• Title/Summary/Keyword: 심장 판막

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Experience of Reoperation after Valve Replacement Using Mechanical Heart Valve -8 cases - (기계판막을 이용한 판막치환술 후 재수술에 대한 경험 -8예 보고-)

  • Kim Hyuck;Lee Hyung Chang;Wee Jang Seop;Kang Jung Ho;Chung Won Sang;Chon Sun Ho;Lee Chul Bum;Kim Young Hak
    • Journal of Chest Surgery
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    • v.38 no.11 s.256
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    • pp.783-787
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    • 2005
  • Eight patients underwvnt reoperation after valve replacement surgery with a mechanical valve from January, 1992 to December, 2003. Among the various indications for reoperation, there were 4 patients with paravalvular leakage; 3 patients underwent resuturing of the area of leakage and one patient underwent redo valve replacement. Among the three patients with stenosis due to thrombosis of the valve, 2 patients underwent redo valve replacement and one patient underwent thrombectomy. In one patient, the valve functioned normally, but stenosis was caused by overgrowth of the patient and redo valve replacement was done 123 months later. There was no postoperative mortality or morbidity. After an average of 51 months ($2\~134$ months) of postoperative follow up, the patients were in good condition and were able to maintain a NYHA functional class of I or II. The operative method used, whether it be a redo valve replacement or valve sparing method, depends upon the type of lesion and the anatomic structure.

Aortic Valve Papillary Fibroelastoma - Report of 1 Case- (대동맥판막에 위치한 유두상 섬유탄력종)

  • Kim Jae Hyun;Oh Sam Sae;Lee Chang-Ha;Baek Man Jong;Kim Chong Whan;Na Chan-Young
    • Journal of Chest Surgery
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    • v.38 no.4 s.249
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    • pp.316-318
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    • 2005
  • Papillary fibroelastomas are benign, and they are the second most common primary cardiac tumors usually involving the cardiac valve. Papillary fibroelastoma attached to the free margin of right coronary cusp of the aortic vlave was found incidentally during the work-up of a 51-year-old woman, who was presented with palpitation and dyspnea. During the operation, the tumor mass was excised without leaving defect on the aortic valve leaflet.

Absent Pulmonary Valve with Intact Ventricular Septum, PDA. ASD (온전한 심실중격을 가진 폐동맥판막무형성증, 동맥관개존, 심방중격결손의 수술치험 1례)

  • 유지훈;박계현;이영탁;박표원;전태국
    • Journal of Chest Surgery
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    • v.35 no.8
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    • pp.590-593
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    • 2002
  • Absent pulmonary valve syndrome with intact ventricular septum(APVS with IVS) is a rare congenital anomaly. The severe form of this syndrome, characterized by severe respiratory distress presented soon after birth, has been attributed to the compression of the airways caused by aneurysmal dilatation of pulmonary artery. Several operative treatments such as pulmonary valve insertion, or reductive angioplasty of pulmonary artery have been applied. We present a 3-day-old male who showed improvement after PDA ligation, reductive angioplasty of pulmonary artery, pulmonary valve reconstruction, and ASD closure.

Aortic Valve Papillary Fibroelastoma Triggering Chest Pain -A case report- (흉통을 유발한 대동맥판막의 유두상 섬유탄력종 -1예 보고-)

  • Yeo, In-Gwon;Jung, Yo-Chun;Cho, Kwang-Ree;Kim, Ki-Bong
    • Journal of Chest Surgery
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    • v.39 no.11 s.268
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    • pp.858-860
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    • 2006
  • Papillary fibroelastoma is the second most common benign cardiac tumor, usually involving the cardiac valve. Papillary fibroelastoma attached at the right coronary cusp of the aortic valve was found in a 51-year-old woman, who was presented with chest pain and dyspnea. During the operation, the tumor mass was excised without causing damage on the aortic valve leaflet.

Acute Myocardial Infarction after Embolic Occlusion of Left Anterior Descending Artery by Prosthetic Valve Thrombosis - Report of 1 case - (인공판막 혈전에 의한 좌전하행지 폐쇄 후 급성심근경색 -1예 보고-)

  • 김재현;임달수;오삼세;백만종;김종환;나찬영
    • Journal of Chest Surgery
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    • v.37 no.4
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    • pp.369-372
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    • 2004
  • Acute myocardial infarction due to coronary occlusion by emboli originating from the prosthetic valve thrombosis is very rare but fatal disease which needs immediate diagnosis and urgent treatment. We report a case of acute myocardial infarction after left anterior descending embolic occlusion in whom had previous mitral valve replacement. Redo valve replacement following the interventional catheterization and anti platelet therapy lead to successful results.

Heart Valve Stenosis Region Detection Algorithm on Heart Sounds (심음에서의 심장판막협착 영역 검출 알고리듬)

  • Lee, G.H.;Lee, Y.J.;Kim, M.N.
    • Journal of Korea Multimedia Society
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    • v.15 no.11
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    • pp.1330-1340
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    • 2012
  • In this paper, a new algorithm is proposed for the heart valves stenosis region detection using heart sounds. Many researches for detecting primary components or removing heart murmurs have been studied, but their performances are degraded at abnormal heart sounds such as aortic stenosis and mitral stenosis because of large heart murmurs. In this paper, heart murmur detection method is proposed based on noise intensity function. The proposed noise intensity function detect the primary components S1, S2, then set session up using S1, S2. And then noise intensity function was computed using autocorrelation value of each session. The proposed noise intensity function estimated noise intensity of each sessions and detected heart murmurs. According to simulation results, the proposed algorithm has better performance than former study for detecting heart valve stenosis region.

Dysfunction of the Prosthetic Aortic Valve in Idiopathic Hypereosinophilic Syndrome -A case report - (인공 대동맥판막 기능부전을 일으킨 특발성 과호산구 증후군 -1예 보고-)

  • Yoo, Dong-Gon;Sung, Kyu-Wan;Jung, Sang-Sig;Kang, Gil-Hyun;Kim, Chong-Wook;Park, Chong-Bin
    • Journal of Chest Surgery
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    • v.40 no.4 s.273
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    • pp.297-300
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    • 2007
  • Idiopathic hypereosinophilic syndrome is a rare systemic, leukoproliferative disorder characterized by eosinophilmediated tissue injury causing multiple organ failure, including the heart. Cardiac involvement occurs in more than 75% of patients with hypereosinophilic syndrome. Cardiac manifestations include subendocardial fibrosis, thrombus leading to peripheral emboli, restrictive cardiomyopathy, and valvular dysfunction. It is more common in men than in women (9 : 1), and trends to present between the ages of 20 and 50 years. Presentation in childhood is unusual. We report for the first time a case of a 58-year-old man with idiopathic hypereosinophilic syndrome manifested by prosthetic aortic valve dysfunction that was successfully treated by steroid and hydroxyurea therapy after surgical valvular replacement.