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승모판막 이식수술 1예 보고 Mitral Valve Replacement

대한흉부외과학회지 1971년 4권 1호 p.51 ~ 54
양기민, 이영, 노준량, 손광현, 김종환, 서경필, 이영균,
소속 상세정보
양기민 (  ) 
서울대학교 의과대학 흉부외과학교실

이영 (  ) 
서울대학교 의과대학 흉부외과학교실
노준량 (  ) 
서울대학교 의과대학 흉부외과학교실
손광현 (  ) 
서울대학교 의과대학 흉부외과학교실
김종환 (  ) 
서울대학교 의과대학 흉부외과학교실
서경필 (  ) 
서울대학교 의과대학 흉부외과학교실
이영균 (  ) 
서울대학교 의과대학 흉부외과학교실

Abstract


37 years old female was admitted with chief complaints of dyspnea on exertion and hemoptysis. Past history and family history were non-contributory. Physical examination showed Grade III systolic murmur at the apex, which transmitted to the back.
E.K.G. and X-ray findings were compatible with the mitral insufficiency. With small size of Beall mitral valve, mitral valve replacement was done under the cardio-pulmonary bypass using hemodilution technic.
Patient was tracheotomized after operation and assisted respiration was done for four weeks. Postoperatively, all signs were fine and patient walked around the ward without any difficulty, but she was in psychotic state.
On postoperative 60th day, she complained of sudden dyspnea and on chest film, tracheal stenosis was found and recannulation of the tracheal tube was made.
Thereafter, she was quite fine until postoperative 110th day when she, by herself, removed the tracheal cannula and died of asphyxia.
Autopsy findings of the valve showed no thrombosis, no variance of the valve, and good endothelization of the valve cuffs.
Asphyxia, due to removal of the tracheal connula by herself under psychotic state, was considered to be the cause of death in this patient who had tracheal stenosis after tracheostomy.

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