the fibrous skeleton was done by using two separate bovine pericardial patches and then mechanical valves were implanted. The postoperative echocardiography shows no paravalvular leakage. The patient has been followed up with no symptoms.

Ű¿öµå

ÀΰøÆÇ¸·;½É³»¸·¿°;Àç¼ö¼ú
Heart valve prosthesis;Endocarditis;Reoperation
¿ø¹® ¹× ¸µÅ©¾Æ¿ô Á¤º¸
  
µîÀçÀú³Î Á¤º¸
KCI
KoreaMed
KAMS