• Title/Summary/Keyword: 심실

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Capillary Hemangioma of the Right Ventricle- A case Report- (우심실에 발생한 모세 혈관종 1례 보고)

  • Song, Hyun;Je, Hyoung-Gon;Matsuda, Naruto;Lee, Jae-Won;Song, Meung-Gun
    • Journal of Chest Surgery
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    • v.34 no.5
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    • pp.410-413
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    • 2001
  • 심장에서 발생하는 모셀혈관종은 극히 드문 양성 종양이다. 본원에서는 호흡곤란을 주소로 내원한 13세 남자 환자에서,심포음파상 중등도의 혈류 폐쇄를 초래하는 우심실내 종괴를 확인한 후, 우심방을 통해 완전 절제하여 조직검사상 모세 혈관종을 발견하였기에 문헌고찰과 더불어 증례보고하는 바이다.

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Midterm Results of Modified Central Shunt in Patients of Pulmonary Atresia with Ventricular Septal Defect-Two cases report- (심실중격결손을 동반한 폐동맥 폐쇄증 환아에서 변형 중앙 단락술의 중간 평가-2례 보고-)

  • 전양빈;김웅한;이창하;오삼세;김욱성;김수철;이석기;백만종;나찬영
    • Journal of Chest Surgery
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    • v.34 no.5
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    • pp.407-409
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    • 2001
  • 기존의 중앙 단락술을 기술적으로 변형하여 두 명의 신생아를 수술하였다. 해부학적 진단은 심실 중격 결손을 동반한 폐동맥 동맥관 개존증이었다. 일차 수술에서 대동맥-단락간 문합을 측-측 문합 방식으로 하였다. 관찰기간 동안 양쪽 폐동맥과 주폐동맥은 잘 성장하였고 각각 10, 18개월에 Lecompte 술식을 시행하였다. 이 방법은 짧고 뒤틀림이 적은 직선주행의 단락을 만드는 장점을 가지고 있다.

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Aspergillus Infection in Large Thrombus of a Permanent Ventricular Pacing Lead (영구 인공심박동기 심실전극의 거대혈전에 발생한 국균증)

  • Kim, Chi-Gyeong;Jo, Gyu-Do;Yun, Jeong-Seop;Kim, Jin-Ho
    • Journal of Chest Surgery
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    • v.30 no.10
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    • pp.1032-1035
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    • 1997
  • Fungal infection of intracardiac pacing wire is very rare. We experienced a case of patient with functioning transvenous pacemaker lead, inserted 3 years previously, which was completely encased in a large thrombus infected with aspergillus. The lung biopsy also confirmed aspergillus infection.

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Surgical Management of Postinfarct Posterobasal Left Ventricular Aneurysm -A Case Report- (심근경색 후 좌심실 후방 기저부에서 발생한 좌심실류의 외과적 치료 -1례 보고-)

  • 백완기;윤용한;김정택;김광호
    • Journal of Chest Surgery
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    • v.34 no.9
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    • pp.716-719
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    • 2001
  • The surgical treatment of postinfarct aneurysm on the posterobasal aspect of left ventricle is seldom reported compared aneurysm although the actual incidence is higher than expected, partly because of the complexity of the operation and unpredictable postoperative endoventricular circular patch plasty technique was applied successfully. The methodology is described with review of the relevant literature.

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Surgical Treatment of Hemolytic Anemia Induced by Residual VSD and PS (잔여 심실중격결손과 우심실 유출로 협착으로 유발된 용혈성 빈혈의 외과적 치험)

  • 홍민수
    • Journal of Chest Surgery
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    • v.25 no.11
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    • pp.1250-1253
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    • 1992
  • A patient with intravascular hemolysis due to residual shunt and right ventricular outflow track obstruction after total correction of TOF was presented. The patient was 29 years old female. She underwented VSD closure with dacron patch, infundibulectomy, pulmonic valvotomy and direct closure of PFO. 8 months after the operation, severe intravascular hemolysis and hemolytic anemia appeared. Conservative therapies were not effective, her general condition and laboratory finding got worse gradually. She underwent reoperation, the shunt was closed and right ventricular outflow tract obstruction was corrected by pulmonary valvotomy, infudibulectomy and transannular patch. After operation, hemolysis disappeared dramatically. Severe hemolysis may induce renal failure and necessitate transfusion frequently. If hemolytic anemia is not corrected by conservative treatment, early reoperation is required.

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Numerical analysis of the ventricular fibrillation phenomena using two-dimensional Tissue Model (2차원 조직모델을 사용한 심실세동 현상의 수치적 해석)

  • Choi, Seung-Yun;Hong, Seung-Bae;Lim, Ki-Moo;Shim, Eun-Bo
    • Proceedings of the KSME Conference
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    • 2008.11a
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    • pp.1665-1668
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    • 2008
  • Arrhythmia causes sudden cardiac death. In the past, there were medical limitations in finding the cause of arrhythmia. As an alternative solution for research of arrhythmia, there have been studies to find the causes of arrhythmia by producing a virtual heart model. Medically, arrhythmia has two main causes: abnormal occurrence of action potential and abnormal conduction of action potential. Based on these, the tachycardia, which is one of the arrhythmia, was manifested and the phenomenon of ventricular fibrillation was numerically analyzed in this study. For this purpose, an electrophysiological model of ventricular cells was implemented, which was subsequently applied to the reaction-diffusion partial differential equation to interpret the macroscopic conduction phenomenon in two-dimensional tissues. The ventricular fibrillation refers to a condition where several irregular waves occur in cardiac tissue, whose generation mechanism is pathologically related to the cardiac tissue.

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Surgical Correction of Double-outlet Right Ventricle with Atrioventricular Discordance - A case report - (심방심실착위를 동반한 양대혈관 우심실기시증의 수술치험 1례)

  • 최대융
    • Journal of Chest Surgery
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    • v.25 no.12
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    • pp.1471-1475
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    • 1992
  • Within the group of congenital cardiac anomalies manifesting atrioventricular discordance, there exists a subset of hearts characterized by the additional presence of double outlet of the morphological right ventricle. Most of these hearts have associated pulmonary stenosis and abnormal direction of the cardiac apex, and all have a ventricular septal defect. Recently, a 10-year old boy underwent successful surgical correction of double outlet right ventricle with atrioventricular discordance. Diagnostic confirmation was made by 2-D echocardiography, cardiac catheterization and cineangiocardiography. The operation consisted of patch closure of ventricular septal defect so as to leave both great arteries draining the systemic[morphologically right] ventricle, and insertion of an extracardiac valved conduit between the morphological left ventricle and the distal end of the proximally oversewn pulmonary artery. Postoperative course was uneventful.

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Myocardial Hamartoma Involving the Interventricular Septum (심실중격을 침범한 심근이형종)

  • 이정렬;황호영;배은정;김종재
    • Journal of Chest Surgery
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    • v.36 no.4
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    • pp.277-279
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    • 2003
  • A 15 year-old boy was referred to us because of mild dyspnea on exertion and incidentally found heart murmur. On echocardiography, a mass involving mainly interventricular septum and causing left ventricular outflow tract obstruction was detected. Cardiac catheterization demonstrated a transaortic pressure gradient of 20 mmHg. Partial excision of the septal mass was performed via aortotomy under cardiopulmonary bypass. The pathologic diagnosis revealed myocardial hamartoma. The lesion was mainly composed of mature, severely hypertrophic myocytes and intervening fibrosis. During the 5 year of follow-up after the surgery, no evidence of arrhythmia or tumor recurrence was documented.

Comparison of PVC Detecting Methods with ECG Using Descending Slope Tracing Waves and Form Factor (하강 기울기 추적파와 Form Factor를 이용한 심전도 조기심실수축의 검출 방법의 비교)

  • Ju, Jangkyu;Lee, Ki Young
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.1 no.3
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    • pp.21-26
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    • 2008
  • In this paper, we extracted descending slope tracing waves (DSTW) and form factors (FF), and compared the detecting results of premature ventricular contraction (PVC) which were derived from DSTW and FF in order to find an efficient method. The 2nd. derivatives and DSTW were employed to extract correct R-waves from ECG. To evaluate extracting methods, ECGs including PVCs from MIT/BIH database were used.

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Comparison of performance for classification arrhythmia with PCA, ICA, LDA using artificial neural network (신경망 분류법을 사용한 PCA, ICA, LDA에 따른 부정맥 판별 성능 평가)

  • Kim, Jin-Kwon;Shin, Kwang-Soo;Shin, Hang-Sik;Lee, Myoung-Ho
    • Proceedings of the KIEE Conference
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    • 2007.07a
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    • pp.1924-1925
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    • 2007
  • 본 논문에서는 부정맥 판별을 위한 전처리 과정으로 PCA, LDA, ICA를 바탕으로 하여 정확도를 비교하여 보았다. 각각의 전처리는 고유의 특성을 가지고 있으며 본 논문의 목적은 부정맥 판별상 어떤 전처리가 더욱 정확성의 면에서 효과적인지를 알아보는 것이다. 본 논문의 데이터는 MIT-BIH에 기반하고 있으며, Beat의 분류는 정상(Normal), 좌각차단(Left Bundle Branch Block, LBBB), 우각차단(Right Bundle Branch Block, RBBB), 조기심실수축(Premature Ventricular Contraction, PVC), 조기심방수축(Atrial Premature Beat, APB), paced Beat, 심실보충수축(Ventricular Escape Beat)로 나누었다. 실험적 결과는 PCA-BPNN의 경우 95.53%, ICA-BPNN의 경우 93.95%, LDA-BPNN의 경우 96.42%로 LDA가 가장 ECG 부정맥 판별 응용에 있어 가장 효율적인 방법으로 나타났다.

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