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KMID : 0364019950280110989
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Korean Journal of Thoracic and Cardiovascular Surgery
1995 Volume.28 No. 11 p.989 ~ p.993
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Surgical Treatment of Adult Patent Ductus Arteriosus
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김종호
민용일/오봉석/김상형/이동준
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Abstract
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Patent ductus arteriosus in adult is frequently complicated with aneurysm, calcification and pulmonary hypertension. Therefore, surgical treatment of patent ductus arteriosus in adult has some differences from that of infants and children. We
have
experienced 25 adult patent ductus arteriosus from July 1983 to December 1994.
Mean age of the patients was 26.6 years (16~59 years). There were 12 males and 13 females. Exertional dyspnea was the most frequent clinical manifestation. Pulmonary hypertension was present in eight patients. Ligation was done in 20 cases and
surgery
using cardiopulmonary bypass was done in 5 cases. There was one hospital death, which had a 5×5cm sized main pulmonary artery aneurysm and was operated under cardiopulmonary bypass. Recanalization occured in one patient who received Teflon-felt
supported ligation. Although one case of recannalization after ligation was present, we believed the fact that ligation was safe and simple method of operation in adult patent ductus arteriosus without calcification and aneurysm.
(Korean J Thorac Cardiovasc Surg 1995;28:989-93)
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