• Journal of Chest Surgery
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• v.38 no.9 s.254
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• pp.648-651
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• 2005

Calcific constrictive pericarditis is considered to be a nonspecific response to chronic inflammation. This disease has become rare, because the cause of it is usually tuberculosis, which has the tendency to decrease. Other possible causes of it include radiation, rheumatoid disorders, sarcoidosis, and trauma. Whatever the etiology, it can lead to cardiac tamponade by reducing cardiac diastolic filling. We report, herein, the case of a patient with heart failure by a calcific pericardial ring.

• Journal of Chest Surgery
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• v.29 no.10
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• pp.1152-1156
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• 1996

Cardiac tamponade Is an acute, life-threatening emergency, requiring immediate decompression by a safe and simple method. The most effective method of drainage has been controversial. We experienced successful outcome for the treatment of cardiac tamponade with drainage using the Seldinger technique. The causes of the cardiac tamponade were hemopericardium after mitral and aortic valve replacement and malignant pericardial effusion due to primary lung cancer. They were treated with emergency rainage by the Seldinger technique without procedure-related complications. We believe that this technique is simple, safe for the treatment of cardiac tamponade.

• Journal of Chest Surgery
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• v.38 no.5 s.250
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• pp.385-388
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• 2005

Aortic intramural hematoma is a clinical condition that still has not been completely defined. And the treatment of intramural hematoma remains controversial. We present a patient with intramural hematoma combined with hemopericadium who was treated by an emergent surgical treatment.

• Neonatal Medicine
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• v.18 no.1
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• pp.153-157
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• 2011

Pneumopericardium is a rare form of neonatal air leakage. Tension pneumopericardium is much more infrequent, but can cause a cardiovascular deterioration with high mortality up to 80% and neurodevelopmental morbidity in half of the cases. We report two cases of preterm infants who successfully recovered from tension pneumopericardium that developed during mechanical ventilator assistance. The patients displayed a sudden increase in oxygen demand and subsequent cardiovascular deterioration. Immediate needle aspiration of the pneumopericardium performed after checking X-ray images rescued each of patient. Since the clinical symptoms are non-specific, clinicians' suspicion is most important when patients show sudden refractory cardiovascular collapse, especially in ventilator-assisted neonates. This life threatening complication demands instant diagnosis and intervention.

• Proceedings of the Korean Vacuum Society Conference
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• 2013.02a
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• pp.606-606
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• 2013

ZnO nanowire를 기반으로 하는 nanogenerator는 미세한 움직임을 전기 에너지로 변환 시키는 압전 에너지 하베스팅 기술로 기존 에너지 하베스터와 비교하여 사용환경의 제약이 적고, 소형화가 가능한 장점으로 주목을 받고 있다. 특히 혈류, 심장박동, 호흡 등 인체 활동 에너지를 이용한 발전 소자 등의 활용이 가능하여 활발한 연구가 진행되고 있다. 하지만, 최근 발표된 film like generator나 lateral 구조의 nanogenerator는 nanowire의 구조 취약성으로 인해 내구성이 좋지 못한 단점이 있다. 본 연구에서는 nanogenerator의 내구성을 향상시키기 위해 capping layer로 실리콘 계 유무기 하이브리드를 적용하고자 하였다. 또한 상부 전극을 CNT-Ag소재로 대체하여 유연기판에 대응코자 하였다. 코팅 물질 및 코팅 방법을 최적화하고, 내구성 테스트를 실시하였고, 소자의 발전 특성은 PVDF generator와 비교분석하였다.

• Proceedings of the Korean Vacuum Society Conference
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• 2013.08a
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• pp.283.1-283.1
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• 2013

ZnO nanowire를 기반으로 하는 nanogenerator는 미세한 움직임을 전기 에너지로 변환 시키는 압전 에너지 하베스팅 기술로 기존 에너지 하베스터와 비교하여 사용환경의 제약이 적고, 소형화가 가능한 장점으로 주목을 받고 있다. 특히 혈류, 심장박동, 호흡 등 인체 활동 에너지를 이용한 발전 소자 등의 활용이 가능하여 활발한 연구가 진행되고 있다. 하지만, 최근 발표된 film like Vertical 구조의 nanogenerator는 nanowire의 구조 취약성으로 인해 내구성이 좋지 못한 단점이 있다. 또한 ZnO nanowire의 내부 O2 결함 및 표면 OH-기의 흡착에 의한 특성 저하가 나타난다. 본 연구에서는 nanogenerator의 내구성을 향상시키기 위해 capping layer로 실리콘 계 유무기 하이브리드를 적용하여 코팅 물질 및 코팅 방법을 최적화 하였으며 상부 전극을 CNT-Ag nanowire 소재로 대체하여 유연기판에 대응코자 하였다. 또한 APP(Atmosphere Pressure Plasma)와 ICP(Inductively Coupled Plasma)장비를 사용하여 ZnO nanowire를 표면처리하였고, 각각의 플라즈마 표면처리의 영향에 대해 조사하였다. XPS를 통하여 OH-기의 제거 유무를 확인하였으며, 소자의 발전 특성의 향상을 확인 하였다.

• The Korean Journal of Legal Medicine
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• v.42 no.4
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• pp.172-175
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• 2018

Aortic dissection is an uncommon, life-threatening medical emergency that is associated with a high mortality rate, and death from aortic dissection is mainly related to secondary complications, namely cardiac tamponade, severe aortic regurgitation, acute myocardial infarction, and abdominal organ vessel obstruction. Hence, prompt and accurate diagnosis followed by proper treatment is important for patient survival. Herein, we present a rare case of sudden death after aortic dissection with concomitant acute myocardial infarction and cardiac tamponade.

• Journal of Chest Surgery
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• v.38 no.10 s.255
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• pp.717-720
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• 2005

Here we report a case of posterior left ventricular (LV) free wall rupture following postinfarct ventricular septal rupture (VSR). A 58-year-old man was transferred to the hospital under the impression of acute myocardial infarction. Posterior VSR was seen on echocardiographic examination. The intraaortic balloon pump catheter was introduced percutaneously and the emergent operation was proposed. Sudden circulatory collapse was developed shortly after the anesthetic induction and the patient's chest was hurriedly opened while on cardiopulmonary resuscitation. The acute cardiac tamponade was seen and the blood was seen pumping from the longitudinal tear at the mid-level of LV posterior wall, measuring 2 cm in length. The cardiopulmonary bypass was set and LV reconstruction was done. The postoperative recovery was delayed due to the brain injury presumably caused by preoperative cardiac arrest.

• Journal of Chest Surgery
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• v.29 no.12
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• pp.1342-1346
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• 1996

A right thoracotomy was used for the reoperation or mitral valve of 15 patients who had previously undergone a cardiac operation through a median sternotomy. In our experience. this approach provided dn excellent exposure of the nlitral valve and easy cannulations of both cavie with minimal dissection, ilvoiding any damage of cardiac and major vessels during re-sternotomy Arterial cannulation was performed in the ascending aorta in 13 patients And in the femoral artery in 2 patients. In earlier cases, venous cannulation was done in the SVC And IVC through the right atrium and snared. In later cases, this could be done without snaginly of both cavae or by placing a silgle light-angled catheter into the right atrium. Crystalloid cardioplegic solution was infused for myocardial protection. Hypothermia was controlled at 20\ulcorner$25^{\circ}C$. For defibrillation, internal paddles were used In one patient while sterilized external paddles were used in 10 patients. In the remaining four patients. however. the heart beat spontaneously The respirator could be weaned within 48 hours alter the operation and no pulmonary complication was observed. One out of the 15 patients expired due to sudden attack of ventricular tarchycardid developed ten days after the operation, but the rest of the patients were discharged with good condition.

• Journal of Chest Surgery
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• v.31 no.6
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• pp.604-609
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• 1998

Trauma to the thorax represents a significant portion of injuries seen in an inner-city emergency room. Although most of these patients may be sucessfully managed without thoracotomy, a certain percentage requires operative intervention either immediately or within several hours. 126 records of patients who had early thoracotomy for chest trauma from March 1986, to June 1997, in the Department of Thoracic and Cardiovascular Surgery in Masan Samsung General Hospital were reviewed. There were 96 males and 30 females whose ages ranged from 4 to 72 years, with a mean age of 32.8 years. The modes of injury were as follows : stab wounds, 55 cases(44%), blunt trauma, 70 cases(55%), and gunshot wound, 1 case(1%). Immediate operation was performed in 105 cases(84%) and delayed operation in 21 cases(16%). Indications that operation was necessary were hemorraging and shock in 66 cases(52%), cardiac tamponade in 27 cases(21%), and rupture of the diaphragm in 33 cases(27%). Most of these patients were sucessfully treated but 21 cases were resulted in death. The mortality rate was 16.6% and common causes of death were irreversible shock and hypoxia.