• 제목/요약/키워드: Autologous

검색결과 608건 처리시간 0.021초

Ross Operation with Aortic Ring Annuloplasty (대동맥판륜 성형술을 동반한 Ross 술식)

  • 이재원;정성호;김건일;송명근
    • Journal of Chest Surgery
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    • 제33권9호
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    • pp.744-747
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    • 2000
  • Pulmonic autograft replacement of the aortic valve(Ross procedure) has been to have potential for growth in children, no complication of antiocagulation, and enhanced durability. Therefore, Ross operation is indicated in the young, in patients with an active life style, and when anticoagulation is contraindicated. However, late autograft valve has occurrd more frequently in patients with significant size discrepancy between the pulmonay valve annulus and the aortic valve annulus. In order to resolve this problem, we performed aortic annuloplasty with Duran ring for more accurate and strong reinforcement. We report a case using the Duran ring as a method of aortic annuloplasty during Ross procedure.

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Aortoventriculoplasty with The Pulmonary Autograft The "Ross-Konno"Procedure -1 case report (자가폐동맥판막을 이용한 대동맥심실성형술 -1례 보고-)

  • 김웅한;이영탁
    • Journal of Chest Surgery
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    • 제30권4호
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    • pp.419-422
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    • 1997
  • In small children with left ventricular outflow tract obstruction, a few methods of surgical treatment could be considrred. The pulmonary autogrart provides a promising options for aortic valve replacement as part of the aortoventriculoplasty procedure in children. We report a successfully treated congenital aortic stcnoinsufricicncy with severe left ventricular dysfunction in an early infant with the aortoventriculoplasty using thc pulmonary autograft (the Ross-Konno procedure).

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Anatomic Correction of Truncus Arteriosus without a Extracardiac Conduit - Report of 6 cases - (심장외 도관을 사용하지 않는 동맥간의 완전교정;6례 보고)

  • Yun, Tae-Jin;Kim, Yong-Jin
    • Journal of Chest Surgery
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    • 제25권12호
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    • pp.1448-1454
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    • 1992
  • Between July, 1990 and July, 1992, 6 male patients of truncus arteriosus, whose age ranged from 2 months to 18 months, underwent total surgical correction without a extracardiac conduit. Their anatomic types were type I in 3, type II in 2 and III, in one by the Collett-Edwards classification. Surgical techniques were similar to the first description by Lecompte except for the fact that distal pulmonary arterial stumps were approximated to ventriculotomy site without Lecompte maneuver in all cases. Also in all cases, mon-ocusps were placed using glutaraldehyde fixed autologous pericardial patch directly in right ventricular outflow tract. Three patients died postoperatively and the causes of death were myocardial failure, pulmonary hypertensive crisis and pulmonary complication due to progressive pulmonary vascualr obstructive disease respectively. The three survivors have been followed up for 6~10 months with good functional results.

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Trend of Basic Research for Vocal Fold Scar (성대 반흔에 대한 기초연구의 최신 경향)

  • Lee, Byung-Joo
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • 제23권1호
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    • pp.28-32
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    • 2012
  • Vocal fold scar disrupts structure of lamina propria and causes significant change in vocal fold tissue biomechanics, resulting in a range of voice problems that often significantly compromise patient quality of life. Although several therapeutic management have been offered in an attempt to improve vocal fold scar, the ideal treatment has not yet been found. Recently, several tissue engineering technique for vocal fold scar using growth factors, several cells, and scaffolds have been described in tissue culture and animal models. Several growth factors such as hepatocyte growth factor, basic fibroblast growth factor, and transforming growth factor beta 3 for therapy and prevention of vocal fold scar have been studied. Cell types to regenerate vocal folds in scarring tissue have been introduced autologous or scarred vocal fold fibroblast and adult mesenchymal stem cells. Decellularized organ matrix and several hyaluronic acid materials have used as scaffolds for vocal fold scar.

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Surgical Correction of Obstruction of the Inferior Vena Cava using Profound Hypothermia and Total Circulatory Arrest - A Case Report - (초 저체온법과 전혈류 정지술을 이용한 하공정맥 폐쇄증의 수술 치험: 1례 보고)

  • 유재현
    • Journal of Chest Surgery
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    • 제24권7호
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    • pp.732-738
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    • 1991
  • Membranous obstruction of the inferior vena cava[IVC] is a rare congenital anomaly that may present clinical features of Budd-Chiari syndrome caused by chronic obstruction of hepatic drain. We have experienced a case of IVC obstruction caused by hour-glass constriction and membrane in its center. Operative correction was accomplished using profound hypothermia [20%] and total circulatory arrest of 26 minutes. This technique permitted resection of membrane with direct vision and removal of thrombus of IVC and hepatic vein. After then constricted IVC was repaired with autologous pericardial patch. Total circulatory arrest was used intermittently for good visual field. Postoperative course was smooth and postoperative angiography showed unobstructed flow through the IVC in spite of slight constriction of cavoatrial junction and nearly complete disappearance of collateral vessels.

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Ventricular Septal Defect with Tricuspid Regurgitation due to Blunt Chest Trauma -A Case of Report- (흉부 둔상에 의한 삼첨판 역류를 동반한 심실 중격 결손증)

  • 이장훈;류한영
    • Journal of Chest Surgery
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    • 제29권5호
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    • pp.559-563
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    • 1996
  • We have experienced a patient, 16 year-old male, with ventricular septal defect with tricuspid recur- gitation due to blunt chest trauma. He suffered from congestive heart failure after the trauma. Echocardiogram and cardiac catheterization revealed left to right shunt at the ventricular level (muscu- far portion of interventricular septum) and tricuspid regurgitation. At the time of the operation, marked systolic thrill was palpable over the rlght ventricle near the apex and a chorda tendina was seen sharply ruptured just near the medial papillary muscle. We repaired the ventricular septal defect with a Dacron patch and chordal reconstruction with autologous pericardium. The postoperative course was uneventful and the patient was discharged in good condition.

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One-stage Repair of Distal Aortopulmonary Septal Defect, Aortic Origin of Right Pulmonary Artery, Patent Ductus Arteriosus and Hypoplasia of Aortic Isthmus -A case of report- (대동맥 협부 발육부전, 동맥관 개존, 대동맥기시 우폐동맥을 동반한 원위 대동맥폐 동맥 중격결손의 일차 완전 교정술 1례)

  • 이호철;류한영
    • Journal of Chest Surgery
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    • 제29권5호
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    • pp.554-558
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    • 1996
  • A case of distal aortopulmonary septal defect associated with aortic origin of right pulmonary ar- tery, patent ductus arteriosus and hypoplasia of aortic isthmus in a 50-day-old female infant is presented. Ligation of patent ductus arteriosus, resection and end-to-end anastomosis of hypoplasia of aortic isthmus, implantation of rlght pulmonary artery to main pulmonary artery and autologous peri- cardial patch repair of aortopulmonary septal defect were performed under cardiopulmonary bypass as one-stage approach. Deep hypothermic total circulatory arrest was applied during repair of hypoplasia of aortic isthmus. The p stoperative course was uneventful.

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A Giant Popliteal Artery Aneurysm Treated with Exclusion and Bypass Using a Saphenous Vein

  • Kim, Su Wan;Chang, Jee Won
    • Journal of Chest Surgery
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    • 제46권5호
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    • pp.369-372
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    • 2013
  • While popliteal artery aneurysm is the most common form of peripheral artery aneurysm, it is a rare condition in the general population. Furthermore, a giant popliteal artery aneurysm has not previously been reported in Korea. A 67-year-old male presented with left thigh pain that had begun 4 months earlier and was aggravated when in a sitting position. We found a giant aneurysm on the left popliteal artery and performed a bypass from the common femoral artery to the distal popliteal artery below the knee, using the autologous greater saphenous vein, and excluded the aneurysm at the sites of anastomoses.

PHILOS plate fixation with polymethyl methacrylate cement augmentation of an osteoporotic proximal humerus fracture

  • Kim, Do-Young;Kim, Tae-Yeong;Hwang, Jung-Taek
    • Clinics in Shoulder and Elbow
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    • 제23권3호
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    • pp.156-158
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    • 2020
  • PHILOS plate fixation in osteoporotic proximal humerus fracture of old age is well-known for high complication rate, especially metal failure, providing various augmentation techniques, such as calcium phosphate cement, allogenous or autologous bone graft. We report a case of polymethyl methacrylate augmentation to provide appropriate reduction with a significant mechanical support. This can be a treatment option for displaced unstable osteoporotic proximal humerus fracture with marked bony defect.