• Title/Summary/Keyword: 조광조

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Surgical Treatment for Celiac Trunk Aneurysm -2 case report - (복강동맥류의 수술치험 2예)

  • 이길수;방정희;우종수;이재익;김시호;조원준;조광조
    • Journal of Chest Surgery
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    • v.36 no.9
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    • pp.695-698
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    • 2003
  • Celiac artery aneurysms are rare, their incidence being reported as only 4% of all visceral artery aneurysms. Atherosclerosis and medial degenerative changes are recognized main pathogenesis. They are usually asymptomatic and diagnosed incidentally, but the mortality rate of ruptured celiac artery aneurysm is approximately 80%. So one should give an aggressive surgical aid to the patients. We report 2 cases of celiac artery aneurysm which were successfully treated by elective aneurysmorrhaphy and anerysmectomy with aortoceliac bypass graft.

Anormalous Origin of Left Coronary Artery from Pulmonary Artery (좌 관상동맥-폐동맥 이상 기시증 수술치험 1례)

  • 조광조;편승환
    • Journal of Chest Surgery
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    • v.30 no.10
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    • pp.1024-1027
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    • 1997
  • Anomalous origin of left coronary artery from pulmonary artery(ALCAPA) is a rare fatal congenital anormaly that needs early surgical intervention. Many reports say that the choice of operative procedure is reimplantation of the left coronary artery into the ascending aorta. We experienced the surgical management of a case of the ALCAPA. The patient was 44 days old and 3.45 kg weighed female baby who had a symptom of congest ve heart failure. She underwent implantation of coronary artery on the aorta with cardiopulmonary bypass and recovered without any complications.

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A Case of Surgical Treatment of the Abdominal Aortic Graft Infection with Bilateral Superficial Femoral Vein (양 표재성대퇴정맥을 이용한 복부 인조혈관 감염증 치험 1예)

  • 우종수;방정희;조광조
    • Journal of Chest Surgery
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    • v.37 no.10
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    • pp.880-883
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    • 2004
  • The graft infection within the abdomen is a notorious condition, which usually develops serious complications of anastomotic rupture or distal embolism that ended in death. There has been many controversies in the treatment of an aortobiiliac graft infection and varying results have been reported. The authors treated a case of aortobiiliac graft infection after abdominal aortic aneurysm surgery. The operation was performed with re-aortobiiliac bypass using bilateral superficial femoral veins. The result was successful.

Askin Tumor[Peripheral Neuroectodermal Tumor of the Chest Wall] - A Case Report - (소아 흉벽에 생긴 Askin`s tumor 1례)

  • Jo, Gwang-Jo;Kim, Yeong-Dae;Jeong, Hwang-Gyu
    • Journal of Chest Surgery
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    • v.25 no.12
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    • pp.1422-1427
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    • 1992
  • Askin tumor is rare malignant small round cell tumor that orgins from interconstal nerve of chest in children It was not until 1979 that Askin first reported that tumor. Although few sporadic reports had been reported, its incidence were too low to analize its clinical featurs. That tumors prognosis is so grave that no therapy would success to cure, but early diagnosis and enbloc excision with following combind chemotherapy and radiotherapy will prolong their survival. Other small round cell tumors of chest wall that must differentiate are Ewing`s sarcoma, rhabdomyosarcoma, lymphoma, neuroblastoma and pulmonary bla-stoma. The most prominant histologic charactersistics of this tumor is neuron specific eno-lase which is detected with immunohistochemistry technique, and neurosecretary electron dense granules within cytoplasm. We expirienced a case of Askin tumor occuring 12-year-old female who has huge right lower chest mass with dull chest pain. She have been underwent excision and postoperative radiotherapy. We are following her up for months and there is no evidence of local recurrence.

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Extended Thymectomy in Myasthenia Gravis (중증근무력증의 광범위 흉선 절제술)

  • 조광조
    • Journal of Chest Surgery
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    • v.25 no.12
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    • pp.1516-1522
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    • 1992
  • Thirty patients with myasthenis gravis[MG] underwent transternal extended thymectomy between 1983 and 1992 in Pusan National University Hospital. The age of patients was 11 to 62 years[mean; 35.2 years] with female dominant[M: F=l: 4]. According to modified Osserman classification, group I was in 6, II A in 7, II B in 13, III in 2, IV in 2 patients respectively. Their clinical response to thymectomy was evaluated. The follow-up period ranged from 2 months to 9.5 years[average; 51.3 months]. Fourteen patients[13.3%] had remission and eleven[43.3%] were improved after operation; half of patients were benefited from operation. Twenty patients had thymic hyperplasia and seven had non-infiltrating thymoma. In thymomatous MG one patient had remission and five were improved. Postoperative death was in a female patient. The cause of death was respiratory failure in the severe generalized MG preoperatively.

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Acquired pulmonary stenosis secondary to tuberculosis -A case report- (결핵성 폐동맥 협착증 치험 1 례)

  • 조광조;우종수;성시찬;최필조;손춘희
    • Journal of Chest Surgery
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    • v.32 no.12
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    • pp.1140-1143
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    • 1999
  • Acquired pulmonary artery stenosis which is secondary to tuberculosis is so rare that only a few scattered cases have been reported. We report one case of pulmonary stenosis caused by pulmonary tuberculosis.l A 50 year old man who gradually developed dyspnea was diagnosed as bilateral pulmonary stenosis, he underwent bypass surgery between the main diagnosed as bilateral pulmonary stenosis. he underwent bypass surgery between the main pulmonary artery and the right pulomonary artery with a 13mm Gortex ringed straight graft. The left pulmonary artery was too small to restore the perfusion. The patient was discharged on the 33rd day after the operation. Acquired pulmonary stenosis could be treated successfully with one-side pulmonary arery reconstruction.

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