• Title/Summary/Keyword: 심장크기

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Left Ventricular Pseudoaneurysm after Surgery for Infective Endocarditis with Annular Abscess - A case report - (판막륜 농양을 동반한 감염성 심내막염 수술 후 발생한 좌심실 가성류 - 치험 1예 -)

  • 황호영;김기봉
    • Journal of Chest Surgery
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    • v.36 no.4
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    • pp.273-276
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    • 2003
  • We report a surgical case of 39-year-old male with a pseudoaneurysm of the left ventricle. Four years ago, the patient underwent aortic and mitral valve replacements with mechanical valves and abscess removal for infective endocarditis with annular abscess. Recent echocardiography demonstrated a communication between left ventricle and abscess pocket, and the size of pocket increased further at the follow-up echocardiography. The patient underwent patch closure of the defect between left ventricle and pseudoaneurysm located at the aortomitral fibrous continuity, under the cardiopulmonary bypass and cardioplegia. The postoperative course was uneventful and the patient was discharged on the 9th postoperative day.

Hibernoma of Lower Chest Wall, Left -One Case Report (좌측 흉벽에 발생한 동면선종 -1례보고-)

  • 전용선;전찬규
    • Journal of Chest Surgery
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    • v.30 no.4
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    • pp.467-470
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    • 1997
  • Hibernoma is a rare, benign soft tissue tumor that is derived from the remnants of fetal brown tissue. The term hibernoma was proposed in 1914 by Cery because of its morphologic similarity to the cel s of the so-called hibernating gland of animals. The most common site of hibernomas is the subcutaneous tissue of the back, especially the interscapular area. These tumors are considered benign and malignant transformation has not been reported. We experienced a case of hibernoma, 60-year-old woman had suffered from the palpable mass without pain or tenderness on posterolateral lower chest wall, left. The tumor was extirpated under the impression of angiolipoma, but was confirmed hibernoma. She was discharged without complication.

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Mediastinal Parathyroid Cyst -1 case report - (종격동 부갑상선 낭종 -1례 보고-)

  • 정재일;김재욱;김승우;구본일;이혜경
    • Journal of Chest Surgery
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    • v.36 no.1
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    • pp.59-62
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    • 2003
  • Mediastinal parathyroid cyst is a very rare disease and is usually found incidentally. Surgical excision is the treatment of choice and recurrence is very rare when complete excision is done. A 71-year-old man was referred to our department because of 6$\times$5cm sized right superior mediastinal mass found incidentally on chest X-ray Surgical excision was performed and pathologic findings were confirmed as mediastinal parathyroid cyst. The patient has been followed up postoperatively without recurrence for 4 months up to now. We report a case of mediastinal parathyroid cyst.

Relation of Left Atrial Wall Pathology to Atrial Fibrillation and Left Atrial Dimension in Mitral Valvular Diseases. (승모판질환에서 좌심방벽 생검소견과 심방세동 및 좌심방 크기의 관계)

  • 김광호
    • Journal of Chest Surgery
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    • v.21 no.1
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    • pp.1-9
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    • 1988
  • The left atrial [LA] dimension and atrial fibrillation [AF] in patients with mitral valvular heart diseases have been thought to be related to hemodynamic burden to the LA depending on severity of stenosis or regurgitation of mitral valve, left ventricular contractility and the heart conditions. If hemodynamic burden persists long, it can affect the LA wall and structural change of the LA wall itself can developed. So the structural change of the LA wall could be thought to be related to the LA dimension and AF. To verify this relation, the LA wall biopsy was performed in 26 patients with rheumatic mitral valvular heart disease at the left atriotomy incision margin which was posterior to the interatrial groove after completion of surgery to the mitral valve such as valve replacement or commissurotomy. Relation of the pathological state of the LA wall to AF and the LA dimension measured by M-mode echocardiography was studied. The conclusions were as follow. 1. There was tendency that degree of fibrosis of myocardium of the LA wall was related to the LA dimension. 2. There was more chance that patients who had severe fibrosis of myocardium of the LA wall had pre and postoperative AF. 3. There was no relation between reduction rate of the LA dimension before and after surgery and degree of fibrosis of myocardium of the LA wall.

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Cor Triatriatum with Coronary Artery Disease in an Old Man -A case report- (고령환자에서 관상동맥 질환을 동반한 삼심방심의 수술치험 -1예 보고-)

  • 천종록;이응배;조용근;장봉현;이종태;김규태
    • Journal of Chest Surgery
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    • v.32 no.1
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    • pp.58-61
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    • 1999
  • Cor triatriatum is a rare anomaly in old age. This is a case report of a 66 year-old man who had been preoperatively diagnosed as coronary artery disease and cor triatriatum. The operative findings revealed that the left atrium had an intra-atrial septum with one small opening 10mm in diameter, the upper compartment received both pulmonary veins, and there were no other anomalies like anormalous pulmonary venous connection or atrial septal defect. The patient successfully underwent open heart surgery ; the anomalous septum was resected, the mitral valve was reconstructed using French technique with Carpentier-Edwards ring, and coronary artery bypass grafting was performed.

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Bronchogenic Cyst Causing Mitral Regurgitation (승모판막 폐쇄부전을 유발한 기관지성 낭종)

  • 송종필;정승혁;강경훈;김병열;강경민
    • Journal of Chest Surgery
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    • v.32 no.1
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    • pp.66-69
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    • 1999
  • Bronchogenic cyst is an uncommon congenital lesion which is derived from the primitive foregut. Most bronchogenic cyst may develope at the tracheal bifurcation, both main bronchi, the lung parenchymeand the mediastinum. A 40-year old male was evaluated for dyspnea and chest tightness. Computed tomography revealed a well dermarcated, 7.2 ${\times}$ 7.9 cm sized, homogeneous mass compressing the left atrium. 2D-echo showed grade III mitral regurgitation. We completely removed the cystic mass and then confirmed the bronchogenic cyst in the pathological diagnosis. During the follow up period, the patient progressed well without any symptoms and showed grade I mitral regurgitation on the 2D-Echo. Therefore, we report a case of the bronchogenic cyst causing grade III mitral regurgitation.

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A Case Report of Restrictive Ventricular Septal Defect & Left Ventricular Out Flow Tract Stenosis Caused by Fibrotic Tissue in Tetralogy of Fallot (섬유성 조직으로 인한 제한적 심실 중격 결손과 좌심실 유출로 협착을 보인 활로씨 4증 1예 보고)

  • Hwang, Ui-Dong;Jung, Sung-Ho;Seo, Dong-Man
    • Journal of Chest Surgery
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    • v.39 no.11 s.268
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    • pp.850-853
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    • 2006
  • The VSD in TOF is usually large and unrestrictive with an equal to or greater than that of the aortic annulus. Typically shunting through the VSD is bidirectional or right-to-left component. Restrictive VSD in TOF caused by ingrowing fibrotic tissue is very rare. We report a case of restrictive VSD and LVOTO in TOF caused by ingrowing fibrotic tissue with the review of literature.

Improvement on Pressure Drop Performance of Flow Control Disk in Portable Resuscitator (CFD 해석을 통한 인공호흡기 유량조절디스크의 압력 강하 성능개선)

  • Kim, Young-Soo;Kim, Min-Wook;Park, Yong-Hwan
    • Fire Science and Engineering
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    • v.30 no.1
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    • pp.1-5
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    • 2016
  • Cases of cardiac arrests due to cardiovascular ailments have increased recently., portable Current portable resuscitators which can be automatically supply oxygen operated by the pressure of supplied oxygen without manual or electronic actuators are now widely used in emergency worldwide. However, reductions in Pressure drop characteristics through the extended use of this type of resuscitator, however, is are not well-known described. This paper describes the reduction in pressure loss drop performance of the various holes in within the flow control disc of with various hole size of the portable resuscitators using on breathing resistance through the CFD simulation, and suggests the an optimum optimal design of the hole shapes for the minimization of alteration in order to minimize this pressure drops.

시뮬레이션을 이용한 배아줄기세포 유래 심근세포의 페이스메이커 기전 연구

  • Kim, Won-Bae;Kim, Min-Cheol;Choe, Seong-U;Kim, Seong-Jun;Yeom, Jae-Beom
    • Proceeding of EDISON Challenge
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    • 2017.03a
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    • pp.703-707
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    • 2017
  • 배아줄기세포 유래 심근세포는 심근경색 등으로 심장이 제 기능을 다 하지 못할 때 치료적 목적으로 주사하여 환자의 심기능을 정상화 시키는 데에 쓰인다. 배아줄기세포 유래 심근세포는 페이스메이커 활동을 보이면서 막전압 고정상태에서도 주기적인 일과성 내향전류를 보이는 특징을 갖고 있다. 본 연구는 기존에 발표된 배아줄기세포 유래 심근세포의 시뮬레이션 모델을 이용하여 어떻게 하여 페이스메이커 활동이 나타나는지 그 기전을 밝히고자 하였다. 세포내 모든 이온을 고정하였을 때 모델 세포는 여전히 페이스메이커 활동을 보였다. 근장그물내 칼슘 이온을 고정하였을 때도 모델 세포는 페이스메이커 활동을 보였다. 그러나 Na-Ca 교환 전류를 차단하였을 때는 모델 세포의 페이스메이커 활동이 사라졌는데, 여기서 L-type $Ca^{2+}$ 전류의 칼슘 의존성 비활성화 기전을 제거하자 페이스메이커 활동이 지속되었다. 또한 Na-Ca 교환전류와 L-type $Ca^{2+}$ 전류만으로는 페이스메이커 활동이 보이지 않았으나 L-type $Ca^{2+}$ 전류의 크기를 3배로 증가시키자 페이스메이커 활동이 다시 나타남을 확인하였다. 따라서, 배아줄기세포 유래 심근세포의 페이스메이커 활동은 Na-Ca 교환전류와 L-type $Ca^{2+}$ 전류의 역할이 매우 중요하며, Na-Ca 교환전류는 L-type $Ca^{2+}$ 전류가 비활성화되지 않도록 칼슘 이온의 농도를 조절하는 데에 큰 역할을 하는 것으로 결론을 내렸다.

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시뮬레이션을 이용한 배아줄기세포 유래 심근세포의 페이스메이커 기전 연구

  • Kim, Won-Bae;Kim, Min-Cheol;Choe, Seong-U;Kim, Seong-Jun;Yeom, Jae-Beom
    • Proceeding of EDISON Challenge
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    • 2017.03a
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    • pp.698-702
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    • 2017
  • 배아줄기세포 유래 심근세포는 심근경색 등으로 심장이 제 기능을 다 하지 못할 때 치료적 목적으로 주사하여 환자의 심기능을 정상화 시키는 데에 쓰인다. 배아줄기세포 유래 심근세포는 페이스메이커 활동을 보이면서 막전압 고정상태에서도 주기적인 일과성 내향전류를 보이는 특징을 갖고 있다. 본 연구는 기존에 발표된 배아줄기세포 유래 심근세포의 시뮬레이션 모델을 이용하여 어떻게 하여 페이스메이커 활동이 나타나는지 그 기전을 밝히고자 하였다. 세포내 모든 이온을 고정하였을 때 모델 세포는 여전히 페이스메이커 활동을 보였다. 근장그물내 칼슘 이온을 고정하였을 때도 모델 세포는 페이스메이커 활동을 보였다. 그러나 Na-Ca 교환 전류를 차단하였을 때는 모델 세포의 페이스메이커 활동이 사라졌는데, 여기서 L-type $Ca^{2+}$ 전류의 칼슘 의존성 비활성화 기전을 제거하자 페이스메이커 활동이 지속되었다. 또한 Na-Ca 교환전류와 L-type $Ca^{2+}$ 전류만으로는 페이스메이커 활동이 보이지 않았으나 L-type $Ca^{2+}$ 전류의 크기를 3배로 증가시키자 페이스메이커 활동이 다시 나타남을 확인하였다. 따라서, 배아줄기세포 유래 심근세포의 페이스메이커 활동은 Na-Ca 교환전류와 L-type $Ca^{2+}$ 전류의 역할이 매우 중요하며, Na-Ca 교환전류는 L-type $Ca^{2+}$ 전류가 비활성화되지 않도록 칼슘 이온의 농도를 조절하는 데에 큰 역할을 하는 것으로 결론을 내렸다.

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