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Surgical Correction of Congenital Heart Disease In 18 Trisomy

Korean Journal of Pediatrics 2004;47(4):462-464.
Published online April 15, 2004.
Surgical Correction of Congenital Heart Disease In 18 Trisomy
Jinyoung Song1, Yun Hee Moon2, Ki Young Jang1, Jae Young Lee1, Soo Jin Kim1, Woo Seup Shim1, Woong Han Kim3
1Department of Pediatrics, Sejong General Hospital, Buncheon, Korea
2Department of Pediatrics, College of Medicine, Kyunghee University, Seoul, Korea
3Department of Thoracic Surgery, Seoul National University College of Medicine, Seoul, Korea
에드워드 증후군에서 선천성 심질환을 수술로 교정한 1례
송진영1, 문윤희2, 장기영1, 이재영1, 김수진1, 심우섭1, 김웅한3
1부천세종병원 소아과
2경희대학교 의과대학 소아과학교실
3서울대학교 의과대학 소아과학교실
Correspondence: 
Jinyoung Song, Email: amyjys@hanmail.net
Abstract
18 trisomy(Edwards syndrome) is a fatal disease with a congenital heart anomaly. Patients usually receive less aggressive care because caregivers expect them to die very young. Although they have a very poor prognosis due to severe multi-organ dysfunction, symptomatic simple cardiac anomaly with left to right shunt can be repaired. We experienced a case of 18 trisomy with ventricular septal defect and patent ductus arteriosus. He showed prolonged dyspnea and tachypnea after the ligation of patent ductus arteriosus in a previous hospital. In our hospital, the ventricular septal defect was closed because his parents insisted on aggressive treatment. After surgery, the symptoms were relieved and he was discharged in a condition satisfactory to his parents and the medical team.
Key Words: Trisomy, Heart defect, Congenital


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