• 제목/요약/키워드: Auscultation

검색결과 112건 처리시간 0.023초

Hypertrophic obstructive cardiomyopathy in a Yorkshire Terrier

  • Hwang, Taesung;Park, Junghyun;Jung, Dongin;Lee, Hee Chun
    • 대한수의학회지
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    • 제58권3호
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    • pp.159-162
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    • 2018
  • An 11-year-old, castrated male dog presented with a 3-month history of cough and depression. Auscultation revealed systolic murmur and thoracic radiographs showing enlargement of both the atrium and left ventricle. Echocardiography showed thickened mitral valve and moderate-to-severe left atrial enlargement. Additionally, M-mode echocardiography showed symmetric left ventricular wall thickening and systolic anterior motion of the mitral valve, while Doppler imaging revealed high velocity turbulent flow through the left ventricular outflow tract. Based on echocardiography, this case was diagnosed with hypertrophic obstructive cardiomyopathy. After 5 months, the dog was clinically static in radiography and echocardiography.

Polytetrafluoroethylene 을 이용한 체-폐동맥 단락술 (Systemic-Pulmonary Shunts Using Microporous Expanded Polytetrafluoroethylene)

  • 안혁
    • Journal of Chest Surgery
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    • 제18권2호
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    • pp.314-319
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    • 1985
  • Nineteen patients with various types of cyanotic congenital heart disease underwent systemic-pulmonary artery shunts with a microporous polytetrafluoroethylene [PTFE] graft between September, 1983, and April, 1985. Age ranged from 3 months to 18 years, and seven of them were less than 12 months old. There were seventeen Great Ormond Street type of modified Blalock-Taussig shunts, and two central polytetrafluoroethylene shunt [ascending aorta-right pulmonary artery]. There was one postoperative death [1/19=5.3%] in a 10 Kg child born with pulmonary atresia and ventricular septal defect associated with patent ductus arteriosus. He had another anomaly of imperforated anus. Relief from cyanosis was achieved in other eighteen patients with variable degree. Eighteen survivors have been followed up from 1 month to 19 months. Clinical status, auscultation, oxygen partial pressure of arterial blood, and hemoglobin have been used to establish shunt patency in all survivors. By above criteria, all survivors have good patent shunt.

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동맥관개존증의 임상적 고찰 (A Clinical Study of Patent Ductus Arteriosus)

  • 방종경;김규태
    • Journal of Chest Surgery
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    • 제20권2호
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    • pp.309-316
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    • 1987
  • Since the first report of successful ligation of patent ductus arteriosus in 1939, it`s surgical intervention has become a routine and relatively safe procedure. During the past ten years from Aug. 1975 to Aug. 1985, 107 cases were operated on for a patent ductus arteriosus at the Department of thoracic and Cardiovascular Surgery, School of Medicine, Kyungpook National University. Clinical analysis of these cases was performed. Mean age at operation was 9.4 years, ranging from 20 months to 32 years. Sex ratio of female to male was 1.8;1. Most common symptoms were frequent respiratory infection, exertional dyspnea, and palpitation. Diagnosis was made by auscultation, 2 dimensional echocardiography, cardiac catheterization, and cineangiocardiography. A moderate to severe pulmonary hypertension was found in 42 cases [49.4%] in cardiac catheterization. Operative methods were multiple ligation of paten`. ductus arteriosus with or without Dacron or Teflon wrapping in 72 cases [68%], and division and suture in 34 cases [32%]. There were three operative deaths [2.8%]. The causes of death were hemorrhage from tearing of aorta, low cardiac output, and arrhythmia. All of these cases had moderate degree of pulmonary hypertension.

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위절개술견에 있어서 소화관내영양식급여의 효과 (Effects of Enternal Feeding in Gastrotomized Dogs)

  • 권오경
    • 한국임상수의학회지
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    • 제7권1호
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    • pp.403-406
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    • 1990
  • The effects of enternal feeding on wound healing and intestinal movement in 30 gastrotomized dogs were investigated. The dogs were divided into enteral and parenteral feeding groups. Wound healing was evaluated with tensile strengh on the suture line 4 days after surgery and intestinal movement with the auscultation of borborygmus sound in the abdomen. There was no difference of the tensile strengh on the suture line between enternal and parenteral feeding groups. Borborygmus was auscultated in all dogs of the enteral feeding groups from day2 after surgery. It was thought that enteral feeding had no detrimental effect on wound healing as compared with the parenteral feeding and had good effect on the prevention of ileus in gastrotomized dogs.

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Balloon valvuloplasty for severe subaortic stenosis in a Pomeranian dog

  • Han, Sang-Woo;Lee, Chang-Min;Park, Hee-Myung
    • 대한수의학회지
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    • 제56권4호
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    • pp.261-264
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    • 2016
  • A nine-month-old Pomeranian dog with exercise intolerance and syncope was presented. The dog was depressed with grade 4 systolic murmur on cardiac auscultation. Based on cardiac examination, the dog was diagnosed with severe subaortic stenosis with involvement of the anterior mitral valve. ${\beta}-blocker$ administration was initiated and clinical signs were improved, but not fully resolved. Balloon valvuloplasty was performed and the dog survived for nearly one year without clinical sign and the cardiac troponin I level was normalized. This case describes successful management of severe subaortic stenosis in a small breed dog through balloon valvuloplasty.

폐동맥으로 유입되는 관상동정맥루수술치험 1례 (Coronary Arteriovenous Fistula Draining into the Main Pulmonary Artery)

  • 김학제
    • Journal of Chest Surgery
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    • 제21권1호
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    • pp.143-147
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    • 1988
  • Congenital coronary arteriovenous fistula is a communication of a coronary artery with one of the atria, ventricles, the coronary sinus, the superior vena cava, or the pulmonary artery. We had a successful surgical experience with 63 year-old-female patient who complained substernal chest pain on exertion for 8 years. On auscultation, a continuous murmur was heard at the left second to third intercostal space along the left sternal border. The right cardiac catheterization was revealed to 4% oxygen step up between right ventricle to main pulmonary artery, and Qp/Qs was 1.3:1. The selective coronary arteriography showed markedly tortuous dilated vessel which originated from left coronary artery draining into the main pulmonary artery. The operation performed to mid portion of tortuous and dilated fistula by multiple ligation with 3-0 Mersilene and suture ligation with pledgetted 3-0 Prolene on distal draining site, Postoperative course were uneventful without any symptoms and complications.

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기관 호흡음 검출 시스템을 이용한 정상인과 폐기능 질환자의 분류 (Classification of Normal Subjects and Pulmonary Function Disease Patients using Tracheal Respiratory Sound Detection System)

  • 임재중;이영주;전영주
    • 대한전기학회논문지:시스템및제어부문D
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    • 제49권4호
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    • pp.220-224
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    • 2000
  • A new auscultation system for the detection of breath sound form trachea was developed in house. Small size microphone(panasonic pin microphone) was encapsuled in a housing for resonant effect, and hardware for the sound detection was fabricated. Pulmonary function test results were compared with the parameters extracted from frequency spectrum of breath sound obtained from the developed system. Results showed that the peak frequency and relative ratio of integral values between low(80∼400Hz) and high(400∼800Hz) frequency ranges revealed the significant differences. Developed system could be used for distinguishing normal subject and the patients who have pulmonary disease.

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비관통성 외상에 의한 심실중격결손증 -수술치험 1례- (Traumatic Ventricular Septal Defect Secondary to Nonpenetrating Chest Trauma -A Case Report-)

  • 홍기표
    • Journal of Chest Surgery
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    • 제27권2호
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    • pp.161-165
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    • 1994
  • We have experienced a case of ventricular septal defect due to blunt chest trauma. A 22 year old male patient was admitted due to chest pain after Motor cycle accident on July 1st,1993. On 5th hospital day, sudden onset of dyspnea was noted and auscultation represented newly developed systolic murmur. A cardiac catheterization and Left ventriculogram revealed ruptured septum at the apical portion. Because there was open wound on anterior chest wall and congestive heart failure was medically controlled, the patient was discharged for elective operation. He was readmitted on August 14th, 1993.At operation, ventricular septal defect was found in apico-posterior muscular septal area, about 2.0 x 1.5 cm in size. The defect was repaired by double velour patch with interrupted suture and ventriculotomy was closed with Teflon felt. The patient`s postoperative course was uneventful and discharged 10 days postoperatively without complication. The patient have been followed up~ for 2 months. He is on functional class I with small amount of residual shunt at the ventricular septum.

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Cor Triatriatum Sinistrum with an Ostium Primum Atrial Septal Defect in a Siamese Cat

  • Choi, Ran;Hyun, Chang-Baig
    • 한국임상수의학회지
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    • 제25권6호
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    • pp.518-522
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    • 2008
  • An approximately 8-month-old, 2.61 kg, male Siamese kitten was referred with primary complaints of a 1-week history of respiratory distress, exercise intolerance and dyspnea. Diagnostic studies identified III/VI systolic murmur in the cardiac auscultation, right ventricular enlargement patterns in the electrocardiogram, pleural effusion and right-sided cardiomegaly in the thoracic radiography, and right marked ventricular dilatation, right atrial enlargement, atrial septal defect and abnormal left atrium divided by fibromuscular membrane. Based on these findings, the case was diagnosed as cor triatriatum sinistrum complicated with an ostium primum atrial septal defect. The cat was rescued with furosemide, nitroglycerine, oxygen supplement and fluid removal from pleural cavity.

Transitional Atrioventricular Septal Defect in a Dog

  • Hwang, Tae-sung;Choi, Moon-yeong;Yoon, Young-min;Kim, Jae-hwan;Lee, Hee-chun
    • 한국임상수의학회지
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    • 제35권6호
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    • pp.286-289
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    • 2018
  • A 4-year-old castrated male Maltese was referred to our hospital with heart murmur. The client did not recognize any symptoms. Auscultation revealed systolic murmur located at the left heart base. Radiographs showed right-sided cardiomegaly with the main pulmonary artery bulging and enlargement of pulmonary vessels. Echocardiogram revealed a small ventricular septal defect and a large atrial septal defect. There was also a common atrioventricular valve. Based on diagnostic imaging studies, the dog was diagnosed with transitional atrioventricular septal defect.