• Title/Summary/Keyword: 심장크기

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Tuberculous Mediastinitis Developed After Surgical Treatment of Giant Chondrosarcoma on Chest Wall -one case report (흉부 거대 연골육종의 외과적 치료후 발생한 결핵성 종격동염 -1례 보고)

  • 이재훈;양수호
    • Journal of Chest Surgery
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    • v.30 no.3
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    • pp.248-252
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    • 1997
  • A 48 year old man, has been suffering from a growing chondrosarcoma of sternum which has deeply invading the anterior mediastinum: He underwent wide resection of the chest wall tumor including a 4 cm free margin of normal tissue on all portions. The tumor as 15 $\times$ 16$\times$ 10cm in size arising from sternum and include both proximal one third of the clavicle and the 1 st, 2nd, and 3rd coital cartilages. The resected skeletal defect in the anterior wall was very large after wide resection of the'tumor and reconstructed due to paradoxical chest wall movement with sandwich like method of double over lapping Marlex mesh and methylmethacreylate, and steel wires. The soft tissue reconstructive procedure was dont with myocutaneous flap transposition use of pectoralis muscle. But the patient go infected with tuberculosis in the mediastinum two months after the operation. We had removed all of previously inserted prosthetics and performed curettage and drainage. Recently we experienced a case with giant chondrosarcoma of the sternum associated with tuberculous mediastinitis. The patient had an uneventful postoperative course and was discharged with adjuvant treatment such as antituberculous medication for 1 year.

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Giant Cavernous Hemangioma of the Esophagus -One Case Report- (식도에 발생한 거대 해면혈관종 수술치험 - 1례 보고 -)

  • Lee, Chang-Min;Park, Sung-Dal;Cho, Sung-Rae;Huh, Bang
    • Journal of Chest Surgery
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    • v.31 no.3
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    • pp.324-328
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    • 1998
  • Esophageal hemangioma is an extremely rare benign tumor that causes dysphagia and massive upper gastrointestinal bleeding. Although certain abnormalities seen on a barium swallow esophagography or at endoscopy may suggest an esophageal hemangioma, a contrast CT and radionuclide angiography using a blood-pool radiopharmaceutical can characterize the intense vascularity of the tumor. We experienced the ase of a 7$\times$7$\times$3.5 cm in size giant cavernous hemangioma of the lower 1/3 of esophagus in a 40 year old man. A mural cavernous hemangioma was diagnosed with a barium swallowed esophagogaphy, endoscopy, and a contrast CT. It was treated successfully by transthoracic esophagectomy including the tumor and esophagogastrostomy.

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Use of Myocutaneous Flap for the Surgical Treatment of Bronchopleural Fistula (근피판술을 이용한 기관지 -늑막루의 외과적 치료 -치험 1례 보고-)

  • 김철환;박성동
    • Journal of Chest Surgery
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    • v.29 no.1
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    • pp.107-111
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    • 1996
  • Persistent bronchopleural fistula (BPF) still presents a troublesome therapeutic challenge and demands an aggressive approach when conventional measures fail. A 50-year-old man had a rigtlt pneumonectomy for far-advanced pulmonary tuberculosis with the development of postopneumonectomy empyema and BPF 1 month postoperatively in October 1 81. The condition was managed with BPF closure and the Clagett procedure, which failed with the recurrence of BPF and empyema, followed by a spontaneous open window at about 1 year port:operatively. The BPF, which had been aggravated to a large size, was managed by the closure and obliteration of the empyema cavity using a Pectoralis-skin pedicled flap 13 years postoper atively on Jul, 1994. The BPF was controlled by the procedure, and the patient, with improved respiratory symptom, was discharged 43 days postoperatively. We conclude that the use of myocutaneous flap Is an effective procedure for the closure of a large BPF. The surgical technique of the pedicled flap operation is described and the case is reported.

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Surgical Treatment of a Right Common Carotid Artery Aneurysm (우총경동맥류의 수술적 치료)

  • Min, Sun-Kyung;Hwang, Eun-Gu;Chang, Jin-Soon;Kim, Yong-In
    • Journal of Chest Surgery
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    • v.42 no.2
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    • pp.279-281
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    • 2009
  • A 38-year old man was admitted to our hospital due to a $5{\times}6cm$ sized pulsating mass in the right neck. He suffered from intermittent neck pain and hoarseness for two months due to the rapidly growing mass. The radiological examinations revealed an aneurysm of the right common carotid artery near the bifurcation, and it was compressing the internal and external carotid arteries. Endarterectomy of the right internal carotid artery, aneurysmectomy of the right common carotid artery and graft interposition were done, while the cerebral circulation was maintained by an internal shunt. Intraoperative injury to the nerve tissue around the aneurysm was avoided. He was discharged on the postoperative 7th day without any complications.

Malignant Fibrous Histiocytoma of the Lung - A case report - (폐 악성 섬유성 조직구종 -1예 보고 -)

  • Kim, Dae-Hyun;Kim, Jung-Heon;Kim, Bum-Shik;Park, Joo-Chul
    • Journal of Chest Surgery
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    • v.40 no.11
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    • pp.786-788
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    • 2007
  • Primary malignant fibrous histiocytoma of the lung is extremely rare, A 12-year-old child was admitted to the hospital due to an incidentally detected lung mass. A $2.5{\times}2.5 cm$ sized mass located in the right lower lobe was seen on the chest X-ray, the chest computed tomogram and the positron emission tomogram. We resected the mass through a right lateral thoracotomy and the mass was revealed to be a malignant spindle cell neoplasm on the frozen section diagnosis. So, we performed lobectomy of the right lower lobe with systemic dissection of the mediastinal lymph nodes; the final histopathological diagnosis of the mass was malignant fibrous histiocytoma. The patient was discharged on postoperative day 7 and adjuvant chemotherapy was not applied.

Multiple Pulmonary Benign Metastasizing Leiomyoma (다발성으로 폐에 발생한 양성 전이성 평활근종)

  • Chun, Joon-Kyung;Lee, Kyo-Seon;Song, Sang-Yun;Ahn, Byoung-Hee;Na, Kook-Ju
    • Journal of Chest Surgery
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    • v.40 no.11
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    • pp.789-792
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    • 2007
  • We report here a case of pulmonary benign metastasizing leiomyoma from the uterus in a 45 year old woman. The patient presented for investigation of multiple pulmonary nodules on a routine chest roentgenogram. The patient had undergone uterine myomectomy due to uterine leiomyoma 10 years earlier. We performed thoracoscopic wedge resection for definitive diagnosis. Histologically, spindle shaped smooth muscle cells appeared between collagen stroma, histology similar to that seen in uterine myoma. The tumor tissue tested positive for estrogen and progesterone receptors. The pathological findings were consistent with benign metastasizing leiomyoma. The patient was in pre-menopause. She received no specific treatment for lung tumors, and we did not found any changes in the lesions after one year follow up without any medication.

Transcatheter Closure of a Residual Shunt after Surgical Repair of Traumatic Ventricular Septal Defect (외상성 심실중격결손 수술 후 잔존하는 심실중격결손에 대한 중재적 심도자술을 이용한 폐쇄)

  • Jeong, Hee Jeong;Lim, Han Hyuk;Yu, Jae Hyun;Lee, Jae Hwan;Kil, Hong Ryang
    • Clinical and Experimental Pediatrics
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    • v.48 no.10
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    • pp.1143-1143
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    • 2005
  • The traumatic ventricular septal defect (VSD) is a rare but potentially life threatening complication of chest wall injury. The traumatic VSD occurs in up to 4.5% of penetrating cardiac trauma. Most of the patients are usually operated on because of heart failure and/or significant left-to-right shunt. The feasibility of surgical repair under cardiopulmonary bypass may be affected by coexisting pulmonary, cerebral or other vascular injuries. Transcatheter closure of VSD is being considered as an alternative therapeutic modality to surgery in order to avoid the potential risk of cardiopulmonary bypass. We report a patient who underwent a successful transcatheter closure of VSD with an $Amplatzer^{(R)}$ VSD occluder. The patient had a residual VSD with significant left-to-right shunt after surgical repair of post-traumatic VSD using cardiopulmonary bypass.

Two new records for the Korean flora: Commelina benghalensis L. and C. diffusa Burm. f. (Commelinaceae) (우리나라 미기록 식물: 고깔닭의장풀(Commelina benghalensis L.)과 큰닭의장풀(C. diffusa Burm. f.))

  • Kim, Chan-Soo;Kim, Soo-Young
    • Korean Journal of Plant Taxonomy
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    • v.41 no.1
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    • pp.58-65
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    • 2011
  • Commelina benghalensis L. and Commelina diffusa Burm. f. belonging to Commelinaceae, two species previously unrecorded as Korean flora, were collected in the lowlands of Jeju Island in Korea. Commelina benghalensis of the two species is different from others of Commelinaceae in Korea by having funnelform spathes fused at the proximal margin of involucral bracts and cleistogamous flowers. In addition, Commelina diffusa differ from others by having a three-valve capsule and lanceolate and a base cordate or rounded spathelike involucral bracts. The somatic chromosome number of Commelina benghalensis was 2n = 2x = 22 and the sizes of chromosomes were very small, ranging from 1.25 to 2.70 ${\mu}m$. However, the Commelina diffusa chromosome number exceeded 2n = ca. 100, and a precise count could not be obtained. These species are known to be distributed in tropical and subtropical regions of Asia and Africa below the latitude of Jeju Island of Korea.

에어컨용 냉매압축기

  • 이승갑;소순갑;최영민
    • The Magazine of the Society of Air-Conditioning and Refrigerating Engineers of Korea
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    • v.31 no.11
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    • pp.8-14
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    • 2002
  • 가정용 룸에어컨이나 가정, 점포, 사무실에 사용하는 패키지에어컨은 쾌적한 주거 사무공간을 실현할 수 있기 때문에 최근 10년 동안에 광범위하게 보급되었고, 그 기술도 해마다 진보하고 있다. 그림 1에서 나타나듯이 2001년 가정용 룸에어컨의 국내생산 수량은 연간 600만대 수준이며, 패키지에어컨은 연간 약 80만대 수준이다. 2001년 기준으로 에어컨의 국내시장규모는 약 130만대로 세대 보급률이 약 40%에 도달하고 있다. 비록 패키지에어컨은 생산 수량면에서는 룸에어컨과 비교할 수 없지만, 한대의 냉방능력이 룸에어컨의 수배에서 수십배로 크기 때문에 전력에너지소비, 환경 등에 미치는 영향은 룸에어컨과 비견될 수 있다. 공조장치 보급에 따른 환경, 에너지 측면에서의 사회적 영향과 관심이 점차 커지고 있고, 이것을 개선하기 위한 기술개발이 활발하게 진행되고 있다. 에어컨을 포함한 공조장치의 다수는 효율이 좋은 증기 압축식 냉동사이클로써 구성되어 있으며, 증기 압축식 사이클에서 냉매가스를 압축하여 순환시키는 심장역할을 하고 있는 것이 압축기이다. 또한 압축기는 공조장치 전체의 전력소비의 80%에서 90%을 차지하고 있어 에너지절감 기술개발과 환경기술개발의 포인트가 되는 기구이다. 최근에 에어컨용 냉매압축기의 기술적인 개발동향을 정리하면 다음과 같은 경향으로 진행되고 있다. (1)오존층 파괴 지수가 제로인 친환경 HFC계와 자연냉매용 밀폐형 압축기기술 (2)로터리압축기의 성능향상 및 대용량화 기술 (3)압축기용 모터의 DC화통에 의한 모터 효율 향상 및 압축기 효율 향상 기술 (4)스크롤압축기의 압축비 변화의 대응, 고효율 유지, 대용량화 등 성능향상기술 (5)로터리, 스크롤, 왕복동 압축기를 이용한 용량가변기술 본 논고에서는 룸에어컨과 패키지에어컨에서 사용되고 있는 밀폐형 압축기에 대해서 그림 2에서 나타내고 있는 냉방능력 10tons(120,000Btu/h) 이하를 중심으로 상기의 최근 기술 동향을 간략하게 소개하고자 한다.

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Interventional Approaches for Treatment of Saddle Embolus in Two Cats with Hypertrophic Cardiomyopathy (고양이 심근비대증에 병발한 안장색전증의 중재치료 증례)

  • Kang, Min-Hee;Park, Hee-Myung
    • Journal of Veterinary Clinics
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    • v.31 no.4
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    • pp.298-302
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    • 2014
  • An 8-year-old castrated male domestic shorthair cat (Case 1) and 3-year-old castrated male Siamese cat (Case 2) was presented with acute paresis of the hindlimbs, constant open-mouth breathing, and hemoptysis. Heart murmur (Case 1) and gallop sound (Case 2) was ausculated on the left heart base. Radiographs revealed alveolar infiltration of the caudodorsal lung lobes with aerophagea in Case 1 and prominent cardiomegaly in Case 2. Marked concentric hypertrophy of the ventricular septum and free wall, and left atrial enlargement was detected through echocardiography in both cats. Based on the examinations including echocardiography, those cats were diagnosed as hypertropic cardiomyopathy. Abdominal ultrasound revealed echogenic material in the aortic trifurcation region, aortic thromboembolism (ATE). Although prognosis of those animals was guarded, interventional therapeutic approach through direct endovascular thrombolytic therapy was attempted. ATE was visualized through angiography; however dissolving the embolus using interventional thrombolytic approach was not successful due to the extensive thrombus.