• Title/Summary/Keyword: 심근증

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A Clinical Study on Dilated Cardiomyopathy Diagnosed as Deficient of Sim-yang (심양허증으로 변증한 확장성 심근병증 환자 치료 1례)

  • Ha, Yu-bin;Shin, Gil-cho
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.20 no.1
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    • pp.75-81
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    • 2019
  • ■ Objectives The purpose of this study is to report the improvement of dilated cardiomyopathy after traditional Korean medical treatment; herb-med, acupuncture, moxibustion. ■ Methods A patient with cardiomyopathy whose chef complaint was oversleep, shortness of breath, fatigue and coldness of hand-foot received inpatient treatment from September 2nd 2019 to September 23rd 2019. And we analyzed treatment progress and result. ■ Results We observed that traditional Korean medical treatment decreased symptoms; Fatigue by 30% and Coldness of hand-foot by 100%. And The patient's general condition is improved. ■ Conclusion We report this clinical study to be helpful in treating patients of dilated cardiomyopathy by traditional Korean medicine.

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Heart-Lung Transplantation in a Patient with VSD, PDA and Eisenmenger′s Syndrome (심실 중격 결손과 동맥관 개존증을 동반한 아이젠멩거 증후군 환자에서의 심장-폐이식 수술 -1예 보고-)

  • 홍유선;김도형;함석진;이교준;이두연;권혁문;김형중;조상호;백효채
    • Journal of Chest Surgery
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    • v.36 no.6
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    • pp.418-421
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    • 2003
  • Heart-lung transplantation is a widely accepted treatment for Eisenmenger'syndrome. The patient is a 41-years-old male diagnosed with Eisenmenger'syndrome due to patent ductus arteriosus. The pressures were checked as follows: aorta 130/80 mean 100 mmHg, pulmonary artery 130/80 mean 109 mmHg, and right ventricle 130/20 mmHg, right atrium mean 20 mmHg. The patient needed heart-lung transplantation due to enlarged right pulmonary artery (diameter 7.5 cm). The donor was a 24 years-old male diagnosed as brain death due to subdural hematoma. Ligation of patent ductus arteriosus was performed under the cardiopulmonary bypass followed by heart-lung transplantation. Patient was extubated on postoperative day one, transferred to the general ward on day 3, and was discharged on postoperative day 33. Cardiac and lung biopsy was performed on postoperative day 41 with no signs of rejection.

Amiodarone-Induced ARDS after MVR -A case report- (승모판치환술 후에 발생한 아미오다론에 의한 급성호흡곤란증훈군 -1례 보고-)

  • 이기복;김응중;지현근;신윤철
    • Journal of Chest Surgery
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    • v.35 no.8
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    • pp.594-598
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    • 2002
  • Amiodarone is an iodinated benzofuran derivative that has been proved effective in the control of supraventricular and ventricular arrhythmias refractory to other antiarrhythmic drugs. In patients treated with amiodarone, subsequent surgical intervention is a common clinical scenario, but unfortunately we do not have definite data about complications due to amiodarone after cardiac surgery. Some reports have shown that amiodarone treatment can be associated with a state of $\alpha$-adrenergic and $\beta$-adrenergic receptor blockade, which requires more pacing and epinephrine infusion for perioperative hemodynamic support. And some reports have also identified a severe form of ARDS in patients on amiodarone therapy which was associated with siginificant morbidity and mortality. We exprienced a patient who expired after mitral valve replacement due to amiodarone-induced ARDS; therefore, we report this case with a brief literature.

Pyridoxine responsive sideroblastic anemia in a boy with mitral valve prolapse (승모판 탈출증을 가진 소아에서 Pyridoxine 반응성 철적모구성 빈혈 1례)

  • Sung, June Seung;Kim, Ki Hwan;Han, Dong Gyun;Kim, Mi Jeong;Cho, Young Kook;Chung, Hae Yul;Baek, Hee Jo;Ma, Jae Sook;Kook, Hoon;Hwang, Tai Ju
    • Clinical and Experimental Pediatrics
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    • v.49 no.11
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    • pp.1223-1226
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    • 2006
  • Sideroblastic anemia is a rare, heterogeneous group of disorders characterized by hyperferremia, microcytic hypochromic anemia, and bone marrow erythroid hyperplasia with the presence of numerous ringed sideroblasts. We describe herewith the case of a rare coincidence of sideroblastic anemia and mitral valve prolapse with resultant regurgitation in a 2-year-old boy. In addition to the inherent propensity for the development of cardiac dysfunction in sideroblastic anemia due to transfusion-associated myocardial iron overload and chronic anemia, a coincidence of MVP will further increase the likelihood of the morbidity or mortality of th patient. in this patient. After response to pyridoxine, the patient remains in good condition with stable hemoglobin levels.

Cardiac Decompressing Effect by Delayed Sternal Closure Following Open Heart Surgery in Children (소아에서 개심술후 정중흉골절개의 지연흉골폐쇄에 의한 심장압박 방지효과)

  • 김경환;서경필
    • Journal of Chest Surgery
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    • v.30 no.12
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    • pp.1167-1174
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    • 1997
  • We retrospectively reviewed a series of 20 patients treated with delayed sternal closure during a 5-year period from 1991 to 1996. Of the 2675 patients with cardiovascular su gery 20 underwent this procedure. Male and female ratio was 11:9, mean age was 6.4 months(range 7 days to 5 years). The indications included unstable hemodynamic profiles after open heart surgery due to myocardial edema and poor lung compliance(15), necessity of mechanical ventricular assist device due to weaning failure(3), and hypoxia after PAB(2). Sternum was closed at a mean interval of 102(range 4 to 213) hours after operation. During delayed sternal closure, central venous pressure was elevated(p<0.05). Mediastinitis and other wound problems did not occur. Sepsis developed in 2 patients and microorganism was confirmed in one of the two patients. Five patients died(mortality 25%). And two of 15 discharged patients died during follow-up period. Cumulative survival rate was 65.0% at 12 months and also 65.0% at 24 months.(Standard error was 10.7%) Delayed sternal closure Is considered to be a good method to decompress the hemodynamically compromised heart. Without that, it is not f asible to come off bypass or to decompress the heart. Of course. careful selection of the indication is imperative.

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Ventricular premature complexes and associated factors in the early postinfarction period (급성 심근경색증 회복 초기의 심실기외 수축 발생에 관련하는 인자에 대한 연구)

  • Choi, Jong-Hoa;Hyun, Myung-Soo;Kim, Young-Jo;Shim, Bong-Sup;Lee, Hyun-Woo
    • Journal of Yeungnam Medical Science
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    • v.7 no.1
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    • pp.61-68
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    • 1990
  • To assess the role of multiple factors in influencing occurrence of ventricular premature complexes after acute myocardial infarction twenty-four hour Holter electrocardiographic tape recording were made in 40 survivors of an acute myocardial infarction 10 to 20 days after attack. Ventricular premature complexes were found in 72.5percent of the patients. The incidence and grade of ventricular premature complexes in the early postinfarction period were not correlated with left ventricular function, age, sex, smoking, dibetes mellitus, previous angina, and previous myocardial infarction. The occurrence of ventricular premature complexes showed a positive correlation with the occurrence of ST-T change. The occurrence of ventricular premature complexes during sleep hours was compared to the awake state. In 22 patients. the incidence of ventricular premature complexes was reduced during sleep. If patients free of ectopic activity during 24-hour monitoring sessions are excluded from analysis, the 22 of patients, or in 76percent, sleep was associated with a lowered occurrence of ventricular extrasystoles.

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Hybrid Surgery for Supra-renal Abdominal Aortic Aneurysm - A case report- (신상부 복부대동맥류의 하이브리드 수술 - 1예 보고 -)

  • Lee, Seock-Yeol;Lee, Seung-Jin;Lee, Chol-Sae
    • Journal of Chest Surgery
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    • v.43 no.6
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    • pp.774-777
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    • 2010
  • A 70-year old male with dilated cardiomyopathy was admitted to our hospital because of a renal stone, and a supra-renal abdominal aortic aneurysm was detected during work-up. We performed a hybrid surgery using an endovascular stent because of his co-morbidities. The operation consisted of removal of the renal stone, de-branching of the visceral artery and both renal arteries from the abdominal aorta, reperfusion of the de-branched arteries with retrograde bypass surgery using two Y-graft from the left external iliac artery, and deployment of stent graft in the abdominal aorta. Therefore, we report a case of hybrid surgery for supra-renal abdominal aortic aneurysm.

Operative Treatment of Mitral Valve Regurgitation due to Papillary Muscle Rupture from Acute Myocardial Infarction Under ECMO -A case report- (급성심근경색 후 발생한 유두근 파열로 인한 승모판 판막 폐쇄부전의 체외막 산소화 장치하 승모판막 치환술 - 1예 보고 -)

  • Joo, Seok;Choo, Suk-Jung;Jung, Sung-Ho;Je, Hyoung-Gon
    • Journal of Chest Surgery
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    • v.43 no.2
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    • pp.172-175
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    • 2010
  • A 61-year-old man presented with chest pain and ST elevation, and he underwent coronary angiography under the impression of acute myocardial infarction. Coronary intervention under intra-aortic balloon pumping was necessary due to his hemodynamic instability from the acute total occlusion of a large obtuse marginal branch. In spite of successful intervention, the cardiogenic shock persisted, and so extracoporeal membranous oxygenation was performed to treat this. Afterwards, the cardiogenic shock still persisted, and the auscultatory and echocardiographic findings revealed severe acute mitral valve regurgitation. Emergency mitral valve replacement was then performed. The ECMO and IABP were removed on the $2^{nd}$ postoperative day. The patient was discharged on the $48^{th}$ postoperative day.

Heart Retransplantation in a Patient with Cardiac Allograft Vasculopathy after Primary Heart Transplantation? - A case report - (일차 심장 이식 후 발생한 Cardiac Allograft Vasculopathy의 치료로서의 심장 재이식 - 1예 보고 -)

  • Shim, Man-Shik;Sung, Kiick;Kim, Wook Sung;Lee, Young-Tak;Jeon, Eun-Seok;Park, Pyo-Won
    • Journal of Chest Surgery
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    • v.43 no.1
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    • pp.73-76
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    • 2010
  • Cardiac allograft vasculopathy (CAV) is a major factor that limits the long-term survival after cardiac transplantation. Because the main feature of CAV is a diffuse stenosis that predominantly develops in the distal arteries, reperfusion therapy has shown poor outcomes. The results of cardiac retransplantation for CAV are better than that for acute resection and the survival is identical to that of patients who undergo primary transplantation. We describe a case of performing cardiac retransplantation in a 28 year-old male patient with refractory CAV and who underwent primary transplantation due to dilated cardiomyopathy 8 years previously.