一次口心房中隔欠損症に対する外科治療の問題点と長期遠隔成績について

概要

論文の詳細を見る
In this report we have reviewed our results in 45 patients with atrial septal defect primum (ASD primum) who were operated upon between 1955 and 1978. Analysis of early and late results of these operated patients has focused on factors affecting operative risk and prognosis. Age at operation was one year-old to forty-six year-old (mean age was 12.7 year-old). Operative mortality was 4.4% and late mortality was 8.9% including reoperative death of two cases. We have originally classified the type of mitral and tricuspid cleft into I acd IV groups from the preoperative ffndings of cardiac murmur, cardiac size, E.K.G. and left ventriculogram and the findings at operation. This classiffcation provided the evaluations of late surgical results and prognosis in ASD primum. Preoperative cardiac enlargement and pulmonary hypertension due to mitral regurgitation and ASD primum were the most significant factors related to late surgical results. Surgical repair for mitral and tricuspid valve cleft should be performed in cases of a smalceft regurgitation in ASD primurn
日本小児外科学会の論文
1980-02-20