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Background: We investigated surgical outcomes after the surgical repair of cor triatriatum sinister (CTS). Methods: Thirty-two consecutive patients who underwent surgical repair of CTS from 1993 through 2020 were included in this study. The morphologi...
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RISS 인기검색어
https://www.riss.kr/link?id=A108080733
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저자
김동희 (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center) ; 권보상 (Pediatric Cardiac Surgery, Asan Medical Center, University of Ulsan College of Medicine) ; 김동희 (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center) ; 최은석 (울산대학교) ; 윤태진 (울산대학교) ; 박천수 (Division of Pediatric Cardiac Surgery, Asan Medical Center)
- 발행기관
- 학술지명
- 권호사항
-
발행연도
2022
-
작성언어
English
- 주제어
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등재정보
KCI등재,SCOPUS
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자료형태
학술저널
- 발행기관 URL
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수록면
151-157(7쪽)
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KCI 피인용횟수
0
- DOI식별코드
- 제공처
- 소장기관
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부가정보
다국어 초록 (Multilingual Abstract)
Background: We investigated surgical outcomes after the surgical repair of cor triatriatum sinister (CTS).
Methods: Thirty-two consecutive patients who underwent surgical repair of CTS from 1993 through 2020 were included in this study. The morphological characteristics, clinical features, and surgical outcomes were described and analyzed.
Results: The median age and body weight at operation were 9 months (interquartile range [IQR], 3–238 months) and 7.5 kg (IQR, 5.8–49.6 kg), respectively. There were 16 males (50%). According to the modified Lucas classification, type IA (classical CTS) was most common (n=20, 62.5%). Atrial septal defect was associated in 22 patients (68.8%) and anomalous pulmonary venous return in 8 patients (25%). Pulmonary hypertension was preoperatively suspected with a high probability in 18 patients (56.3%). There was 1 early death (3.1%) after emergent membrane excision and hybrid palliation in a high-risk hypoplastic left heart syndrome patient. There were no late deaths. The overall survival rate was 96.9% at 15 years post-repair. No early survivors required reoperation during follow-up. Most survivors (31 of 32 patients, 96.9%) were in New York Heart Association functional class I at a median follow-up of 74 months (IQR, 39–195 months). At the latest echocardiography performed at a median of 42 months (IQR, 6–112 months) after repair, no residual lesion was observed except in 1 patient who had moderate pulmonary hypertension (mean pulmonary arterial pressure of 36 mm Hg).
Conclusion: Surgical repair of cor triatriatum could be performed safely and effectively with an extremely low risk of recurrence.
Methods: Thirty-two consecutive patients who underwent surgical repair of CTS from 1993 through 2020 were included in this study. The morphological characteristics, clinical features, and surgical outcomes were described and analyzed.
Results: The median age and body weight at operation were 9 months (interquartile range [IQR], 3–238 months) and 7.5 kg (IQR, 5.8–49.6 kg), respectively. There were 16 males (50%). According to the modified Lucas classification, type IA (classical CTS) was most common (n=20, 62.5%). Atrial septal defect was associated in 22 patients (68.8%) and anomalous pulmonary venous return in 8 patients (25%). Pulmonary hypertension was preoperatively suspected with a high probability in 18 patients (56.3%). There was 1 early death (3.1%) after emergent membrane excision and hybrid palliation in a high-risk hypoplastic left heart syndrome patient. There were no late deaths. The overall survival rate was 96.9% at 15 years post-repair. No early survivors required reoperation during follow-up. Most survivors (31 of 32 patients, 96.9%) were in New York Heart Association functional class I at a median follow-up of 74 months (IQR, 39–195 months). At the latest echocardiography performed at a median of 42 months (IQR, 6–112 months) after repair, no residual lesion was observed except in 1 patient who had moderate pulmonary hypertension (mean pulmonary arterial pressure of 36 mm Hg).
Conclusion: Surgical repair of cor triatriatum could be performed safely and effectively with an extremely low risk of recurrence.
Background: We investigated surgical outcomes after the surgical repair of cor triatriatum sinister (CTS).
Methods: Thirty-two consecutive patients who underwent surgical repair of CTS from 1993 through 2020 were included in this study. The morphological characteristics, clinical features, and surgical outcomes were described and analyzed.
Results: The median age and body weight at operation were 9 months (interquartile range [IQR], 3–238 months) and 7.5 kg (IQR, 5.8–49.6 kg), respectively. There were 16 males (50%). According to the modified Lucas classification, type IA (classical CTS) was most common (n=20, 62.5%). Atrial septal defect was associated in 22 patients (68.8%) and anomalous pulmonary venous return in 8 patients (25%). Pulmonary hypertension was preoperatively suspected with a high probability in 18 patients (56.3%). There was 1 early death (3.1%) after emergent membrane excision and hybrid palliation in a high-risk hypoplastic left heart syndrome patient. There were no late deaths. The overall survival rate was 96.9% at 15 years post-repair. No early survivors required reoperation during follow-up. Most survivors (31 of 32 patients, 96.9%) were in New York Heart Association functional class I at a median follow-up of 74 months (IQR, 39–195 months). At the latest echocardiography performed at a median of 42 months (IQR, 6–112 months) after repair, no residual lesion was observed except in 1 patient who had moderate pulmonary hypertension (mean pulmonary arterial pressure of 36 mm Hg).
Conclusion: Surgical repair of cor triatriatum could be performed safely and effectively with an extremely low risk of recurrence.
참고문헌 (Reference)
1 Saxena P, "Surgical repair of cor triatriatum sinister : the Mayo Clinic 50-year experience" 97 : 1659-1663, 2014
2 Naksuk N, "Right ventricular dysfunction and long-term risk of sudden cardiac death in patients with and without severe left ventricular dysfunction" 11 : e006091-, 2018
3 Clark TG, "Quantification of the completeness of follow-up" 359 : 1309-1310, 2002
4 Fuchs MM, "Outcomes in patients with cor triatriatum sinister" 13 : 628-632, 2018
5 Yaroglu Kazanci S, "Outcome after repair of cor triatriatum" 109 : 412-416, 2012
6 Nagao H, "Mid-term outcomes of cor triatriatum repair : comparison of biventricular physiology and univentricular physiology" 31 : 186-190, 2021
7 Wu Y, "Measuring follow-up completeness" 85 : 1155-1157, 2008
8 Krabill KA, "Heart disease in infants, children, and adolescents: including the fetus and young adult" Williams and Wilkins 838-874, 1995
9 Augustine DX, "Echocardiographic assessment of pulmonary hypertension : a guideline protocol from the British Society of Echocardiography" 5 : G11-G24, 2018
10 Lam CR, "Diagnosis and surgical correction of 2types of triatrial heart" 51 : 127-137, 1962
1 Saxena P, "Surgical repair of cor triatriatum sinister : the Mayo Clinic 50-year experience" 97 : 1659-1663, 2014
2 Naksuk N, "Right ventricular dysfunction and long-term risk of sudden cardiac death in patients with and without severe left ventricular dysfunction" 11 : e006091-, 2018
3 Clark TG, "Quantification of the completeness of follow-up" 359 : 1309-1310, 2002
4 Fuchs MM, "Outcomes in patients with cor triatriatum sinister" 13 : 628-632, 2018
5 Yaroglu Kazanci S, "Outcome after repair of cor triatriatum" 109 : 412-416, 2012
6 Nagao H, "Mid-term outcomes of cor triatriatum repair : comparison of biventricular physiology and univentricular physiology" 31 : 186-190, 2021
7 Wu Y, "Measuring follow-up completeness" 85 : 1155-1157, 2008
8 Krabill KA, "Heart disease in infants, children, and adolescents: including the fetus and young adult" Williams and Wilkins 838-874, 1995
9 Augustine DX, "Echocardiographic assessment of pulmonary hypertension : a guideline protocol from the British Society of Echocardiography" 5 : G11-G24, 2018
10 Lam CR, "Diagnosis and surgical correction of 2types of triatrial heart" 51 : 127-137, 1962
11 Jegier W, "Cortriatriatum: clinical, hemodynamic and pathological studies surgical correction in early life" 31 : 255-267, 1963
12 Alphonso N, "Cor triatriatum: presentation, diagnosis and long-term surgical results" 80 : 1666-1671, 2005
13 Humpl T, "Cor triatriatum sinistrum in childhood : a single institution’s experience" 26 : 371-376, 2010
14 Gheissari A, "Cor triatriatum sinistrum : one institution’s 28-year experience" 13 : 85-88, 1992
15 Rodefeld MD, "Cor triatriatum : clinical presentation and surgical results in 12 patients" 50 : 562-568, 1990
16 Salomone G, "Cor triatriatum : clinical presentation and operative results" 101 : 1088-1092, 1991
17 ManJongBaek ; Woong-HanKim ; ChanYoungNa ; SamSeOh ; SooCheolKim ; JaeyoungLee ; YangBinJeon ; SeogKiLee ; Chang-HaLee ; JaeWoongLee ; WookSungKim ; YoungTakLee ; YoungKwangPark ; ChongWhanKim, "Cor Triatriatum with Infracardiac Total Anomalous Pulmonary Venous Drainage" 대한심장혈관흉부외과학회 35 (35): 52-55, 2002
18 이준오 ; 박천수, "Cor Triatriatum Associated with Total Anomalous Pulmonary Venous Connection: A Rare but Plausible Combination" 대한심장혈관흉부외과학회 54 (54): 143-145, 2021
19 Church WS, "Congenital malformation of heart-abnormal septum in left auricle" 19 : 188-190, 1868
20 Herlong JR, "Congenital Heart Surgery Nomenclature and Database Project : pulmonary venous anomalies" 69 (69): S56-S69, 2000
21 Kirklin J, "Cardiac surgery" Churchill Livingstone 781-789, 2003
22 Takeuchi Y, "Asymptomatic cor triatrium in an elderly patient : observation by biplanar transesophageal Doppler echocardiography" 61 : 189-191, 1997
23 Burger C, "A rare case of cor triatriatum leading to respiratory failure and shock in an 8-month-old boy" 35 : e6-e8, 2019
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인용정보 인용지수 설명보기
학술지 이력
| 연월일 | 이력구분 | 이력상세 | 등재구분 |
|---|---|---|---|
| 2023 | 평가예정 | 해외DB학술지평가 신청대상 (해외등재 학술지 평가) | |
| 2021-01-01 | 학술지명변경 | 한글명 : The Korean Journal of Thoracic and Cardiovascular Surgery -> Journal of Chest Surgery외국어명 : The Korean Journal of Thoracic and Cardiovascular Surgery -> Journal of Chest Surgery |  |
| 2020-01-01 | 평가 | 등재학술지 유지 (해외등재 학술지 평가) | |
| 2011-07-08 | 학술지명변경 | 한글명 : 대한흉부외과학회지 -> The Korean Journal of Thoracic and Cardiovascular Surgery | |
| 2011-01-01 | 평가 | 등재학술지 유지 (등재유지) | |
| 2009-01-01 | 평가 | 등재학술지 유지 (등재유지) | |
| 2007-01-01 | 평가 | 등재학술지 유지 (등재유지) | |
| 2004-01-01 | 평가 | 등재학술지 선정 (등재후보2차) | |
| 2003-01-01 | 평가 | 등재후보 1차 PASS (등재후보1차) |  |
| 2002-01-01 | 평가 | 등재후보학술지 유지 (등재후보1차) | |
| 1999-07-01 | 평가 | 등재후보학술지 선정 (신규평가) | |
학술지 인용정보
| 기준연도 | WOS-KCI 통합IF(2년) | KCIF(2년) | KCIF(3년) |
|---|---|---|---|
| 2016 | 0.03 | 0.03 | 0.05 |
| KCIF(4년) | KCIF(5년) | 중심성지수(3년) | 즉시성지수 |
| 0.06 | 0.05 | 0.165 | 0.01 |
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