• Title/Summary/Keyword: 심장CT

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Diagnosis of Graft Infection Using FDG PET-CT

  • Shim, Hun-Bo;Sung, Ki-Ick;Kim, Wook-Sung;Lee, Young-Tak;Park, Pyo-Won;Jeong, Dong-Seop
    • Journal of Chest Surgery
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    • v.45 no.3
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    • pp.189-191
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    • 2012
  • Graft infections after aortic replacement are a rare, but severe complication. Because surgical removal of the infection source is essential, an accurate diagnosis is required to prevent unnecessary treatment. Both of the patients described herein were diagnosed with graft infections using dual-modality positron emission tomography-computed tomography; one patient was a false-positive, and the other was confirmed with an infection.

Extralobar Pulmonary Sequestration Supplied by Pulmonary Artery (폐동맥에서 공급받는 외엽형 폐격리증;1례 보고)

  • Baek, Hyo-Chae;Park, Jae-Hui;Lee, Du-Yeon
    • Journal of Chest Surgery
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    • v.26 no.11
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    • pp.894-898
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    • 1993
  • Pulmonary sequestration is an uncommon congenital pulmonary malformations characterized by presence of nonfunctioning lung tissue which receives its blood supply mostly from the anomalous systemic arteries. We have experienced a 30 year old male patient with a mediastinal mass complaining of intermittent chest pain, and the mass was histologically confirmed as extralobar pulmonary sequestration. The anomalous blood supply origined from the right pulmonary artery but there was no communication with the tracheobronchial tree. He underwent operation through midsternotomy incision for the purpose of concurrent resection of enlarged thymus noted on chest CT.

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Surgical Resection of Tracheal Leiomyoma; A cas report (기관 평활근종의 수술적 절제;1례 보고)

  • 심재천
    • Journal of Chest Surgery
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    • v.26 no.12
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    • pp.965-968
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    • 1993
  • Primary benign tracheal tumors are exceedingly rare and leiomyoma has the least frequency among them. It is important to recognize early without misdiagnosis such as asthma because it is curable. A 41 year-old female was admitted for dyspnea and choking since November 1991. Under the impression of asthma, she received medication. Symptom was not improved and thus chest CT scan was performed. There was endotracheal tumor mass which was located just above the carina and arose from the right lateral tracheal wall with broad base. We successfully resected the tumor mass including trachea and the defected area of trachea was reconstructed with autologous graft using pericrdium & rib cartilage. During the follow up period, no complication was developed.

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Double Extra-anatomic Bypasses in Upper and Lower Extremities - A Report of Case - (이중성 비해부학적 우회술 치험 1례)

  • 이신영
    • Journal of Chest Surgery
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    • v.22 no.2
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    • pp.330-336
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    • 1989
  • The patient was 47-year-old male who had suffered from aphasia and hemiplegia of the right side, but mental state was alert. On physical examination, BP was 130/80 mmHg in the right arm, but not checked in the left arm. The pulses of the left common carotid, brachial, and radial arteries were not palpable. The pulses of the right femoral, popliteal, and dorsalis pedis arteries were weakly palpable. Brain CT Scan revealed cerebral infarction of the left hemisphere. Aortogram showed occlusion of the left common carotid, and the right internal carotid and common iliac arteries. Subclavian steal phenomena were observed in the delayed aortogram. Double extra-anatomic bypasses; Axillo-Axillar bypass and Femora-Femoral bypass, were performed in the local anesthesia at two stages, because of risk of major operation under general anesthesia. Postoperatively, all pulses except for pulse of the left common carotid artery were equally palpable. On discharge, the hemiplegia of the right side was improved and able to walk with assistance.

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Pulmonary Sparganosis - A Case Report - (폐스파르가눔증 -1례 보고-)

  • Hur, Jin;Lee, Seung-Cheol;Lee, Chang-Young
    • Journal of Chest Surgery
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    • v.36 no.1
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    • pp.43-46
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    • 2003
  • A 45-year-old man was referred with symptoms of cough and chest pain for 3 days and small amount of hemoptysis. He had no history of pulmonary tuberculosis. Chest CT showed 2 cystic lesions with air fluid level ill right lower lobe. We performed posterior basal segmentectomy and found 2 cysts with white long parasite in each cavity. We experienced a case of pulmonary sparganosis and report it with references.

A case Report of Tracheal Lipoma (기관내 지방종-1례 보고-)

  • 문석환;조민섭
    • Journal of Chest Surgery
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    • v.30 no.4
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    • pp.441-444
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    • 1997
  • Pure lipoma, originating from the trachea is a very rara disease entity A-37-ycar-old-male patient had suf'leered from intermittent episodes of dyspnea and has been treated under the diagnosis of bronchial asthma for 6 months. On chest CT scan and bronchofiberscopic examination, a round mass with the pedunculated neck was found in the mid-portion of the membranous portion of the intrathoracic trachea. Under the guide of fiberoptic bronchoscope, the mass was extirpated using polypectomy w re loop and eletrocauterization . He was discharged without any events on third postoperative day of operation and has been well without recurrence for 6 months.

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Surgical Treatment in Local Recurrence of Esophageal Cancer with Free Jejunal Graft -A Case Report (흉부식도암의 근치적절제후 국소 재발에서의 유리공장 이식술 -1례-)

  • 이종목;임수빈
    • Journal of Chest Surgery
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    • v.30 no.4
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    • pp.449-452
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    • 1997
  • We managed surgically a case of local recurrence in esophageal cancer Twenty month after transthoracic subtotal esophagectomy and csophago-gastrostomy, he su(fared from dysphagia. Chest CT and percutaneous needle aspiration biopsy showed . Local recurrence involving residual esophagus, thyroid gland, posterior membraneous portion of trachea. We did cervical esophagectomy, laryngectomy thyroidectomy, partial resection of trachea and reconstruction with free jejunal antograft successfully.

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Schwannoma of the Esophagus - A case report- (식도의 신경집종 -1예 보고-)

  • 백종현;이장훈;이동협;정태은;김미진;이정철
    • Journal of Chest Surgery
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    • v.37 no.11
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    • pp.963-966
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    • 2004
  • A rare case of schwannoma involving lower thoracic esophagus is presented. A 64-year-old male was seen with slowly progressing dysphagia for 2 years. Large sized submucosal tumor was found by endoscopy and chest CT. On surgery, tumor was very solid and tightly adherent to the adjacent tissue. Esophagectomy and esophagogastrostomy was done.

Mucoepidermoid Carcinoma of the Right Lower Lobe Bronchus - A case report- (우하엽 기관지에서 발생한 점막 표피양 종양의 수술 치험 -1예 보고-)

  • 김연수;김욱성;장우익;주미;류지윤
    • Journal of Chest Surgery
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    • v.37 no.11
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    • pp.955-958
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    • 2004
  • Mucoepidermoid carcinoma is an uncommon lesion that accounts for approximately 1% of primary malignant bronchial gland tumors and less than 0.2% of all lung neoplasm. This tumor presents with symptoms of bronchial irritation or obstruction. Distant metastasis is uncommon, therefore complete surgical resection is the treatment of choice. The prognosis of tumor correlates with on the histologic grade of tumor. We experienced mucoepidermoid carcinoma in a 15 year-old girl with symptoms of cough and blood tinged sputum. The patient underwent successful removal of tumor by bilobectomy via explorothoracotomy after chest CT and bronchoscopic biopsy.

Localized Fibrous Tumor of Pleura; A report of a case (흉막에 발생한 국소성 섬유성 종양;1례 보고)

  • 김남혁
    • Journal of Chest Surgery
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    • v.26 no.12
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    • pp.959-961
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    • 1993
  • Localized fibrous tumor of pleura is submesothelial origin and related terms with localized mesothelioma, giant sarcoma of visceral pleura, post-inflammatory tumor of the pleura, pleural fibroma, submesothelial fibroma. This tumor is rare. We experienced a case of localized fibrous tumor.This 66 years old female was admitted with 2 years left persistant flank pain and mild dyspnea. Chest X-ray and CT scan showed a 12x10cm well-defined huge mass in the left subpulmonic area, and not metastatic lesion of any organs.Exploratory thoracotomy was done and a 14x10x8cm [650gm weight] sized mass was excised.The patient was discharged without any complications postoperatively.

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