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KMID : 0352819860020010135
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Kosin Medical Journal
1986 Volume.2 No. 1 p.135 ~ p.146
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Clinical Experience of Open Heart Surgery
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박성달/Park, Sung Dal
박효수/조성래/김송명/이성행/Park, Hyo Soo/Cho, Sung Rae/Kim, Song Myung/Lee, Sung Haing
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Abstract
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Fifty one patients were operated open heart surgery under cardio-pulmonary bypass from June 14th in 1984 to Dec. 31th in 1985 at department of Thoracic & Cardiovascular Surgery, Kosin Medical College.
In 51 cases of heart diseases, congenital anomalies were 34 cases (66.7%) and acquired lesions were 17 cases (33.3%). The sex ratio of congenital and acquired heart diseases was represented 1.2 : 1, 1 : 1.4 respectively. The age distribution was ranged from 1´/z to 56 years old.
The most common lesion among congenital anomaly was disclosed as´ 15 cases (44.1%) of ventricular septa] defect and next lesion was disclosed as 11 cases (32.4%) of atrial septal anomalies. The 8 cases (23.5%) of cyanotic anomalies were included 4 cases of Tetralogy of Fallot group, 1 case of total anomalous pulmonary venous connection and one case of double outlet right ventricle.
There were 2 cases of left atrial myxoma and 15 cases of valvular lesions among 17 cases of acquired heart diseases. The valvular lesions were disclosed as 2 cases of aortic regurgitation, 9 cases of mitral valvular lesions and 4 cases of tricuspid valvular lesions. The valvular lesions were aortic and mitral valvular replacement with artificial bio-or mechanical valves, annuloplasty for mitral or tricuspid regurgitation and removal of myxoma.
Over all mortality were 6 cases, which included 3 cases of cyanotic lesions and 3 cases of acquired heart diseases. But there was none operative mortality in acyanotic heart diseases.
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