• Title/Summary/Keyword: 선천성

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Minimally Invasive Simultaneous Treatment for Congenital Cystic Adenomatoid Malformation associated with Pectus Excavatum - A case report - (누두흉과 선천성 낭종성 선종양 기형의 최소 침습적인 동시수술 -1예 보고-)

  • Cho, Deog-Gon;Jo, Min-Seop;Kim, Kyung-Soo;Wang, Young-Pil;Cho, Kyu-Do
    • Journal of Chest Surgery
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    • v.39 no.2 s.259
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    • pp.171-175
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    • 2006
  • Minimally invasive thoracic surgery has been one of the most important surgical advances recently. Congenital cystic adenomatoid malformation of the lung is a relatively rare anomaly and is clearly associated with various congenital anomalies such as pectus excavatum, cardiac and pulmonary vascular lesions. We have experienced a case that was treated with minimal invasive methods for congenital cystic adenomatoid malformation involving in the right lower lobe and pectus excavatum in a 5-year-old boy. We simultaneously performed thoracoscopic right lower lobectomy and Nuss procedure of pectus excavatum using a substernal steel bar. Therefore, a minimally invasive surgical treatment for this diseases is feasible and cosmetically excellent.

Congenital Cystic Adenomatoid Malformation Associated with Pectus Excavatum -1 case report (누두흉을 동반한 선천성 낭종성 선종양기형 -1례 보고-)

  • An, Byeong-Hui;Mun, Hyeong-Seon;Na, Guk-Ju
    • Journal of Chest Surgery
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    • v.30 no.2
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    • pp.231-235
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    • 1997
  • Congenital cystic adenomatoid malformation of the lung is a rare pulmonary malformation, Although it is one of the most common congenital anomalies which cause acute respiratory distress in the newborn infants, characterized by marked proliferation of terminal respiratory structures. We have experienced an unusual case of congenital cystic adenomatoid malformation associated with pectus excavatum. The patient was 3-year-old female who suffered from cough and high fever for 20 days, and antibiotic therapy was given in other hospital before transfer to our hospital. The findings on chest X-ray, chest CT, aortogram, and selective bronchial arteriogram showed cystic lesions in the right upper and middle lobe accompanied but severe pectus excavatum. Right bilobectomy for pulmonary lesion and costosternal elevation for pectus excavatum was performed simultaneously with successful result. The postoperative course was uneventful and the patient was discharged on the twentieth postoperative day.

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Molecular Genetics of Inherited Cardiac Conduction Defects in Humans and Dogs (개와 사람의 선천성 심장 전도장애에 대한 분자 유전학적 이해)

  • Hyun, Changbaig
    • Journal of Veterinary Clinics
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    • v.21 no.2
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    • pp.219-228
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    • 2004
  • Heart diseases related to conduction system can be occurred by primary defects in conduction system and by secondary to morphological heart diseases or drug toxicities. Multiple molecular defects responsible for arrhythmogenesis, including mutations in ion channels, cytoplasmic ion-channel-interacting proteins, gap-junction proteins, transcription factors and a kinase subunit, were found to be associated with the aetiology of primary cardiac conduction defects, especially inherited form. Despite a big progress in unveiling human arrhythmogenesis, conduction defects in dog has not been well studied except sudden death syndrome in German shepherd. In this review, molecular genetics in cardiac arrhythmogenesis, inherited human diseases associated with conduction defects and similar diseases in dogs will be discussed.

Simple Congenital Cystic Adenomatoid Malformation with a Feeding Artery (영양동맥을 동반한 단순 선천성 낭종성 선종양 기형)

  • Kim, Jae-Jun;Wang, Young-Pil;Park, Jae-Kil
    • Journal of Chest Surgery
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    • v.43 no.4
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    • pp.450-453
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    • 2010
  • CCAM with no other anomalies such as sequestration receives its blood supply from the pulmonary artery. Our case presented with a simple CCAM and no other anomalies but with a feeding artery. Although preoperative evaluation may not show feeding arteries, they may exist in congenital cystic lung diseases.

Surgical Treatment of Congenital Cystic Lung Disease (선천성 낭성 폐질환의 수술적 치료)

  • 맹대현;정경영;신동환
    • Journal of Chest Surgery
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    • v.34 no.3
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    • pp.235-239
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    • 2001
  • 배경: 폐격리증, 선천성 낭성 유선종 기형, 기관지 낭종 선천성 엽기종 및 낭성 기관지 확장증 등의 폐에 발생하는 선청성 낭성 질환은 않으며 유사한 발생학적 및 임상적 양사을 가진다. 대상 및 방법: 1972년부터 1999년까지 본원 흉부외과에서 선청성 낭성 폐질환으로 수술받은 46명의 환자를 대상으로 병상 기록을 통한 임상상, 치료 및 병리소견을 검토하였다. 결과: 환자의 평균 연령은 16.2세 였고 남녀비는 17:29였다. 주 증상은 감염에 의한 발령이 11례, 호흡곤란이 10례 그리고 흉통과 가래 등이였고, 증상이 없었던 경우가 13례 였다. 질환은 폐격리증이 13례, 선청성 낭성 유선종 기형이 12례, 기관지성낭종이 12례, 낭성 기관지 확장증이 5례 그리고 선천성 엽기종이 4례였다. 수술은 단순 절계 8례, 폐구역 절제술 6례, 폐엽 절제술 31례 그리고 전폐 전제술 1례를 시행하였고 수술 사망은 폐엽 절제술은 시행한 7세된 기관지 낭종 환자로 수술직후 발생한 뇌경색으로 1례에서 발생하였으며 술후 합병증으로는 폐렴 4례와 지속적 공기누출과 농흉이 각 1례씩 이었다. 결론; 선청성 낭성 폐질환을 가진 환자들은 진단 즉시 수술하여 좋은 결과를 얻었다.

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A case of Congenital Cardiac Anomaly Associated with DiGeorge Syndrome (DiGeorge증후군에 동반된 선천성 심장기형 치험 1례)

  • 손영상;김태식;황재준;김학제;박선화
    • Journal of Chest Surgery
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    • v.32 no.6
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    • pp.584-587
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    • 1999
  • The DiGeorge syndrome is a rare congenital abnormality consisting of aplasia or hypoplasia of the thymus and parathyroid glands resulting from malformation of the third and fourth pharyngeal pouches. This syndrome usually includes congenital cardiac anomalies and abnormal facial features. We experienced a case of congenital cardiac anomaly associated with DiGeorge syndrome. The patient was 1 month old boy weighing 3.5 kg. The congenital cardiac anomalies included ventricular septal defect, atrial septal defect, coactation of aorta, and patent ductus arteriosus. We performed one-stage operation with two separate incisions for these cardiac anomalies. Postoperative course was uneventful and the patient at 6 months of follow up is doing well.

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Congenital Pseudoarthrosis of the Clavicle Related with Neurofibromatosis - A Case Report - (신경섬유종증과 연관되어 발생한 선천성 쇄골 가관절증 - 증례 보고 -)

  • Yun, Ho-Hyun;Ahn, Gil-Yeong;Nam, Il-Hyun;Moon, Gi-Huk;Lee, Jung-Ik;Yoo, Yon-Sik
    • Clinics in Shoulder and Elbow
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    • v.10 no.2
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    • pp.236-240
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    • 2007
  • Reports of bowing and pseudarthrosis of the humerus and clavicle are rare. Most patients with congenital pseudoarthrosis of the clavicle involving the right side and midportion of clavicle tended to heal better than congenital pseudoarthrosis of the tibia. We experienced a patient who had special features in terms of location, pseudoarthrosis pattern, and neurofibromatosis, and report on this case here.

Slide Tracheoptoasty for Congenital Tracheal Stenosis Case Report (선천성 기관 협착환자의 슬라이드 기법을 이용한 기관성형술 2 례)

  • 성숙환;정도현
    • Journal of Chest Surgery
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    • v.30 no.8
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    • pp.833-837
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    • 1997
  • Congenital tracheal stenosis is very rare, but it leads to life threatening obstruction in infancy and childhood. Recently, we experienced two cases of congenital tracheal stenosis, involving half of the distal trachea. We adopted slide tracheoplasty procedure Proposed by Peter Goldstraw Tracheoplasty was performed by dividing the stenosis at midpoint, incising the proximal and distal narrow segments vertically on opposite anterior and posterior surfaces, and sliding these together. On case 1, the patient':s now doing well. On case 2, the patient succumbed due to anastomotic disruption at postoperative ay 4.

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출생아 100명 중 1명에게 나타나는 선천성 심장병

  • 김남수
    • 가정의 벗
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    • v.37 no.2 s.426
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    • pp.12-13
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    • 2004
  • 출생아 100명중 1명에게 나타난다고 하는 선천성 심장병, 태아 심장 초음파 검사로 심장병이 있는 태아가 태어나지도 못하는 등 많은 문제를 가지고 있습니다. 그러나 치료 기술이 발전하여 조기 진단과 적절한 치료를 받게 되면 정상 수명까지 살 수 있습니다.

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Ascending Aortic Dissection Late After Aortic Valve Replacement (대동맥 판막 치환술 후 만기에 발생한 상행 대동맥 박리증)

  • 오정훈;이동협;이정철;정태은;이장훈;한승세
    • Journal of Chest Surgery
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    • v.34 no.8
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    • pp.630-633
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    • 2001
  • Central anticholinergic syndrome is defined as an absolute or relative reduction in cholinergic activity in the central nervous system and has a wide variety of manifestations. It is associated with almost any drug given during anesthesia, except neuromuscular relaxants, and treated with the cholinesterase inhibitor physostigmine. The diagnosis of central anticholinergic syndrome is often made when symptoms resolve promptly after the administration of physostigmine. We present a case of a central anticholinergic syndrome diagnosed by treatment with physostigmine, in a patient who received closure of patent foramen ovale associated with stroke.

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