• Title/Summary/Keyword: Endocardium

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Murine Heart Wall Imaging with Optical Coherence Tomography

  • Kim Jee-Hyun;Lee Byeong-Ha
    • Journal of the Optical Society of Korea
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    • v.10 no.1
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    • pp.42-47
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    • 2006
  • M-mode imaging of the in vivo murine myocardium using optical coherence tomography (OCT) is described. Application of conventional techniques (e.g. MRI, Ultrasound imaging) for imaging the murine myocardium is problematic because the wall thickness is less than 1.5 mm (20 g mouse), and the heart rate can be as high as six hundred beats per minute. To acquire a real-time image of the murine myocardium, OCT can provide sufficient spatial resolution ($10{\mu}m$) and imaging speed (1000 A-scans/s). Strong light scattering by blood in the heart causes significant light attenuation, which makes delineation of the endocardium-chamber boundary problematic. To measure the thickness change of the myocardium during one heart beat cycle, a myocardium edge detection algorithm is developed and demonstrated.

PATHOLOGIC STUDIES ON SODIUM MONOFLUOROACETATE (COMPOUND 1080) POISONING IN RABBITS (Sodium monofluoroacetate (Compound 1080) 중독(中毒)에 관(關)한 가토(家兎)의 병리해부학적(病理解剖學的) 연구(硏究))

  • Kim, Hwa Sik
    • Korean Journal of Veterinary Research
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    • v.1 no.1
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    • pp.65-70
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    • 1961
  • Many losses in domestic animals have bern reported in this country, since sodium monofluoroacetate (Compound 1080) was used as a rodenticide. Lesions described inclubed multiple petechiae in epi- and endocardium, lung and intestinal mucosa, or superficial necrosis of the gastric mucosa. In this studies as to the poisoning 7 rabbits were administered 0.6mg (Group I), 0.4mg (Group II), and 0.3mg (Group III) of sodium monofluoroacetate per kilogram of body weight. and the results obtained were as follows: In addition to the changes mentioned above fatty degeneration in central parts of hepatic lobule or nut meg liver, haemorrhagic feci in cerebral cortex and leptomeninges and fatty degeneration in kidney and cardiac muscles were found.

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Primary Fibromyxoma of the Pericardium (심낭의 원발성 양성 섬유 점액종: 1례 보고)

  • 이세순
    • Journal of Chest Surgery
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    • v.1 no.1
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    • pp.69-74
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    • 1968
  • Primary neoplasms of the pericardium are rarer than those originating within the myocardium or endocardium and, moreover, primary benign tumors of the pericardium are of much rare occurence. Mahaim[1945] was able to collect 84 cases of pericardial tumors, the majority of which were malignant. A case of primary benign fibromyxoma of the pericardium is presented. This tumor arouse in the right anterior aspect of the pericardium, through which the phrenic nerve was penetrated. The tumor was measured 10X6X6 cm in size and 120 gm in weight. Total excision of the mass was accomplished by antero-lateral thotacotomy incision, resulting complete cure. This is the first case of primary benign fibromyxoma of the pericardium on literatures in our knowledge.

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Development of New Device to Improve Sucess Rate of Maze Procedure with Radiofrequency Energy (고주파에너지를 이용한 미로술식의 성적향상을 위한 새로운 기구의 개발)

  • 박남희;유양기;이재원
    • Journal of Chest Surgery
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    • v.37 no.6
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    • pp.467-473
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    • 2004
  • Background: The sinus conversion rate after the maze procedure in chronic atrial fibrillation using radiofrequency energy is lower than with either conventional 'cut and saw' technique or cryothermia. The creation of incomplete transmural lesions due to poor tissue-catheter contact is thought to be the main cause. To address this problem, the current study was aimed to evaluate the effectiveness of a specially constructed compression device designed to enhance tissue catheter contact during unipolar radiofrequency catheter ablation. Material and Method: Circum-ferential right auricular epicardial lesions were created with a linear radiofrequency catheter in 10 anesthetized pigs. A device specially designed to increase contact by compression of the catheter to the atrial wall was used in 5 pigs (study group). This device was not used in the control group (5 pigs). Conduction block across the right auricular lesion was assessed by pacing, and the transmurality of the lesions were confirmed by microscopic examination. Result: Conduction block was observed in a total of 8 pigs; 5 in study group and 3 in control group. Transmural injury was confirmed microscopically by the accumulation of acute inflammatory cells and loss of elastic fibers in the endocardium. In two pigs with failed conduction block, microscopic examination of the endocardium appeared normal. Conclusion: Failed radiofrequency ablation is strongly related to non-transmural energy delivery. The specially constructed compression device in the current study was successful in creating firm tissue-catheter contact and thereby generating transmural lesions during unipolar radiofrequency ablation.

Surgical Repair of the Congenital Aneurysm of the Right Atrium (선천성 우심방 류의 수술치험 1례 보고)

  • 유양기;김정원;정성호;박정준;윤태진;서동만;김영휘;고재곤;박인숙
    • Journal of Chest Surgery
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    • v.35 no.1
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    • pp.56-59
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    • 2002
  • The four most common types of congenital malformations involving the right atrium(RA) and the coronary sinus(CS) are congenital enlargement of the RA, single RA diverticulum, multiple diverticula of the RA, and aneurysm of the RA or CS. A previously healthy 6year-old child was presented with signs of upper respiratory tract infection. Chest X-ray and echocardiogram revealed a severely isolated right atrial enlargement. The abnormally dilated right atrim was widely resected under cardiopulmonary bypass. Pathology revealed multifocal myocardial loss associated with mild fibrotic changes of the endocardium and epicardium Our experience on this rare congenital disease is presented along with a review of the literature.

Automatic Detection of Left Ventricular Contour Using Hough Transform with Weighted Model from 2D Echocardiogram (가중모델 Hough 변환을 이용한 2D 심초음파도에서의 좌심실 윤곽선 자동 검출)

  • 김명남;조진호
    • Journal of Biomedical Engineering Research
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    • v.15 no.3
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    • pp.325-332
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    • 1994
  • In this paper, a method is proposed to detect the endocardial contour of the left ventricle using the Hough transform with a weighted model and edge information from the 2D echocardiogram. The implementation of this method is as follows: first, an approximate model detection algorithm was implemented in order to detect the approximate endocardium model and the model center, then we constructed a weighted model with the detected model. Next, we found automatically the cavity center of the left ventricle performing the Hough transform which used the weighted model, and then we detected the endocardial contour using weighted model and edge image.

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Aneurysm of the Sinus of Valsalva Oissecting into the Ventricular Septurn Associated with Paravalvular Leakage After Double Valve Replacement (판막 치환 수술 후 생긴 판막 주위 누출과 관련된 대동맥동류의 심실 중격 박리-1례 보고-)

  • 정일상;이영탁
    • Journal of Chest Surgery
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    • v.30 no.7
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    • pp.719-723
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    • 1997
  • We experienced a case of aneurysm of the sinus of Valsalva dissecting into the ventricular dseptum. This dissection was induced by paravalvular leakage after aortic and mitral valve replacement. This 37-year-old male was admitted via emergence room due to progressive dyspnea. He had undergone aortic valve replacement(carbomed c" 23 mm) and mitral valve replacement(carbomedic 31 mm) due to aortic regurgitation and mitral regurgitation about 6 years prior to admission and followed up regularly. The diagnosis was made by transthoracic and transesophageal echocardiography and reconfirmed by root aortography. The inlet of the ventricular septal aneurysmal sac was repaired by one layer suture with 3-0 prolene of the endocardium, epicardium and homograft muscle shoulder altogether. Postoperative course was uneventful and the patient was discharged on the 11th postoperative day. day.

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One case of Coxsackievirus induced Pancarditis (Coxsackie Virus에 의한 Pancarditis 1례)

  • Jang, Chang Kyun;Cho, Byung Soo;Choi, Yong Mook;Cha, Sung Ho
    • Pediatric Infection and Vaccine
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    • v.2 no.2
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    • pp.200-206
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    • 1995
  • Myocarditis refers to inflammation, necrosis, or myocytolysis that may be due to many infectious, connective tissue and many other causes affecting the myocardium or involvement of the endocardium or pericardium. The most common manifestation is congestive heart failure, although arrhythmias and sudden death may be the first sign of myocarditis. Viral myocarditis is typically a sporadic but occasionally epidemic illness, noted as an acute potentially fulminant disease of 1-to 4-wk-old infants, as an acute but more benign myopericarditis of toddlers and young children. The most common casuative agent in viral myocarditis is Coxsackievirus and the outcome of the biopsy-proven chronic dilated cardiomyopathy associated with Coxsackievirus is poor without therapy. Myocarditis may be confirmed by percutaneous endomyocardial biopsy and the viral myocarditis may be diagnosed by the serological viral study with the clinical manifestations. He was admitted for the management of tachyarrhythmias occurred suddenly without prodromal symptoms and signs and diagnosed as viral pancarditis by serological Coxsackievirus study, echocardiogram, chest x-ray, EKG and other clinical manifestations.

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Method of Deciding Elastic Modulus of Left and Right Ventricle Reconstructed by Echocardiography Using Finite Element Method and Stress Analysis

  • Han, Geun-Jo;Kim, Sang-Hyun
    • Journal of Biomedical Engineering Research
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    • v.15 no.2
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    • pp.217-224
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    • 1994
  • In order to study the shape and dimensions of heart, a procedure to reconstruct a three dimensional left ventricular geometry from two dimensional echocardiographic images was studied including the coordinate transformation, curve fitting and interpolation utilizing three dimensional position registration arm. Nonlinear material property of the left ventricular myocardium was obtained by finite element method performed on the reconstructed geometry and by optimization techniques which compared the computer predicted 3D deformation with the experimentally determined deformation. Elastic modulus ranged from 3.5g/$cm^2$ at early diastole to l53g/$cm^2$ at around end diastole showing slightly nonlinear relationship between the modulus and the pressure. Afterwards using the obtained nonlinear material propertry the stress distribution related with oxyzen consumption rate was analyzed. The maximum and minimum of ${\sigma}_1$ (max. principal stress) occurred at nodes on the second level intersection points of x-axis with endocardium and with epicardium, respectively. And the tendency of the interventricular septum to be flattened was observed from the compressive ${\sigma}_1$ on the anterior, posterior nodes of left ventricle and from the most significant change of dimension in $D_{RL}$ (septal-lateral dimension of right ventricle).

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Primary Undifferentiated Sarcoma of Left Atrium (좌심방에 발생한 원발성 미분화 육종-1례 보고-)

  • Lee, Seock-Yeol;Lee, Seung-Jin;Lee, Man-Bok;Youm, Wook;Lee, Kihl-Rho;Choi, Doo-Ho;Lee, Dong-Wha
    • Journal of Chest Surgery
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    • v.31 no.8
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    • pp.811-815
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    • 1998
  • Primar99y cardiac tumors are rare and about 25% of primary cardiac tumors are malignant. A primary undifferentiated cardiac sarcoma, which very rare, is presented as follows: A 28-year old woman at the 32th week of pregnancy was admitted to the hospital because of dyspnea. A large intracardiac (left atrium) tumor was found with cardiac echocardiography and MRI. Emergency operation was performed under the diagnosis of left atrial myxoma. After Cesarean section, LA-tomy was done under the cardiopulmonary bypass. Tumor removal including endocardium of left atrium was done and final pathologic diagnosis was primary undifferentiated laft atrial sarcoma. After adjuvant radiotherapy, she has been followed up in out patient bases without problems up to now.

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