테플론 펠트를 사용한 승모판막 성형술: 고가의 상업적 제품에 대한 대체물로 가능한가?

• Published in: Journal of chest surgery pp. 216 - 222
• Main Authors: 박국양, 전양빈, 박철현
• Format: Journal Article
• Language: Korean
• Published: 대한흉부외과학회 01.04.2008
• Subjects: 흉부외과학
• ISSN: 2765-1606; 2765-1614

Background: Prosthetic annuloplasty rings are used for the reconstruction of the mitral valve annulus. However, there is controversy over the best ring to use for reconstruction. In this study, we evaluated the long term result of using a Teflon felt strip as an alternative to commercial rings. Material and Method: From 1996 to 2007, we enrolled 47 patients with pure mitral regurgitation greater than grade III. All patients had an ejection fraction of 40% or more. Patients with congenital heart disease or other valvular heart disease were excluded from this study. They were divided into two groups; the commercial ring group (Group CR) and the Teflon felt ring group (Group TF). Result: There was no mortality. The postoperative echocardiography showed no significant change in the overall ejection fraction (from 58.0±11.2% to 42.8±8.4%). There were no significant differences between the two groups with regard to morbidity, the reoperation rate and recurrence of mitral regurgitation greater than grade II. Conclusion: The long term results from this study showed that posterior mitral annuloplasty using Teflon felt had similar results compared to annuloplasty using commercial rings. KCI Citation Count: 1