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노중기,남충희,이길노,이철세,강창희 순천향대학교 1986 논문집 Vol.9 No.1
Seventy cases of the open heart surgery were performed in the Department of Thoracic and Cardiovascular surgery of Soonchunhyang University in 1985. Of them, 52 cases were congenital anomalies which were classified as 43 acyanotic patients and 9 cyanotic patients, and 18 cases were aquired valvular diseases which contained 17 rheumatic valvular diseases and 1 mitral valve prolaps syndrome . The most common anomaly of acyanotic congenital group was VSD(22cases) and the one in cyanotic group was TOF(5 cases). In 18 cases of the acquired valvular diseases, open mitral commissuratomy was done in 2 patients, tissue valve replacement(Carpentier-Edwards Bioprosthesis) in 9, mechanical valve replacement(Medtronic-Hall) in 6, and mitral valvulo-plasty with Carpentier ring in 1 patients. The most frequent complications during postoperative course were arrhythmia and low cardiac output syndrome, Perioperative mortality rate was 5.7%.
외상성 심내 이물질의 응급 개심술 치험 : 1 case report
강창희,남충희,노중기,이길노 순천향대학교 1986 논문집 Vol.9 No.3
A case of a 33-year-old man who sustained the penetrating wound of the heart by the iron-works accident in March, 1986, is reported. He was arrived at this emergency room for 45 minutes after the accident. The physical examination showed the small inlet in the left 3rd intercostal space and parasternal border, and drowsy mentality with a systolic pressure under 80mmHg when he arrived. The chest roentgenography revealed enlarged heart and 0.5×0.3cm sized radio-opaque metalic fragment at the mid-portion of the heart. About 500ml of dark pure blood was immediately aspirated through subxyphoid pericardiotomy. The emergency operation was done under the extracoporal circulation. The inlet of the heart injury was noted at the anterior wall of the right ventricle(0.3cm) and obstructed with the blood clot. Through the right ventriculotomy incision, the iron fragment was removed from the septum near the origin of the medial papillary muscle of the tricuspid valve. The post-operative course of the patient was smooth except complete rght bundle branch block. The patient discharged at 14th post-operative days.