• Title/Summary/Keyword: Cardiopulmonary disease

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The Clinical Experience of 500 Cases in Open Heart Surgery (개심술 500례의 임상적 고찰)

  • 민용일
    • Journal of Chest Surgery
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    • v.20 no.1
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    • pp.148-155
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    • 1987
  • From May 1977 to June 1986, 500 cases of open heart surgery were performed under the cardiopulmonary bypass. There were 278 male and 222 female patients ranging from 6 months to 69 years. 363 cases[73.6%] were congenital heart diseases, and 137 cases[27.4%] were acquired heart diseases, which were 33 valvular diseases, 3 myxomas and 1 IVC obstruction. There were 363 congenital heart anomaly with 35 operative deaths[9.6%], consisting of 279 acyanotic cases with 12 deaths [4.3%] and 85 cases of cyanotic cases with 23 deaths[28.4%]. In 133 patients of acquired valvular disease, 124 valves were implanted and operative death of valvular disease was 12%. Finally the operative mortality was 9.6% in congenital anomaly, and 12.4% in acquired heart disease, overall mortality rate was 10.4%.

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Combined Percutaneous Transluminal Coronary Angioplasty and Minimally Invasive Coronary Arterial Bypass Grafting(Hybrid CABG) (경피적 경혈관 관상동맥 중재술과 최소침습성 관상동맥 우회술의 병용요법)

  • 장지민;유원희;김기봉
    • Journal of Chest Surgery
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    • v.32 no.12
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    • pp.1127-1130
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    • 1999
  • Percutaneous coronary intervention including intracoronary stenting is currently an accepted treatment modality in the treatment of coronary artery disease and is widely performed to treat the patient with multivessel disease with decreased morbidities and less cost compared with conventional coronary rtery bypass grafting(CABG), Repeated interventions due to restenosis even after successful angioplasty are the major disadvantage of the angioplsty especially when the lesion is located inthe left anterior descending artery(LAD) Recently CABG through left anterior small thoracotomy using the left internal thoracic artery to revascularize the LAD territory without cardiopulmonary bypass so called Minimally Invasive Direct Coronary Artery Bypass(MIDCAB) was intrduced and performed with comparable early outcomes. In this regard the integrated approach with percutaneous coronary intervention and minimally invasive direct coronary artery bypass surgery so called 'Hybrid CABG' was suggested to be an effective treatment in suitable patients with multivessel coronary artery disease. We report three cases of Hybrid CABG.

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A Review of Anesthesia for Lung Transplantation

  • Kim, Hye-Jin;Shin, Sang-Wook;Park, Seyeon;Kim, Hee Young
    • Journal of Chest Surgery
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    • v.55 no.4
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    • pp.293-300
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    • 2022
  • Lung transplantation is the only treatment option for patients with end-stage lung disease. Although more than 4,000 lung transplants are performed every year worldwide, the standardized protocols contain no guidelines for monitoring during lung transplantation. Specific anesthetic concerns are associated with lung transplantation, especially during critical periods, including anesthesia induction, the initiation of positive pressure ventilation, the establishment and maintenance of one-lung ventilation, pulmonary artery clamping, pulmonary artery unclamping, and reperfusion of the transplanted lung. Anesthetic management according to the special risks associated with a patient's existing lung disease and surgical stage is the most important factor. Successful anesthesia in lung transplantation can improve hemodynamic stability, oxygenation, ventilation, and outcomes. Therefore, anesthesiologists must have expertise in transesophageal echocardiography, extracorporeal life support, and cardiopulmonary anesthesia and understand the pathophysiology of end-stage lung disease and the drugs administered. In addition, communication among anesthesiologists, surgeons, and perfusionists during surgery is important to achieve optimal patient results.

Postcardiotomy Biventricular Assist Device in Adult Heart Disease. (개심술후 시행한 양심실보조장치의 성공치험 수술례)

  • 이재원;유양기;정성호;김건일;송명근
    • Journal of Chest Surgery
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    • v.34 no.5
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    • pp.403-406
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    • 2001
  • 본 증례는 66세(51.8kg)된 남자에서 수술전 심한 좌심실 기능 부전과 승모판 및 삼첨판 폐쇄부전이 있어 개심술 시행후 심한 저심박출증 발생으로 인공심폐기 이탈에서 실패하고 양심실 보조장치(Centrifugal Biopump)를 사용한 후 이로부터 성공적인 이탈과 퇴원이 보고하는 바이다.

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Aortopulmonary septal defect with anomalous origin of the RPA from aorta and PDA (개방성 동맥관과 우폐동맥 이상기시를 동반한 대동맥 폐동맥 중격결손증 1례 보)

  • 남구현
    • Journal of Chest Surgery
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    • v.17 no.3
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    • pp.398-401
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    • 1984
  • Aortopulmonary septal defect is rare congenital heart disease. An 8-year-old girl was diagnosed as a ventricular septal defect with patent ductus arteriosus at Department of Thoracic and Cardiovascular Surgery of Chungnam National University Hospital. On operation, the defect was confirmed as an aortopulmonary septal defect [Type I], anomalous origin of right pulmonary artery from aorta [Type Ill] and patent ductus arteriosus. The defect was repaired anatomically with cardiopulmonary bypass. But she was not survived because of uncontrollable bleeding from aorta.

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One Case Report of Surgical Treatment of Left Atrial Myxoma (좌심방내 점액종 치험예)

  • 차준갑
    • Journal of Chest Surgery
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    • v.2 no.1
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    • pp.73-76
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    • 1969
  • It is well known that the atrial myxoma is the most common intracardiac tumor which is hardly able to be diagnosed preoperatively and is completely curable if surgical treatment is appropriate. A case of the atrial myxoma, which was misdiagnosed as mitral valvular disease preoperatively and was successfully removed with the aid of the cardiopulmonary bypass, was reported. The common symptoms,signs,diagnostic measures and treatments of the intracardiac tumor were discussed with the review of literatures.

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Relationship between Pulmonary Function and Symptoms in Dental technicians (치과기공사의 호흡기 증상과 폐환기능 검사와의 관계)

  • Lee, Gyu-Sun
    • Journal of Technologic Dentistry
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    • v.15 no.1
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    • pp.73-87
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    • 1993
  • This study was performed to determine respiratory manifestations of 105 male and 16 female dental technicians who were resident in seoul. The prevalence of respiratory symptoms was 19% on cough, 40% on sputum, 33% on coryza, and 36% on dyspnea without past cardiopulmonary disease. The number of subjects who was abnormal ventilatory function among % predicted value for FVC(<80%), FEV1(<80%) and $FEV_1$/FVC(<75%) was 18(22%). Indices FVC and $FEV_1$ among smokers were 3 to 6% lower than that of nonsmokers.

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Total Anomalous Pulmonary Venous Connection - 1 case report - (총폐정맥 환류이상증;1례 보고)

  • Song, U-Cheol;Kim, Byeong-Ju;Hong, Gi-U
    • Journal of Chest Surgery
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    • v.25 no.12
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    • pp.1465-1470
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    • 1992
  • We experienced one case of total anomalous pulmonary venous connection to coronary sinus with secondum type ASD. The case was 21 years old woman with mild dyspnea on exertion and ill looking appearance. The disease was confirmed by 2D echocardiogram and cardiac catheterization. Under the conventional cardiopulmonary bypass, we repaired the anomaly by use of Dacron patch. The postoperative course was uneventful and discharged with excellent general condition and has been good during follow-up.

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Clinical Experience Of Open Heart Surgery: 35 Cases (개심술 치험 35예)

  • 유영선
    • Journal of Chest Surgery
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    • v.14 no.4
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    • pp.403-407
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    • 1981
  • Thirty-five cases of heart disease were operated on with cardiopulmonary bypass between November, 1980 and September, 1981. 1. There were 8 cases of congenital anomaly and 17 cases of acquired heart diseases. 2. There were 7 male and ] 8 female patients, with a mean age of 21 .9 years [range 7 to 42 years]. 3. There were 2 cases of valve replacement cases with operative mortality of 8.3%. 4. Operative mortality for congenital anomaly was ~ 6.7% and 5.9% for acquired heart diseases. 5. Over all operative mortality was 11.4%.

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Supravalvular Aortic Stenosis Williams-Barrat-Boyes-Lowe syndrome A Case Report (대동맥판상 협착증 [Williams 증후군] 치험 1례)

  • Lee, Jae-Seong;Sin, Gi-U;Choe, Sun-Ho
    • Journal of Chest Surgery
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    • v.18 no.4
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    • pp.615-622
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    • 1985
  • Supravalvular aortic stenosis was relatively uncommon form of congenital heart disease. This patient had typical "elfin faces" with mental retardation, and supravalvular aortic stenosis. The diagnosis was confirmed by pressure tracing obtained at retrograde left heart catheterization and aortography. The type of supravalvular aortic stenosis was localized hourglass narrowing, which was treated by insertion of prosthetic gusset placed across the area of narrowing under the cardiopulmonary bypass.ry bypass.

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