Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Mitral Stenosis by Duran Ring in Children -Two cases report -

소아 환자에서 Duran Ring 사용 후 발생한 승모판협착 -2예 보고-

  • Kim Kwan Chang (Department of Thoracic and Cardiovascular Surgery Seoul National University Children's Hospital, Seoul National University College of Medicine) ;
  • Kim Woong-Han (Department of Thoracic and Cardiovascular Surgery Seoul National University Children's Hospital, Seoul National University College of Medicine) ;
  • Choi Sae Hoon (Department of Thoracic and Cardiovascular Surgery Seoul National University Children's Hospital, Seoul National University College of Medicine) ;
  • Jang Woo Sung (Department of Thoracic and Cardiovascular Surgery Seoul National University Children's Hospital, Seoul National University College of Medicine) ;
  • Yeo In Gwon (Department of Thoracic and Cardiovascular Surgery Seoul National University Children's Hospital, Seoul National University College of Medicine) ;
  • Kim Yong Jin (Department of Thoracic and Cardiovascular Surgery Seoul National University Children's Hospital, Seoul National University College of Medicine)
  • 김관창 (서울대학교 어린이병원 흉부외과, 서울대학교 의과대학 흉부외과학교실) ;
  • 김웅한 (서울대학교 어린이병원 흉부외과, 서울대학교 의과대학 흉부외과학교실) ;
  • 최세훈 (서울대학교 어린이병원 흉부외과, 서울대학교 의과대학 흉부외과학교실) ;
  • 장우성 (서울대학교 어린이병원 흉부외과, 서울대학교 의과대학 흉부외과학교실) ;
  • 여인권 (서울대학교 어린이병원 흉부외과, 서울대학교 의과대학 흉부외과학교실) ;
  • 김용진 (서울대학교 어린이병원 흉부외과, 서울대학교 의과대학 흉부외과학교실)
  • Published : 2005.12.01
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Abstract

Mitral stenosis was developed after Duran ring annuloplasty in two growing children during follow up period of 8 years and 5 years respectively, which may be due to pannus overgrowth and patient's growing. Only removal of pannus and prosthetic ring has resulted in complete relieving of Mitral stenosis. With time, even adult-sized an-nuloplasty ring may induce stenosis in growing children.

Duran ring을 이용하여 승모판막륜 성형술을 시행 받은 두 명의 소아 환자에서 술 후 8년과 5년 뒤에 판누스와 환자의 성장에 기인한 승모판협착이 발생하였다. 판누스와 Duran ring을 제거함으로써 승모판협착증은 호전되었다. 비록 어른에서 사용되는 충분한 크기의 판막륜 성형링이 사용되더라도 성장하는 소아에서는 시간이 지남에 따라 협착이 발생할 수 있다.

Keywords

References

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