• Title/Summary/Keyword: ASCENDING

Search Result 1,101, Processing Time 0.031 seconds

Marfan's syndrome associated with ascending aorta aneurysm and aortic regurgitation (Report of 8 cases) (Marfan 증후군에 동반된 상행대동맥류와 대동맥판 폐쇄부전증의 외과적 치료)

  • Choi, Jun-Young;Ahn, Hyuk;Rho, Joon-Ryang
    • Journal of Chest Surgery
    • /
    • v.19 no.3
    • /
    • pp.500-505
    • /
    • 1986
  • Eight patients received operation for ascending aortic aneurysm and aortic regurgitation associated with Marfan`s syndrome from January 1984 to July 1986 at Seoul National University Hospital. The patients` age ranged from 29 to 51 years [mean 37.3 years]. Five patients were male and three were female. All of them showed some stigmata of skeletal system in Marfan`s syndrome. Three patients had dissecting aneurysm and five patients had fusiform aneurysm of ascending aorta. Two patients had concomitant fusiform aneurysm of abdominal aorta. All patients showed aortic regurgitation of grade III to IV. One patient received insertion of intraluminal ringed graft and resuspension of aortic valve, and seven patients received modified Bentall operation [Carol`s method]. There was no hospital death and all showed functional improvement in the 7.4 patient-years follow-up period.

  • PDF

Floating Thrombus in the Ascending Aorta of the Patient with Systemic Sclerosis - A case report -

  • Lee, Sub;Cho, Jun-Woo;Kwon, Oh-Choon
    • Journal of Chest Surgery
    • /
    • v.44 no.1
    • /
    • pp.72-75
    • /
    • 2011
  • Aortic thrombi are important because it can cause the central and peripheral embolizations. Aortic thrombi can occur anywhere in the aorta but extremely rare in ascending aorta without atherosclerosis, aneurysm, cardiosurgical or traumatic state. Systemic sclerosis (SSc) is an autoimmune disorder of connective tissue and it can involve multisystem. Enhanced coagulation pathways, decreased fibrinolysis, and endothelial dysfunction probably contribute to vascular events in SSc. We report a case of a highly mobile thrombus in the ascending aorta, presented as an acute embolic stroke in the patient with systemic sclerosis. Surgical removal was performed to prevent recurrent embolic events.

Comparison of the Efficacy between Method of Regulating Ascending Kidney Water and Descending Heart Fire and Sweet Bee Venom Pharmacopuncture on Peripheral Facial Paralysis (말초성 안면신경마비에 대한 수화조절법과 SBV약침치료의 효능비교)

  • Lee, Chang-Hwan;Ku, Ji-Young;Park, Jung-Ah;Lee, Yoo-Hwan;Jang, Kyung-Jeon;Song, Choon-Ho;Kim, Cheol-Hong;Youn, Hyoun-Min
    • Journal of Acupuncture Research
    • /
    • v.28 no.4
    • /
    • pp.85-92
    • /
    • 2011
  • Objectives : This study was designed to compare the effect between method of regulating ascending kidney water and descending heart fire and sweet bee venom pharmacopuncture on peripheral facial paralysis. Methods : We investigated 30 cases of patient with peripheral facial paralysis who visited at Dept. of Acupuncture & Moxibustion, of Oriental Medicine Dong-eui University from November 29, 2010 to May 15, 2011. Subjects were divided randomly into two groups, group A and group B. We applied method of regulating ascending kidney water and descending heart fire twice or three times a week for group A and sweet bee venom pharmacopuncture with same cycle for group B. We measured the effect of treatment to each group five times by using Yanagihara's unweighed grading system. at first examination, after 1 week, 2 weeks, 3 weeks, and 4 weeks. Results : Both groups showed significant improvement in Yanagihara's scores. And group A was improved better than group B for two weeks from the first examination significantly. But after one week from then, the Yanagihara's scores of group B were higher than those of group A significantly. There were no significant differences during other period. Conclusions : Method of regulating ascending kidney water and descending heart fire is more effective than sweet bee venom pharmacopuncture on peripheral facial paralysis during acute period. And after acute period, sweet bee venom pharmacopuncture is more effective than method of regulating ascending kidney water and descending heart fire.

Operation of Ascending Aorta and/or Aortic Arch (상행대동맥 및 대동맥궁의 수술)

  • 구본원;허동명;전상훈;장봉현;이종태;김규태;이응배
    • Journal of Chest Surgery
    • /
    • v.29 no.11
    • /
    • pp.1212-1217
    • /
    • 1996
  • From Dec. 1993 to May 1995, 9 male and 5 female patients ranging in age from 25 to 65 years, were operated on for ascending aorta and/or aortic arch diseases. Six patients had acute aortic dissection, type A(ruptured in 4 cases); four had ruptured ascending aortic aneurysm; three had annuloaortic ectasia(ruptured in 1 cases); one had aortic arch aneurysm. The diagnostic procedures were echo cardiography and dynamic CT scan in all patients having acute dissection or rupture. The aortic angiography was performed in two cases. Indications for operations were rupture in five cases, acute aortic dissection in five cases, severe congestive heart failure in two cases, progressive aortic insufficiency in one case and impending rupture in one case. The emergent repair was performed in ten cases(71%). The surgical treatment consisted of 6 Cabrol operations, a Cabrol operation combined with arch replacement, a modified Bentall operation, 4 replacement of ascending aorta, a replacement of aortic arch, and a replacement of ascending aorta and aortic arch. Complications were a hypoxic encephalopathy, two atrial fibrillations, a sternal deheiscence, and a mediastinitis. Two early mortality(14%) were due to intractable bleeding and multiple organ failure, and one late mortality(7%) was due to ventricular arrhythmia. In eleven survivors, follow-up period was from 2 months to 12 months and the course was uneventful.

  • PDF

Experiment and Assessment of Ascending Capability for Management of Exotic Fish Species (외래어종 관리를 위한 소상 실험 및 평가)

  • Kang, Joon-Gu;Kim, Jong-Tae
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.17 no.9
    • /
    • pp.265-278
    • /
    • 2016
  • In this study, an ascending capability experiment was performed with largemouth bass and bluegill, which are exotic fish species inhabiting (the freshwaters) in Korea. The experiment was performed by dividing the subject fish into four groups according to their size and at four flow rates for each group. The number of fish passing through a reference line was analyzed by recording videos, and their swimming and ascending capabilities were observed by the naked eye. The number of fish passing through the reference line did not include those returning downstream within five minutes due to the high flow rate. The flow rate used for the analysis was the mean of the flow rate values measured at the left bank, the right bank, and in the middle of the stream. The results showed that the number of exotic fish migrating upstream decreased as the flow rate increased, regardless of the species and size of the fish. The comparison between the fish species showed that the ascending capability of bass was higher than that of bluegill, but the difference was not significant when considering the difference in the size of the fish. In addition, the upper limit flow velocity allowing the ascending of the exotic fish species was 1.11 m/s, when considering the fish returning to the downstream after the upstream migration and experimental error. The results of the experiment may be used as fundamental data for the blocking of fish and the management of exotic fish species by means of a high flow rate current. Further experiments, verification, and monitoring may need to be conducted continuously to determine whether the fish are able to pass through the reference line at a high flow rate, when they attain a high or cruising velocity. Additionally, the reaction of the fish species should be investigated by considering the response to external forces as well as pressure differences due to the flow rate.

Surgical Treatment of Annuloaortic Ectasia - Experience in Two Patients - (Bentall 씨 술식에 의한 annuloaortic ectasia 의 치험 2례 보고)

  • 방종경
    • Journal of Chest Surgery
    • /
    • v.20 no.4
    • /
    • pp.803-808
    • /
    • 1987
  • Two young male patients were operated on for the Marfan syndrome complicating ascending aortic aneurysm and a moderate degree of aortic regurgitation. We replaced the ascending aorta and aortic valve with Bjork-Shiley aortic valve composite graft and implanted the coronary ostia in the sides of the graft directly. Postoperatively, the atrial fibrillation occurred in one case and the other had uneventful course. They showed improvement in activity at follow-up.

  • PDF

A PROPERTY OF P-INJETIVE RING

  • Hong, Chan-Yong
    • The Mathematical Education
    • /
    • v.31 no.2
    • /
    • pp.141-144
    • /
    • 1992
  • In this paper, some properties of p-injective ring is studied: The Jacobson radical of a pinjective ring which satisfies the ascending chain condition on essential left ideals is nilpotent. Also, the left singular ideal of a ring which satisfies the ascending chain condition on essential left ideals is nilpotent. Finally, we give an example which shows that a semiprime left p-injective ring such that every essential left ideal is two-sided is not necessarily to be strongly regular.egular.

  • PDF

The Conception of YangQi and YinQi at the Discourse on the Soyangin and Soeumin Disease in ${\ulcorner}$Dongyi Suse Bowon${\lrcorner}$ ("동의수세보원(東醫壽世保元)" 소음인(少陰人)과 소양인(少陽人) 병증론(病證論)의 음기(陰氣)과 양기(陽氣)에 관한 개념(槪念))

  • Han, Kyung-Suk;Park, Seong-Sik
    • Journal of Sasang Constitutional Medicine
    • /
    • v.18 no.1
    • /
    • pp.11-21
    • /
    • 2006
  • 1. Objectives This paper was written in order ro understand the conception on YangQi and YinQi in Sasang Constitutional Medicine. Specially that were focused on the discourse of the symptoms and diseases. 2. Methods We analysis YangQi and YinQi in Gabobon(甲午本) and Sinchukbon(辛丑本) of ${\ulcorner}$Dongyi Suse Bowon${\lrcorner}$ 3. Results and Conclusions The symptomatic-pharmacology of Soeunin and Soyangin was base on the master of reserving life(保命之主). YangQi is ascending Qi and YinQi is descending Qi. that conception is Qi of the large and small organ. And that is appeared hot or cold Qi in body. The influential competition of YinYang is focused on primordial Qi(正氣) of small organ in Gabobon. And focused on small organ's the primordial Qi of the exterior disease and large that of the interior disease in Sinchukbon. YangQi is divided to physiological that and patholgical that at the discourse on the Soyangin’s interior disease in the Sinchukbon. Because YinQi is in proportion to physiological YangQi and inverse proportion to pathological YangQi, physiological that is similar to weak and strong of YinQi that is the master of reserving life. So ascending Yang of Soyangin is more correct as ascending physiological that. YinQi is not divided to physiologica that and patholgical that at the discourse on the Soeumin's interior disease in the Sinchukbon like Soyangin's that. But there is more reasonable that divid physiological YinQi and patholgical that. So descending Yin of Soeumin is more correct as descending physiological that.

  • PDF

Extra-Anatomic Ascending Aorta to Abdominal Aorta Bypass in Takayasu Arteritis Patients with Mid-Aortic Syndrome

  • Kim, Hak Ju;Choi, Jae-Woong;Hwang, Ho Young;Ahn, Hyuk
    • Journal of Chest Surgery
    • /
    • v.50 no.4
    • /
    • pp.270-274
    • /
    • 2017
  • Background: We evaluated the operative outcomes of an extra-anatomic bypass from the ascending aorta to the abdominal aorta in patients with type II or III Takayasu arteritis (TA) with mid-aortic syndrome. Methods: From 1988 to 2014, 8 patients with type II (n=2) or III (n=6) TA underwent an ascending aorta to abdominal aorta bypass. The mean patient age was $43.5{\pm}12.2years$ and the mean peak pressure gradient between the upper and lower extremities was $54.8{\pm}39.0mm\;Hg$. The median follow-up duration was 54.4 months (range, 17.8 to 177.4 months). Results: There were no cases of operative mortality. The mean peak pressure gradient significantly decreased to $-2.4{\pm}32.3mm\;Hg$ (p=0.017 compared to the preoperative value). Late death occurred in 2 patients. The symptoms of upper extremity hypertension and claudication improved in all patients. The bypass grafts were patent at $47.1{\pm}58.9months$ in 7 patients who underwent follow-up imaging studies. Conclusion: An extra-anatomic ascending aorta to abdominal aorta bypass could be an effective treatment option for severe aortic steno-occlusive disease in patients with type II or III TA, with favorable early and long-term outcomes.

Delayed Diagnosis of Cardiac Tamponade That Was Caused by Intramural Hematoma of the Ascending Aorta -A case report- (상행대동맥 벽내 혈종에 의해 발생한 심낭 압전의 지연 진단 - 1예 보고 -)

  • Hwang, Yoo-Hwa;Song, Suk-Won;Yi, Gi-Jong
    • Journal of Chest Surgery
    • /
    • v.43 no.2
    • /
    • pp.194-198
    • /
    • 2010
  • Intramural hematoma of the aorta (IMH) is the precursor or a variant of a classic aortic dissection where hemorrhage occurs within the aorta wall in the absence of an initial intimal tear. IMH has a high rate of mortality and morbidity. The optimal therapy for IMH is uncertain, yet the involvement of the ascending aorta is usually considered as an indication for surgery due to the associated risk of rupture or cardiac tamponade. We report here on a case of a 71-year-old man who presented with syncope. Because of misdiagnosis, he underwent computed tomography (CT) after 5 hrs from arriving to the ER. Computed tomography of the aorta revealed intramural hematoma of the ascending aorta with cardiac tamponade. He also had vascular complications such as acute renal failure and visceral ischemia. We performed emergency graft replacement of the total arch and ascending aorta. He was discharged without complication on postoperative day 14.