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청색증 심장기형과 Glenn 수술

Superior Vena Cava - Pulmonary Artery Anastomosis in Cyanotic Heart Disease

대한외과학회지 1964년 6권 10호 p.615 ~ 620
김혜원, 윤종덕, 신명수, 김영홍, 김승환, 원관희,
소속 상세정보
김혜원 (  ) - 서울대학교 의과대학 외과학교실
윤종덕 (  ) - 서울대학교 의과대학 방사선과학교실
신명수 (  ) - 서울대학교 의과대학 방사선과학교실
김영홍 (  ) - 서울대학교 의과대학 외과학교실
김승환 (  ) - 서울대학교 의과대학 외과학교실
원관희 (  ) - 서울대학교 의과대학 외과학교실

Abstract


Superior was cava-pulmonary artery anastomisis was done for 15 cases of tetralogy of Fallot with a case of operative mortality, 4 cases of tricuspid atresia with a survival, 2cases of Ebstein anomaly with no survival, and a survival of complete transposition of the great vessels with pulmonary stenosis. The last case was associated with levocardia and visceral situs inverses.
All of the 16 survival cases showed narked clinical improvement. The red blood cell counts, hemoglobin and hematocrit values decreased to normal range post-operatively.
The follow-up study was made three weeks to twenty six months after this shunt operation.
A late death occurred in a tetralogy case two years after the operation. Pneumonia in the right upper lobe caused severe acute superior vena cava syndrome.
Two cases of chylothorax were encountered postoperatively. Glenn procedure was performed for all the cases.
In four cases general hypothermia was utilized during operation.

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