• Title/Summary/Keyword: 심막

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Neonatal Tension Pneumopericardium (신생아 긴장성 심막 기종)

  • 손국희;김영삼;백완기;윤용한;김광호;성태정;전용훈;김정택
    • Journal of Chest Surgery
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    • v.37 no.5
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    • pp.464-466
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    • 2004
  • Neonatal tension pneumopericardium is a serious disease that requires prompt diagnosis and treatment. If untreated, it may lead to cardiac tamponade and death. We report a case of neonatal tension pneumopericardium which was successfully treated by open pericardial window operation with review of literatures.

Incidentally Detected Pericardial Defect in a Patient with Pneumothorax as Confirmed on Video-Assisted Thoracoscopic Surgery (흉강경 수술로 확인한 우연히 발견된 기흉을 동반한 심막결손)

  • Hyunwoo Cho;Eun-Ju Kang;Moon Sung Kim;Sangseok Jeong;Ki-Nam Lee
    • Journal of the Korean Society of Radiology
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    • v.82 no.3
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    • pp.749-755
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    • 2021
  • Congenital defects of the pericardium, which are generally asymptomatic, are rare disorders characterized by complete or partial absence of the pericardium. Here, we report a rare case of a 19-year-old male who was incidentally diagnosed with congenital absence of the left pericardium during examination for symptoms of pneumothorax. Chest radiography and CT revealed a collapsed left lung without any evidence of trauma, no unusual findings of free air spaces along the right side of the ascending aorta, heart shifted toward the left side of the thorax, and a shallow chest. Subsequent thoracoscopy confirmed the absence of the left pericardium and displacement of the heart toward the left thoracic cavity. We further discuss the correlation between radiologic images and surgical findings of a congenital pericardial defect associated with spontaneous pneumothorax.

Medistinal Teratoma with Pleural and Pericardial Effusion Teratoma with Pleural and Pericardial Effusion (늑막 삼출 및 심막 삼출을 동반한 종격동 기형종)

  • Jeon, Yang-Bin;Sohn, Sang-Tae;Chun, Sun-Ho;Chung, Won-Sang;Kim, Young-Hak;Kim, Hyuk;Kang, Jung-Ho;Jee, Haeng-Ok
    • Journal of Chest Surgery
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    • v.31 no.4
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    • pp.436-439
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    • 1998
  • Mediastinal teratoma is a tumor that thoracic surgeons made an operation much less commonly than other mediastinal masses and most of them are asymptomatic. But very rarely, this tumor invades the pleura and pericardium resulting in pleural effusion, pericardial effusion and cardiac tamponade in severe cases. The mechanism of invasion and perforation of the tumor is unknown and tumor-consisting tissue factor is suspected of a cause. In this case, we operated on a patient whose anterior mediastinal teratoma invaded and perforated pericardium and pleura resulting in pericardial effusion and pleural effusion. The patient was improved and discharged with no problem after resection of mass and involved pericardium.

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The Usefulness of Harmonic Scalpel During Pericardiectomy for Constrictive Pericariditis (교착성 심막염에 대한 심막절제술시의 Harmonic Scalpel의 유용성)

  • 김도형;이정철;정태은;한승세;이장훈;이동협
    • Journal of Chest Surgery
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    • v.35 no.8
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    • pp.605-607
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    • 2002
  • Harmonic Scalpel(Ethicon Endo-Surgery, Cincinnati, OH) has many advantages including no muscular stimulation, low heat, less smoke, easy hemostasis using ultrasound and good operation field. In patient with constrictive pericarditis, Harmonic Scalpel was beneficial during pericardiectomy.

A case of Esophageal Cancer with Pneumopericardium (식도암에 동반된 심막기종)

  • Hwang, Jin-Su;Choi, Soo-Mi;Lee, Heung-Bum;Lee, Yong-Chul;Rhee, Yang-Keun
    • Tuberculosis and Respiratory Diseases
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    • v.45 no.6
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    • pp.1305-1309
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    • 1998
  • A diabetic 73-year-old man had admitted and examined gastrofiberoscopy due to dyspagia and weight loss of 6 kg during two months. He was confirmed diagnosis of esophageal squamous cell carcinoma. During the esophgography, we found the dye spillage into pericardia! space from the esophagus with air collection A following chest roentgenogram revealed a typical pneumopericardium with pericardial air filling. Although intensive care was done. he expired 4 days later. We report a case of typical pnemopericardium caused secondary to esophageal cancer.

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Huge chondrosarcoma on the anterior chest wall (전흉부에 발생한 거대 연골육종)

  • 박영우;장원호;고정관;이철세;박형주;탁민성;이영만
    • Journal of Chest Surgery
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    • v.34 no.12
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    • pp.960-963
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    • 2001
  • Huge chondrosarcoma is a rare form of primary malignant tumor of the chest wall. We operated on a 60 year old female patient who had a huge anterior chest wall mass with local invasion into the pericardium and satellite tumors on the visceral pericardium of the heart. En-bloc resection of the huge tumor including both upper 3 ribs, both clavicles, manubrium of the sternum, pleura, and pericarium, was followed by complex chest wall reconstruction using a Gore-tex soft tissue patch and latissimus dorsi musculocutaneous free flap.

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Anterior Tracheoplasty Using Glutaraldehyde-Soaked Autologous Pericardium -One Case Report- (글루타르알데하이드에 담근 자가심막을 이용한 전방기관성형술 -1례 보고-)

  • 이석열;송철민;장원호;박형주;이철세;이길노
    • Journal of Chest Surgery
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    • v.35 no.6
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    • pp.487-490
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    • 2002
  • A 60-year-old female was admitted to our hospital complaining of dyspnea. In the past history, she had received tracheal diversion due to recurrent aspiration after brain surgery and tracheostomy. Emergency three dimensional spiral tracheal computed tomograhpy revealed distal tracheal stenosis. The operation was performed by anterior tracheoplasty using glutaraldehyde-soaked autologous pericardium through median sternotomy. Herein we report a case of anterior tracheoplasty using glutaraldehyde-soaked autologous pericardium.

peitoneopericardial diaphragmatic hernia in adult dog (성견에서 관찰된 복막-심막-횡격막 허니아 증례)

  • 정재호;조경오;박형선;김종은;박남용
    • Proceedings of the Korean Society of Veterinary Pathology Conference
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    • 2002.11a
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    • pp.135-135
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    • 2002
  • 장기간의 간기능 부전 증상을 보인 2살짜리 포인터종 개가 전남대학교 동물병원에 내원하였다. 방사선 소견상 조영제(바륨)와 가스가 찬 소장이 심낭에서 관찰되었다. 허니아로 인한 불량한 예후 때문에 심한 간기능 부전이었지만 외과적 수술을 시행하였다. 소장, 대망, 담낭을 포함한 간이 복막-심막 횡격막 허니아에 의해 심낭에 삽입되어 있었다. 소장은 심낭에서 쉽게 복구되었지만 대망과 간은 심낭과의 심한 유착으로 복구되지 못하였다. (중략)

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A Case Report of Primary Pericardial Malignant Epitheloid Mesothelioma (원발성 심막 악성 중배엽 상피종 1예)

  • Chung, Moon-Ho;Hyun, Myong-Su;Kim, Yeung-Cho;Shim, Bong-Sup;Kim, Chong-Sul;Lee, Dong-Hub;Lee, Chul-Ju;Kang, Myun-Sik
    • Journal of Yeungnam Medical Science
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    • v.3 no.1
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    • pp.301-306
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    • 1986
  • Primary pericardial mesothelioma is a rare tumor of mesodermal origin that is infrequently diagnosed antemortem and survival is short. A 60 year old male case of pericardial mesothelioma(epitheloid type) is reported. He was admitted to Yeungnam University Hospital because of chest pain, dyspnea, orthopnea and nonproductive cough. Chest x-ray suggested pericardial effusion, 2-D echocardiography showed echo free spaces of massive pericardial effusion and areas of thick hyperrefractile echoes arising from the pericardium. Pericardiocentesis was attempted and aspirated fluid was bloody exudate. Pericardial window operation with biopsy was done. Swan-Ganz catheterization showed equalization between right atrial pressure and pulmonary capillary wedge pressure. The pathologic diagnosis was established by histologic finding at pericardial biopsy.

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