• Title/Summary/Keyword: Cardiovascular system

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Multi-vessel Small Thoracotomy (MVST) CABG with Robot-assisted Bilateral ITA Harvesting - A case report - (수술 로봇을 이용한 양측 내흉동맥 채취 후 시행한 최소 침습적 다혈관 관상동맥 우회술 - 1예 보고 -)

  • Chung, Jin-Woo;Lee, Jae-Won;Je, Hyoung-Gon
    • Journal of Chest Surgery
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    • v.41 no.2
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    • pp.264-267
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    • 2008
  • The da Vinci telemanipulator system (Intuitive Surgical, Sunnyvale, CA USA) is the most advanced robotic surgical system and has been increasingly used for cardiac surgical procedures. We report out first clinical experience of use of the da Vinci telemanipulator system for endoscopic harvesting of the bilateral thoracic artery andmulti-vessel small thoracotomy off pump CABG for 3-vessel disease. The da Vinci telemanipulator system has been previously utilized primarily for mitral valve surgery.

Recent Evidence and Initial Experiences of Transcatheter Edge-to-Edge Repair of the Mitral Valve in South Korea

  • Hong, Sung-Jin;Kim, Jung-Sun;Hong, Geu-Ru
    • Journal of Chest Surgery
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    • v.54 no.3
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    • pp.165-171
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    • 2021
  • As a percutaneous technique for the reduction of mitral regurgitation, the MitraClip system (Abbott Vascular, Abbott Park, IL, USA) for transcatheter edge-to-edge repair of the mitral valve was developed in 1998 and first used in 2003. Its main advantage is being less invasive than surgery, because it can be performed through a transcatheter approach without any hemodynamic compromise. Recent studies have shown that this procedure reduces symptoms and improves functional capacity with low complication rates. Two randomized clinical trials have investigated the use of this technique for functional mitral regurgitation. The Korean Ministry of Food and Drug Safety approved its use for degenerative mitral regurgitation in 2019, and this procedure started to be performed in Korea in January 2020. Its use for functional mitral regurgitation was also approved in Korea in 2020. In this article, recent evidence on transcatheter edge-to-edge repair of the mitral valve and our initial experiences in Korea will be reviewed.

Harlequin Syndrome Following Resection of Mediastinal Ganglioneuroma

  • Jeon, Yeong Jeong;Son, Jongbae;Cho, Jong Ho
    • Journal of Chest Surgery
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    • v.50 no.2
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    • pp.130-132
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    • 2017
  • Harlequin syndrome is a rare disorder of the sympathetic nervous system characterized by unilateral facial flushing and sweating. Although its etiology is unknown, this syndrome appears to be a dysfunction of the autonomic nervous system. To the best of our knowledge, thus far, very few reports on perioperative Harlequin syndrome after thoracic surgery have been published in the thoracic surgical literature. Here, we present the case of a 6-year-old patient who developed this unusual syndrome following the resection of a posterior mediastinal mass.

A Study on the Space Composition and Area Planning of the Cardiovascular Center in General Hospital (종합병원 심혈관센터의 공간구성 및 면적계획에 관한 연구)

  • Yun, Wooyoung;Chai, Choulgyun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.18 no.4
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    • pp.75-87
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    • 2012
  • Purpose: As the nation is becoming an aging society, there is an increasing number of the patient who has Diseases of cardiovascular disease. So it is necessarily to build a facility which provides specialized health care. Methods: Field surveys to facilities and analysis to the floor plan have been conducted in order to suggest adequate architectural composition to the specialized cardiovascular center and the dimensions of rooms. Results: The result of this study can be summarized into six points which contain guide to how to organize the specialized cardiovascular center. One of the most important things in this study is to suggest the architectural type which provides efficient collaborating system between the outpatient and angiography unit. Implications: It can be said that this paper can be useful research material when the architect tries to plan the specialized cardiovascular center.

A Case Report of Cardiac Fibroma (심장 섬유종 -1례 보고-)

  • Jang, Jae-Han;Kim, Min-Ho;Jo, Jung-Gu;Kim, Gong-Su
    • Journal of Chest Surgery
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    • v.29 no.1
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    • pp.99-102
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    • 1996
  • Cardiac fibroma is a rare benign tumor of the heart that occurs primarily in infants and children. Prognosis depends on size, extent and site of tumor. Cardiac fibroma may invade the conduction system, papillary muscle and outflw of inflow tract of ventricle. In these situations, its clinical course is very poor Although operative mortality is high, surgical resection is treatment of choice because lethal arrhythmia and sudden death can be developed by the fibroma. A cardiac fibroma was successfully resected from the left ventricular myocardium of a 8 years old male patient in the Department of Thoracic and Cardiovascular Surgery, Chonbuk National University Hospital.

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Sternal Resection and Reconstruction for Solitary Plasmacytoma of the Sternum: Case Report

  • Choi, Chang Woo;Park, You Kyeong;Shin, Hwa Kyun;Lim, Jae Woong;Her, Keun
    • Journal of Chest Surgery
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    • v.54 no.5
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    • pp.400-403
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    • 2021
  • A 63-year-old patient was admitted with a sternal fracture and mass. On evaluation, most of the body of the sternum had been destroyed by a tumor. Radical resection of the sternum was performed and part of the major pectoral muscles adherent to the sternal tumor was also resected. The chest wall defect was reconstructed with mesh, bone cement, and a titanium rib plate system. Reconstruction with this method seemed to be an appropriate procedure to prevent instability of the chest wall.

Development of Castleman Disease in the Paravertebral Space Mimicking a Neurogenic Tumor

  • Kwak, Yu Jin;Park, Samina;Kang, Chang Hyun;Kim, Young Tae;Park, In Kyu
    • Journal of Chest Surgery
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    • v.52 no.1
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    • pp.51-54
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    • 2019
  • Castleman disease is a relatively rare disease, characterized by well-circumscribed benign lymph-node hyperplasia. The disease may develop anywhere in the lymphatic system, but is most commonly reported as unicentric Castleman disease in the mediastinum along the tracheobronchial tree. It is usually asymptomatic and detected on plain chest radiography as an incidental finding. We report an incidentally detected case of Castleman disease in the paravertebral space that was preoperatively diagnosed as a neurogenic tumor and treated by complete surgical resection.

Computational analysis of the hemodynamic changes in human cardiovascular system after space flight (우주비행 직후 인체 심혈관계의 혈류역학적 변화에 대한 수치적 연구)

  • Shim E. B.;Ko H. J.;Heldt T.;Kamm R. D.;Mark R. G.
    • 한국전산유체공학회:학술대회논문집
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    • 2000.10a
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    • pp.123-128
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    • 2000
  • Orthostatic stress in human cardiovascular system following spaceflight remains a critical problem in the current lifercience space program. The study presented in this paper is part of an ongoing effort to use mathematical models to investigate the effects of gravitational stresses on the cardiovascular system of normals and microgravity adapted individuals. We employ a twelve compartment lumped parameter representation of the hemodynamic system coupled to set-point models of the arterial baroreflex and the cardiopulmonary reflex to investigate the transient response of heart rate to orthostatic stress. We simulate current hypotheses concerning the mechanisms underlying postspaceflight orthostatic intolerance over a range of physiologically reasonable values and compare the simulations to astronaut stand-test data pre-and postflight.

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First Experience of Thoracic Surgery with the da $Vinci^{TM}$ Surgical System in Korea (다빈치 수술로봇을 이용한 흉부수술 1예 보고)

  • Kim Dae-Joon;Chung Kyung-Young;Park In-Kyu;Park Sung-Yong
    • Journal of Chest Surgery
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    • v.39 no.6 s.263
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    • pp.482-485
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    • 2006
  • Video-assisted thoracoscopic surgery has gained a broad acceptance for various thoracic lesions because it is the minimally invasive surgery with little tissue trauma, less pain, improved cosmetic results and short recovery time. However, there are some limitations for this method, such as restricted visual sensory information to a two-dimensional image and limited maneuverability of the tips of the instruments. To overcome these limitations, advanced technology has been introduced and the da $Vinci^{TM}$ Surgical System (Intuitive Surgical Inc, Mountain View, CA, USA) became available in 2001. In Korea, the da $Vinci^{TM}$ Surgical System was introduced in Severance hospital (Yonsei University College of Medicine) in May 2005, and approved by KFDA in July 2005. Herein, we report the first experience of robot-assisted thoracic surgery with the da $Vinci^{TM}$ Surgical System in extirpation of a large teratoma in anterior mediastinum.