Aortic Valve Replacement Using Continuous Suture Technique in Patients with Aortic Valve Disease

대한흉부외과학회지 2013년 46권 4호 p.249 ~ p.255

최종범(Choi Jong-Bum) - Jeonbuk National University Medical School Department of Thoracic and Cardiovascular Surgery
김종훈(Kim Jong-Hun) - Jeonbuk National University Medical School Department of Thoracic and Cardiovascular Surgery
박현규(Park Hyun-Kyu) - Jeonbuk National University Medical School Department of Thoracic and Cardiovascular Surgery
김경화(Kim Kyung-Hwa) - Jeonbuk National University Medical School Department of Thoracic and Cardiovascular Surgery
김민호(Kim Min-Ho) - Jeonbuk National University Medical School Department of Thoracic and Cardiovascular Surgery
구자홍(Kuh Ja-Hong) - Jeonbuk National University Medical School Department of Thoracic and Cardiovascular Surgery
조중구(Jo Jung-Ku) - Jeonbuk National University Medical School Department of Thoracic and Cardiovascular Surgery

Abstract

Background: The continuous suture (CS) technique has several advantages as a method for simple, fast, and secure aortic valve replacement (AVR). We used a simple CS technique without the use of a pledget for AVR and evaluated the surgical outcomes. Methods: Between October 2007 and 2012, 123 patients with aortic valve disease underwent AVR alone (n=28) or with other concomitant cardiac procedures (n=95), such as mitral, tricuspid, or aortic surgery. The patients were divided into two groups: the interrupted suture (IS) group (n=47), in which the conventional IS technique was used, and the CS group (n=76), in which the simple CS technique was used. Results: There were two hospital deaths (1.6%), which were not related to the suture technique. There were no significant differences in cardiopulmonary bypass time or aortic cross-clamp time between the two groups for AVR alone or AVR with concomitant cardiac procedures. In the IS group, two patients had prosthetic endocarditis and one patient experienced significant perivalvular leak. These patients underwent reoperations. In the CS group, there were no complications related to the surgery. Postoperatively, the two groups had similar aortic valve gradients. Conclusion: The simple CS method is useful and secure for AVR in patients with aortic valve disease, and it may minimize surgical complications, as neither pledgets nor braided sutures are used.

키워드

Aortic valve, Surgical procedure, operative, Outcome assessment, Suture techniques
원문 및 링크아웃 정보
등재저널 정보
학술진흥재단(KCI) KoreaMed 대한의학회 회원 
주제코드
주제명(Target field)
연구대상(Population)
연구참여(Sample size)
대상성별(Gender)
질병특성(Condition Category)
연구환경(Setting)
연구설계(Study Design)
연구기간(Period)
중재방법(Intervention Type)
중재명칭(Intervention Name)
키워드(Keyword)
유효성결과(Recomendation)
There were insignificant differences in aortic cross-clamp time and CPB time between the two groups (CS, IS); The simple CS method is useful and secure for AVR in patients with aortic valve disease, and it may minimize surgical complications.
연구비지원(Fund Source)
근거수준평가(Evidence Hierarchy)
출판년도(Year)
참여저자수(Authors)
대표저자
KCD코드
ICD 03
건강보험코드