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KMID : 0352419950140030261
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Keimyung Medical Journal
1995 Volume.14 No. 3 p.261 ~ p.267
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Clinical Study of Atrioventricular Septal Defect
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박근수
김명성/이상락/김준식/권태찬/최세영/이광숙/유영선
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Abstract
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Clinical features, laboratory and operative findings were reviewed in 25 patients with atrioventricular septal defects admitted to Keimyung University Dong San Hospital during a eight and half year period from July 1986 to December 1994.
@ES The following results were obtained.
@EN Out of the 25 cases, 14 were partial atrioventricular septal defect and 11 were complete atrioventricular septal defect and the ratio of partial and complete was 1.27 : 1 and the ratio of male and female 1: 1.08.
Down syndrome combined with complete atrioventricular septal defect in 45%.
The electrocardiogram showed left axis deviation and right ventricular hypertrophy mostly.
The pulmonary artery systolic pressure, Qp/Qs ratio and Rp/Rs ratio were high in complete defect group
The associated heart disease with atrioventricular septal defect were ASD secundum(24%), PDA(12%), LSVC(8%), in that order.
Fourteen patients were operated with patch and valve repair, the mortality of partial atrioventricular septal defect and complete atrioventricular septal defect was 20% and 50% respectively. The overall surgical mortality was 28.6%.
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KEYWORD
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