• Title/Summary/Keyword: 가성대

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Surgical Treatment of a Posttraumatic Pseudoaneurysm of the Left Subclavian Artery Mimicking a Mediastinal Tumor - A case report - (종격동 종양으로 오인한 외상 후 좌 쇄골하 동맥 가성동맥류의 수술적 치험 - 1예 보고 -)

  • Choi, Won-Suk;Lee, Yang-Haeng;Han, Il-Yong;Yoon, Young-Chul;Hwang, Youn-Ho;Cho, Kwang-Hyun
    • Journal of Chest Surgery
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    • v.41 no.5
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    • pp.651-654
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    • 2008
  • Posttraumatic psoudoaneurysrns of the subclavian artery are very rare. A 49-year-old woman who had been involved in a car accident ten years before presentation was initially diagnosed with a mediastinal tumor at a local clinic. Exploratory thoracotomy was performed for evaluation and treatment. During the operation, a hematoma was evacuated, and primary repair was undertaken to stop massive bleeding. Computed tomography angiography revealed a pseudoaneurysm of the left subclavian artery. The patient was treated with aneurysmectomy and end-to-end anastomosis. The postoperative course was uneventful.

Intracardiac a Aortic Foreign Body (심장 및 대동맥내 이물 치험 1례)

  • 방정희;편승환
    • Journal of Chest Surgery
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    • v.30 no.9
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    • pp.932-935
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    • 1997
  • A 50-year-old male patient was admitted due to right ventricular & aortic foreign bodies with ascending aortic pseudoaneurysm. The patient had a history of Kirschner wire fixation of right sternoclavicular joint 3 months ago. Under cardiopulmonary bypass, two K-wires were removed and injured pulmonary valve leaflet and aortic wall were repaired successfully The postoperative course was uneventful and the patient was discharged on the 14th postoperative day.

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Voice range profile in premutation, mutation, and postmutation of men (변성이전, 변성 및 변성이후 남성의 발성범위 프로파일)

  • Kim, Jaeock;Lee, Seung Jin
    • Phonetics and Speech Sciences
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    • v.13 no.4
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    • pp.89-100
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    • 2021
  • This study compared the voice range profiles (VRPs) with glissando and simplified VRP methods with 57 men who were in premutation (8-13 years), mutation (11-16 years), and postmutation (10-24 years) stages. The difference between modal and falsetto areas measured in two VRP methods was also compared. As the results, the average fundamental frequency (F0) was in the order of premuaton>mutation>postmutation. The maximum F0 (F0max), the range of F0 (F0range), the maximum intensity (Imax), and the range of intensity (Irange) were the lowest in the mutation stage, and these variables were higher in falsetto area than in modal area in both methods. In addition, most variables of VRP in glissando were higher than in simplified VRP, but the differences were not significant. This study showed that, in men in mutation stage, due to the temporary anatomical and physiological changes of the larynx, the mechanism of the vocal folds vibration changes and VRP shows a different pattern from that of other age groups. Both the VRPs of glissando and simplifed VRP are suitable for clinical practice by experienced examiners. And it is necessary to measure not only the falsetto area but also the modal area when measuring VRP.

Endovascular Aortic Balloon Clamping for Various Heart Disease (대동맥 내 풍선 차단법을 이용한 여러 가지 심장수술)

  • Choi, Jin-Ho;Park, Pyo-Won
    • Journal of Chest Surgery
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    • v.41 no.1
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    • pp.61-67
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    • 2008
  • Background: Conventional ascending aortic cross clamping is often limited. This study was carried out to evaluate the safety and efficacy of an endovascular aortic clamping technique with an intraaortic balloon catheter. Material and Method: From April 2004 to January 2007, surgery with endoaortic clamping was performed in seven patients. A retrograde access perfusion (RAP) catheter was used in six patients and a Pruitt's balloon catheter in two patients. The indication for the operation was a retrosternal pseudoaneurysm of the aortic root in six patients, diffuse calcification of the ascending aorta with aortic regurgitation in 2 patients and an atrial septal defect in one patient. Five patients had at least two prior cardiac surgeries. Result: Successful insertion of the catheter and endoaortic clamping was achieved in all patients. Conclusion: The endovascular aortic clamping technique with a balloon catheter was a useful alternative method for patients in whom conventional cardiac surgery was limited.

Surgical Treatment of the Pseudoaneurysm of the Ascending Aorta Following the Repair of Congenital VSD -1 case report- (선천성 심실중격결손증 교정술 후 발생한 가성 상행대동맥류 수술 치험 -1례 보고-)

  • An, Byeong-Hui;Kim, Gwang-Hyu;Na, Guk-Ju;Kim, Sang-Hyeong
    • Journal of Chest Surgery
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    • v.29 no.5
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    • pp.564-568
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    • 1996
  • Pseudoaneurysm of the ascending aorta following cardiac surgery is very unusual and it is poten- tially fatal. We report here a fourteen year-old female patient with pseudoaneurysm of the ascending aorta following a repair of a congenital ventricular septal defect at other hospital 50 months ago. Although she had a mild superficial wound infection postoperatively, she enjoyed uneventful. life until she visited our hospital for a generalized weakness and exertional dyspnea which developed a month ago. Chest CT and echocardiogram showed partially calcified pseudoaneurysm of the ascending aorta. Two aortic defects were located on the anterolateral ascending aortic wall wkere it was suspected as a previous sites of aortic and cardioplegic cannulation. The internal wall of the pseudoaneurysm was covered with neoendothelium and intervened by septal tissue. Two defects on he aortic wall were oval in shape and about 1.5cm in the greatest diameter The defects were trimmed to make a one large de- fect and it was reconstructed with patch designed from 22mm collagen impregnated double velour Dacron graft. The postoperative course was uneventful.

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Spatial Optimization Approaches to Redistricting for National Assembly Election: A Case Study on Yongin City (공간 최적화 기법을 이용한 국회의원 선거구 획정 -용인시를 사례로-)

  • Kim, Myung Jin;Kim, Kamyoung
    • Journal of the Korean Geographical Society
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    • v.48 no.3
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    • pp.387-401
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    • 2013
  • Redistricting of National Assembly Election has a significant effect on the results of election because it has a strong tendency to be performed with political intentions rather than the equivalent representativeness of population and region. This paper focuses on proposing an alternative for restricting of National Assembly Election in terms of implementation, that is, an procedural and systematic approach, not allowing for political or arbitrary intervention. A spatial optimization model conforming with criteria for political redistricting such as population equality, contiguity, and spatial compactness is developed and applied to Yongin City where are some controversy over the redistricting of the 19th National Assembly. Modeling results show that it is possible to derive National Assembly Election districts based on the information of basic spatial units without political consideration or arbitrary intervention. In addition, The districts derived from the model improved population equality compared with the existing districts.

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The Effect of Voice Therapy for Functional Voice Disorder (기능적 음성장애 환자에서의 음성치료의 효과)

  • 정성민;조윤희;홍순관;변성완;김은아;손지연;박애경
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.13 no.2
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    • pp.145-150
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    • 2002
  • Background and Objectives : Patients with so-called 'functional voice disorders' who have structurally normal larynges and demonstrate muscle misuse in the larynx, and those with several interacting causes including habitual muscle tension, are probably better defined as having a 'muscle misuse voice disorder'. The purpose of this study was to analyze the voice and effectiveness of voice therapy in patients with functional voice disorders and to provide a guide for the treatment of functional voice disorder. Materials and Method : The records of 35 patients, presenting with functional voice disorder and receiving voice therapy during October, 2001 to September, 2002, were reviewed. Prior to voice therapy, the stroboscopic examination of their larynx, aerodynamic and acoustic analysis was done. The results of voice therapy were compared according to the patient's subjective, perceptual evaluation of voice, and maximal phonation time. Results : Patient's subjective, perceptual evaluation, and maximal phonation time showed superior results after voice therapy. Conclusion : The result of this study indicates that voice therapy is an effective treatment method of patients with functional voice disorder, especially muscular tension dysphonia.

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Postoperative Phonetic Evaluation of Two Cases of Verrucous Carcinoma of the Larynx after Partial Laryngectomy with False Vocal Cord Advancement Flap (후두 우상암에서 후두 부분적출술 및 가성대 전진피판에 의한 성대 재건술 전후의 음성변화 : 2례)

  • 정성민;장주애;김윤정
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.9 no.1
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    • pp.86-90
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    • 1998
  • Verrucous carcinoma is a variant of highly differentiated squamous cell carcinoma and has a predilection for the oral cavity and larynx. It is known to be of good prognosis due to its low regional and distant metastatic potential. Peak incidence is at ages 40-69 while predominantly occuring in males and its association with tobacco smoking has been implicated. The verrucous carcinoma have accordingly been treated by radiotherapy or surgical procedures but there has been considerable controversy regarding the effect of radiotherapy due to the possibility of anaplastic transformation Laser surgery and partial resection are among the commonly used surgical procedures but laser surgery has not yet shown results in improving phonetic abilities. Authors experienced two cases of verrucous carcinoma of the larynx treated by partial laryngectomy and false vocal cord advancement flap who showed no recurrence of disease under stroboscopic examination after two year follow up and when compared to preoperative aerodynamic studies, the expiratory air pressure was decreased and mean air flow rate increased which improved glottal efficiency markedly.

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Traumatic Aneurysm Involving Left Ventricle and Descending Thoracic Aorta (외상에 의해 동시에 발생한 가성 좌심실류와 하행 대동맥류의 치험1례)

  • 이서원;이계선
    • Journal of Chest Surgery
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    • v.30 no.6
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    • pp.617-620
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    • 1997
  • Traumatic aneurysm of both the thoracic aorta and the left ventricle are extremely rare in children because it is characterized by high mortality. We report a case which we experienced recently with sucessful outcome. A Five-year-old boy had a blunt trauma by bongo bus. He had pulmonary hemorrage and pericardial effusion complicated by multiorgan failure threatening his life. Aneurysm of LV and Descending aorta were showed by 2-D echocardiogram and MRI. The atient underwent successful corrective surgery 2 and half momths after trauma, the Postoperative status of this patient was uneventful, now he is being followed up the OPD.

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