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KMID : 0364019740070010093
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Korean Journal of Thoracic and Cardiovascular Surgery
1974 Volume.7 No. 1 p.93 ~ p.100
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Successful Correction of Coarctation of the Aorta, the Patent Ductus Arteriosus, and the Persistent Left Superior Vena Cava
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金近鎬/Kim, Kun Ho
朴永寬/池行玉/金英泰/金鍾卨/李禎均/Park, Young Kwan/Jee, Heng Ok/Kim, Young Tae/Kim, Chong Suhl/Lee, Chung Kyun
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Abstract
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This is a case report of successful surgical correction of coarctation of the aorta associated with the patent ductus arteriosus and the persistent left superior vena Cava.
The patient was a 15 year old girl and congenital heart anomaly was suspected at the sixth month after birth. Afterward there has been no embarrassing symptoms until the day of operation except slight dyspnea on exertion.
The diagnosis of coarctation of the aorta and the patent ductus arteriosus detected by physical signs and X-ray studies including aortography.
In the first place, coarctation of the aorta was corrected with following procedure: partial resections of the aortic wall just above and below the coarctating line of the aorta and removal of diaphragmatic structure of coarctation performed by cross clamping aorta above and below coarctation, and then the defect of the aortic wall was closed by lateral aortorrhapic suture with atraumatic needle 3-0 silk continuously (Fig. 6).
In the second place, the patent ductus arteriosus was closed with double ligation method. The persistent left superior vena cava left as it has been, because there has been no evidence of hemodynamic abnormal shunt
After operation, excellent result was obtained; blood pressure in the upper and lower extremities was normalized and subjective complains of hypertension in the upper extremity was disappeared.
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