• Title/Summary/Keyword: Associated anomalies

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Tetralogy of Fallot Associated with Atrioventricular Canal Defect - Report of one case - (공통 방실판구를 동반한 Fallot 4징증: 치험 1례)

  • Lee, Jong-Rak;Lee, Sin-Yeong;Kim, Chang-Ho
    • Journal of Chest Surgery
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    • v.24 no.5
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    • pp.475-479
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    • 1991
  • Tetralogy of Fallot associated with atrioventricular canal defect is rare congenital anomaly. Because of complexity of the surgical corrections of two associated anomalies, the mortality of surgery has been high. We have experienced a case of the tetralogy of Fallot with atrioventricular canal defect in a 9-year-old boy of Down`s syndrome, and the anomalies were totally corrected with good result. Single Dacron patch was placed to close the ventricular septal defect and the pericardial patch for atrial septal defect. The right ventricular outflow tract was widened by infundibulectomy and pulmonary valvulotomy followed by Goretex patch in right ventricular outflow tract.

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Reconstructive Surgery for Mitral Incompetence Report of 10 Cases (승모판 폐쇄부전에 대한 판막성형술의 성적: 10례 보고)

  • O, Sang-Jun;Kim, Geun-Ho
    • Journal of Chest Surgery
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    • v.18 no.1
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    • pp.62-68
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    • 1985
  • 10 patients with mitral regurgitation associated with various congenital cardiac anomalies were treated by reconstructive techniques in the Department of Thoracic and Cardiovascular Surgery, Hanyang University Hospital during the period of 2 years from 1982 to 1984. There were mitral valvular cleft in one case, chordae tendineae rupture associated with congenital multiple cardiac-anomalies [VSD, PDA, prolapse of aortic non-coronary cusp through VSD] in one case, elongated chordae tendineae after removal of left atrial myxoma in one case, and mitral annular dilatation associated with VSD in 3 cases, large PDA in 2 cases, aortic regurgitation [bicuspid valve] in one case, and unknown origin in one case. Owing to the various pathology above mentioned, reconstructive surgical approach to mitral incompetence is accordingly complicated and a combination of the following different procedures were properly used case by case, that is, suture of chordae tendineae, shortening of elongated chordae tendineae, closure of VSD, ligation of PDA, aortic valvuloplasty, mitral annuloplasty with mattress suture, etc. All patients were survived and they have been excellent postoperative results.

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A Case of 21-Monosomy with Holoprosencephaly(Semilobar Type) (Holoprosencephaly를 동반한 21-Monosomy 1례)

  • Lee, So Young;Cho, Sung Min
    • Clinical and Experimental Pediatrics
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    • v.46 no.8
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    • pp.831-835
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    • 2003
  • Holoprosencephaly of unknown definite causes, has been associated with several chromosome abnormalities involving the autosomes and the sex chromosomes. The most commonly reported associations include dup(3p), del(7q), deletions of chromosome 13, trisomy 13, trisomy 18, and triploidy. In previously reported cases in Korea, none were associated with chromosome 21 anomalies. In conclusion, we reported the first case of holoprosencephaly(semilobar type) associated with pure monosomy 21. We experienced a semilobar type holoprosencephaly with monosomy 21 in a neonate who had multiple congenital anomalies, including an abnormal face, a small thorax with widely spaced hypoplastic nipples and nail hypoplasia, lung hypoplasia with severe scoliosis and cardiac abnormalities. Chromosomal analysis revealed a 45, XY, -21.

Case of Mental Retardation Associated with Aplasia Cutis Congenita and Skull Defect

  • Cho, Hyun Chul;Hwang, Jong Hee
    • Neonatal Medicine
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    • v.28 no.1
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    • pp.48-52
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    • 2021
  • Aplasia cutis congenita (ACC) is a rare congenital disorder characterized by skin defects involving the epidermis, dermis, subcutaneous tissue, bone, and sometimes dura. It commonly affects the scalp in approximately 70% of cases, but the neck, trunk, and the extremities can also be affected. ACC can occur either as an isolated condition or associated with other anomalies and congenital syndromes, and it can be acquired either genetically or sporadically. Morbidity and mortality are associated with the defects of skull bone, dura, and other multiple anomalies. We herein report the case of a female infant, with a large scalp defect accompanied by a skull defect noted at birth, who developed mental retardation in the preschool years.

Association between Developmental Anomalies of Permanent Lateral Incisors and Tooth Eruption Disturbances (영구 측절치 발육 이상과 치아 맹출 장애의 연관성)

  • Kim, Minji;Song, Jisoo;Shin, Teo Jeon;Hyun, Hong-Keun;Kim, Young-Jae;Kim, Jung-Wook;Lee, Sang-Hoon;Jang, Ki-Taeg
    • Journal of the korean academy of Pediatric Dentistry
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    • v.47 no.2
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    • pp.128-139
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    • 2020
  • The purpose of this study was to examine the prevalence of developmental anomalies of permanent lateral incisor and eruption disturbances and analyze the association between two components. Panoramic radiographs of 3984 patients (aged 5 to 13 years) who visited the Department of Pediatric Dentistry of Seoul National University Dental Hospital between November 2016 and October 2017 were screened. The prevalence of developmental anomalies of permanent lateral incisors was 10.2%. The most common developmental anomalies were congenitally missing teeth(66.1%), followed by peg lateralis(33.5%). The prevalence of eruption disturbances was 16.5%. Among the patient with developmental anomalies of permanent lateral incisors, associated eruption disturbances were appeared on 31.1% of patients. Peg lateralis(p < 0.001), underdeveloped lateral incisors(p < 0.001) and dens invaginatus(p = 0.004) were associated significantly with eruption disturbance of permanent teeth. Eruption disturbance in patients with peg lateralis and dens invaginatus was most prevalent in maxillary canine. For patients with underdeveloped lateral incisor, eruption disturbance of maxillary central incisor was most frequent. It is important for patients with developmental anomalies of lateral incisors to detect associated eruption disturbance early through regular checkup. Diagnosis and treatment plan in view of such relationships is important in order to treat appropriately at the optimal time.

Geochemical Exploration for the Bougouni Area in Mali (말리 부구니 지역에 대한 지화학탐사)

  • Kim, In-Joon
    • Economic and Environmental Geology
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    • v.41 no.5
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    • pp.563-575
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    • 2008
  • The ore depositional and geochemical exploration on Bougouni area in Mali, central-western Africa covering $2,000\;Km^2$ was conducted for determining the detailed survey area. According to the results of this exploration, the highly potential area for the zinc-tin-gold-silver mineralization was found in Kolani and Riarako areas. The contents of zinc in heavy sand collected in the stream sediments range from 14 to 8,600 ppm, while the mean values of zinc in this area are 543 ppm with threshold($x+2{\sigma}$) of zinc anomalies being 1,000 ppm in Bougouni area. Generally zinc anomalies are associated with the tin and molybdenum anomalies and hence the anomalous area was selected for the detailed survey area for tracing the primary zinc and precious ore deposits related to these anomalies in following project.

A Clinical Study of Bidirectional Cavopulmonary Shunt (양방향성 상대정맥-폐동맥 단락술의 임상적 연구)

  • 지현근
    • Journal of Chest Surgery
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    • v.28 no.8
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    • pp.759-765
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    • 1995
  • We reviewed our experiences on 33 patients who underwent a bidirectional cavopulmonary shunt[BCPS from February 1992 to July 1994. There were 19 male an 14 female patients, and their weight ranged from 4.4 to 13.3 Kg[mean weight 8.4 $\pm$2.9 Kg . The age ranged from 2 to 55 months [mean age 16.7 $\pm$15.5 months . Their diagnosis included single ventricle group in 16, unbalanced ventricles in 8 whose associated anomalies were double outlet right ventricle, transposition of great arteries and total anomalous pulmonary venous return, tricuspid atresia in 7, hypoplastic left heart syndrome in 1 who underwent a Norwood procedure and double outlet right ventricle with pulmonic stenosis and tricuspid stenosis in 1 who underwent biventricular repair. Among them 10 patients had received other palliative operation before [Norwood procedure 1, pulmonary artery banding 3, modified Blalock-Taussig shunt 6 . The BCPS operations were performed under the cardiopulmonary bypass. 16 patients underwent unilateral BCPS and 17 patients who had bilateral SVC underwent bilateral BCPS. Three patients whose associated anomalies were interruption of IVC underwent total cavopulmonary shunt. There were 5 operative deaths [mortality rate 15.1 % and 2 late deaths. The risk factor for the operation was high mean pulmonary artery pressure [p value<0.05 . The survivors showed good postoperative course and their postoperative oxygen saturation was increased significantly compared to that of preoperative status[p value<0.05 .Conclusively, BCPS operation is effective and safe palliative procedure for the many cyanotic complex congenital anomalies with decreased pulmonary blood flow especialy for the patients who have the high risk factors for Fontan operations.

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A case of Congenital Cardiac Anomaly Associated with DiGeorge Syndrome (DiGeorge증후군에 동반된 선천성 심장기형 치험 1례)

  • 손영상;김태식;황재준;김학제;박선화
    • Journal of Chest Surgery
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    • v.32 no.6
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    • pp.584-587
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    • 1999
  • The DiGeorge syndrome is a rare congenital abnormality consisting of aplasia or hypoplasia of the thymus and parathyroid glands resulting from malformation of the third and fourth pharyngeal pouches. This syndrome usually includes congenital cardiac anomalies and abnormal facial features. We experienced a case of congenital cardiac anomaly associated with DiGeorge syndrome. The patient was 1 month old boy weighing 3.5 kg. The congenital cardiac anomalies included ventricular septal defect, atrial septal defect, coactation of aorta, and patent ductus arteriosus. We performed one-stage operation with two separate incisions for these cardiac anomalies. Postoperative course was uneventful and the patient at 6 months of follow up is doing well.

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Corrected transposition of the great arteries: surgical treatment of associated anomalies (교정형 대혈관전위증동반된 심혈관기형의 수술요)

  • Kim, Gi-Bong;No, Jun-Ryang;Seo, Gyeong-Pil
    • Journal of Chest Surgery
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    • v.17 no.3
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    • pp.371-380
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    • 1984
  • Corrected transposition of the great arteries [C-TGA] is one of the rare congenital heart disease in which there is both a discordant atrioventricular relationship and transposition of the great vessels. With this arrangement, systemic venous blood passes through the right atrium into the morphologic left ventricle and out the pulmonary artery. Pulmonary venous blood returns to the left atrium, flows into the morphologic right ventricle and out the aorta. Thus, in the rare case when no additional cardiac anomaly is present, a hemodynamically normal heart exists. But more often they are symptomatic as a result of one or several of the commonly associated defects. This paper describes 13 patients who underwent repair of one or more cardiac anomalies associated with corrected transposition at SN UH, from June 1976 through June 1984. 1.8 were males and 5 females, with ages ranging from 3 years to 27 years. 2. Segmental anatomy was {S,L,L} in 12, or {I,D,D} in 1. 3.Associated anomalies were ventricular septal defect in 10, pulmonary outflow tract obstruction in 6, tricuspid insufficiency in. 4, atrial septal defect in 3, subaortic stenosis in 1, mitral insufficiency in 1, and patent ductus arteriosus in 1. 4.None had complete heart block preoperatively, and 3 developed complete heart block intraoperatively. But one of them recovered sinus rhythm on the postoperative 7th day spontaneously. 5.There were 3 cases of hospital morality. But there was no morality since Dec. 1980. 6.Patients with single ventricle, hypoplastic ventricle or those who had palliative surgery alone are not included in this review.

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