• Journal of Chest Surgery
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• 제30권3호
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• pp.326-329
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• 1997

관상동맥 우회수술은 일반적으로 저체온하에 인공심폐기를 사용하여 체외순환을 하면서 심정지상태에서 시행하는 것이 일반적 인 방법이다. 그러나 선택적 인 병변에 한 하여는 체 외순환을 하지 않고 정상적인 심박동 상태에서 관상동맥 우회 술을 사용하는 방법이 시도되고 있다. 저자들은 우관상동맥에 100%협착을 보이고 경미한 운동시 심한 흉통을 호소한 환자에서 체외순환 없이 관상동맥 우회 술을 성공적으로 시행하였기 에 문헌고찰과함께 보고하는 바이다.

• 대한한의학원전학회지
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• 제26권2호
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• pp.1-7
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• 2013

Objective & Method : By investigating physiological function of tri-energizer, symptoms, and organ coordination, we obtained following conclusion. Tri-energizer is the membrane structure that surrounds the five visceral organs and six hollow organs, and filled with fluid. Tri-energizer acts as the passage for the flow of qi energy. Result & Conclusion : Therefore, dysfunction of the tri-energizer is caused by abnormal evaporation and metabolism. Upper-energizer regulates cardiopulmonary function, middle-energizer regulates spleen and stomach functions, and lower-energizer regulates liver, kidneys, small and large intestines, and bladder functions. Such a functional specialization is possible by receiving the source of qi through the wall wrapping around the internal organs. Tri-energizer represents the exterior and interior relationship by acting as the membrane structure supporting the five visceral organs and six hollow organs and at the same time, as the pericardium surrounding the heart.

• 대한물리치료과학회지
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• 제7권1호
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• pp.285-294
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• 2000

80 persons who don't have past history of cardiopulmonary and neuromuscular disease. The results were as follow; 1. PCI(Physiological Cost Index) value without loading to ankle were significantly increased compared to 1kg, and 2kg (p<0.01). 2. Female Subjects showed more increased PCI value in without loading and lkg, 2kg loading compared to male subjects (p<0.01). 3. In every PCI condition the difference among height groups was observed (p<0.01). 4. The difference among weight groups in each PCI condition was observed (p<0.01). These results showed that energy consumption was increased according to loading on the ankle during gait so weight of orthosis or prosthesis must be considered when choosing them and during gait training with these ones.

• Journal of Chest Surgery
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• 제10권1호
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• pp.156-163
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• 1977

This is a report of a case in which mitral valve replacement was performed using Starr-Edwards ball valve [model 6230] by total cardiopulmonary bypass with total hemodilution prime and moderate hypothermia. The patient was 21 year old girl, and mitral valvular symptoms occurred 5 years ago. According to clinical features of the disease, the patient was classified as the class IV of N.Y.H. A. cla3sification. The preoperative diagnosis of mitral insufficiency was made mainly by left ventriculography of roentgenologic study. The mitral valve was highly deformed due to scar contraction of valve leaflets and shortening of chordae tendineae. After prosthetic valve replacement, no abnormal hemodynamic signs were observed. The postoperative course was uneventful.

• Journal of Chest Surgery
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• 제11권4호
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• pp.373-377
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• 1978

Aneurysmal rupture of sinus Valsalva is known as one of rare cardiac disease and not controlled with medical treatment. We experienced 9 cases which were composed with 7 case of male and 2 cases of female during last 15 years. 7 cases were ruptured into right ventricle from right. coronary sinus and 2 cases were ruptured into right atrium from non-coronary sinus. The diagnosis was made with cardiac catheteriza1icn and cineangiccardicgram but 2 cases were misdiagnosed with only cardiac catheterization. All cases were corrected under cardiopulmonary bypass with means of direct suture with tdlon pledget by transatrial or transventricular approach. All were not confirmed in it's origin because of no history, no evidences of syphilis, TB, or bacterial endocarditis and only fibrosis in pathologic report. In postoperative course, 1 case had postoperative bleeding and 1 case was sufferd from left hemiplegia due to may be air embolism. Follow up study revealed all patient go on their usual life well with good improvement at this present time.

• Journal of Chest Surgery
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• 제37권11호
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• pp.951-954
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• 2004

기관지 동맥류는 드물긴 하지만 파열의 위험성이 높고 파열시에는 치명적이므로 발견 즉시 치료를 요하는 질환이다. 20년 전부터 기관지 확장증으로 치료 받아 오던 78세 여자 환자가 종격동 종양이 발견되어 전원되었다. 경피적 기관지 동맥 색전술을 시행하였으나 실패하여 수술을 시행하였다. 수술은 개흉술 하에 심폐바이패스의 도움 없이 유입 및 유출 동맥을 결찰하고 동맥류 제거술을 시행하였다. 환자는 특별한 합병증 없이 수술 후 8일 만에 퇴원하였고 오래 추적 검사상 이상 소견 얼었다.

• Journal of Chest Surgery
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• 제37권11호
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• pp.933-936
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• 2004

정맥내 평활근종증은 자궁근육이나 혈관벽에서 발생한 평활근종이 정맥로를 통해 확장되어, 조직학적으로는 양성이나 임상적으로는 악성 경과를 취하는 매우 드문 질환이다. 종양은 대부분 정맥을 통로로 하공정맥, 우심방, 우심실, 심지어 폐동맥까지 확장되어 우심장의 폐쇄를 일으키면서 증상을 나타내는 것으로 되어 있으나, 매우 드물게 폐전이도 일으키는 것으로 보고되고 있다. 자궁에서 발생한 정맥내 평활근종이 우심실까지 확장되어 우심 폐쇄의 증상과 폐전이를 일으킨 53세의 여자 환자를 수술 치험하였기에 문헌고찰과 함께 보고한다.

• Journal of Chest Surgery
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• 제25권12호
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• pp.1461-1464
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• 1992

Cor triatriatum is rare congenital heart disease which is another variant of anomalous pulmonary venous return. It has abnormal fibromuscular diaphragm between true left atrium and accessary chamber which has one or more orifice to the left atrium. In classic form, the patient dies within several months after birth due to pulmonary hypertension inevitably, so it is rarely found in adult. With priopertive echocardiogram and cineangiogram we had two impressions, left atrial cystor cortriatriatum. At operative finding, there was no visible combined anomaly except accessary chamber which received all pulmonary venous return that drained into the left atrium through small calcified orifice. The operation was performed by simple resection of the diaphragm under cardiopulmonary bypass. The postope rative course was uneventful.

• Journal of Chest Surgery
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• 제19권3호
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• pp.515-521
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• 1986

Double-chambered right ventricle [DCRV] is a rare congenital heart disease caused by anomalous muscle bundle traversing the sinus portion of the right ventricle well beneath the infundibulum. Recently we have experienced a case of DCRV with ventricular septal defect in 7-year old male patient. Preoperative cardiac catheterization and cineangiography revealed 80 mmHg pressure gradient between the proximal and distal chamber of the right ventricle and diagonal shape filling defect by the anomalous muscle bundle in the sinus portion of the right ventricle. Resection of the anomalous muscle bundle and patch closure of the ventricular septal defect was performed with cardiopulmonary bypass. The postoperative course was uneventful and excellent.

• Journal of Chest Surgery
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• 제29권2호
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• pp.213-218
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• 1996

Total anomalous pulmonary venous return (TAPVR) is very rare congenital heart disease. 25-year old male was admitted our hospital with dyspnea, headache and syncope as chief complaint. He was confirmed as mixed type TAPVR by echocardiography and cardiac catheterization. In this case, mixed type TAPVR was consisted with supracardiac type connection of left pulmonary vein and cardiac type of right pulmonary vein. Supracardiac type of left pulmonary common channel was anastomosed to the left auricular appendage during total cardiopulmonary bypass with fibrillating heart. Cardiac type of right pulmonary vein was operated during moderate hypothermia and aortic cross clamping. Coronary sinus septum was incised into ASD and closed with Gore-Tex patch so that right pulmonary blood flow directed to the left atrium. The patient's post-operative course was uneventful.