Surgical Treatment of the Heart Diseases

Keimyung Medical Journal 1982;1(1):98-106.

심장질환의 외과적 치료

이광숙

Abstract

One hundred eleven patients underwent open heart surgery with the aid of cardiopulmonary bypass from November; 1980 through September; 1982. There were 57 cases of congenital anomaly and 54 cases of acquired disease. In 57 congenital anomaly 35 patients were men and 22 were women; ranging from 4 to 37 years of age with a mean 13.9 years. The most frequently operated congenital anomaly was tetralogy ?of Fallot. Hospital mortality rates for 40 acyanotic and 17 cyanotic patients were 2.5% and 41% respectively. Overall mortality rates in 57 congenital anomaly was 14%. In 54 acquired disease 22 patients were men and 32 were women; ranging from 13 to 53 years with a mean 29.4 years. All acquired lesions; except one left atrial myxoma; were valvular heart disease. Among 54 acquired lesion; three patients died in the hospital and five during the period of late follow-up. Forty-eight patients underwent valve replacement. There were 41 mitral valve replacement; 5 aortic valve replacement; and 2 double valve replacement. Operative mortality for valve replacement was 5.7%. In valve replacement Carpentier-Edwards Porcine Xenobioprosthesis were routinely used.

Key Words: 심장질환, 체외순환, 심근보호법, 개심술