• Journal of Chest Surgery
• /
• 제47권5호
• /
• pp.483-486
• /
• 2014

A 76-year-old male underwent a left upper lobectomy with wedge resection of the superior segment of the left lower lobe using video-assisted thoracoscopic surgery (VATS) for non-small-cell lung cancer of the left upper lobe. He presented with shortness of breath, fever, and leukocytosis. Chest radiography showed atelectasis at the remaining left lower lobe. Bronchoscopy revealed narrowing of the left lower bronchus with purulent secretion, and computed tomography showed downward kinking of the left lower lobar bronchus. He underwent exploratory VATS, and intraoperative findings showed an inferiorly kinked left lower lobar bronchus with upward displacement of the left lower lobe. After adhesiolysis, the kinked bronchus was straightened, and bronchopexy was performed to the pericardium to prevent the recurrence of bronchial kinking. Also, the inferior pulmonary ligament was reattached to prevent upward displacement. Postoperative follow-up bronchoscopy revealed no evidence of residual bronchial obstruction, and chest radiography showed no atelectasis thereafter.

• 한국지반공학회:학술대회논문집
• /
• 한국지반공학회 2009년도 춘계 학술발표회
• /
• pp.692-701
• /
• 2009

The use of vertical drain method to improve the soft soil ground has been continuously increased in Korea such as Busan New Port, Saemangeum reclamation project and so on in Korea. Especially PBD(Plastic Board Drain), one of the vertical drain, has been widely used due to the economic feasibility, construction compatibility and quality control. However in case of using PBD, discharge capacity reduction caused by creep deformation of the PBD filter, bending, kinking and so on can be occurred. Therefore the purpose of this study is to solve these problems by developing Deformation-Compatible Vertical Drain, DCVD which allows to deform with consolidation settlement without bending and kinking of vertical drain. In order to investigate the performance of DCVD developed in this study, discharge capacity test, centrifuge model test and complex discharge capacity test for both PBD and DCVD are performed and the results are compared.

• Annals of Surgical Treatment and Research
• /
• 제95권6호
• /
• pp.333-339
• /
• 2018

Purpose: The purpose of this study was to describe the long-term effects of stenting in patients with hepatic venous outflow obstruction (HVOO), who underwent living donor liver transplantation (LDLT). Methods: Between January 2000 and December 2009, 622 adult patients underwent LDLT at our hospital, and of these patients, 21 (3.3%) were diagnosed with HVOO; among these patients, 17 underwent stenting. The patients were divided into early or late groups according to the time of their HVOO diagnoses (cutoff: 60 days after liver transplantation). Results: The median follow-up period was 54.2 months (range, 0.5-192.4 months). Stent insertion was successful in 8 of 10 patients in the early group and 6 of 7 in the late group. The 5-year primary patency rates were 46% and 20%, respectively. In both groups, patients with recurrent HVOO at the beginning showed kinking confirmed by venography. Patients who carried their stents for more than 3 years maintained long-term patency. There was no significant difference in spleen size between groups; however, when the groups were compared according to whether they maintained patency, spleens tended to be smaller in the patency-maintained group. Conclusion: Unlike stenosis, if kinking is confirmed on venography, stenting is not feasible in the long term for patients with LDLT.

• Journal of Chest Surgery
• /
• 제18권2호
• /
• pp.360-370
• /
• 1985

A case of complete interruption of aortic arch with aortopulmonary window, patent ductus arteriosus, and aberrantly originated right subclavian artery from proximal descending aorta, in a four year old boy is reported in detail. This is the only reported case in Korea, who has had a successful one-stage total anatomical correction of this combination of defects. Under deep hypothermia and total circulatory arrest, aortic continuity was established using patent ductus arteriosus and anterior wall of pulmonary artery, which was anastomosed obliquely to anteromedial side of ascending aorta. Aortopulmonary window was closed using Impra patch via pulmonary arteriotomy. Then pulmonary arteriotomy was reconstructed primarily except at the junction of right pulmonary artery and main pulmonary artery, where a small piece of pericardium was used to close the defect to prevent kinking and narrowing of right pulmonary artery. Postoperative cardiac catheterization demonstrated a good reconstruction.

• Journal of Korean Neurosurgical Society
• /
• 제63권3호
• /
• pp.373-379
• /
• 2020

Carotid endarterectomy (CEA) is the main procedure in carotid surgery, as well as the most frequent vascular procedure. Two techniques of CEA are available : eversion and conventional plus patch angioplasty. Eversion CEA is anatomic procedure that reduces ischemic and total operative time. Simultaneous correction of the joined carotid kinking and coiling is possible, easy and safe, while the usage of patch is excluded. Thanks to oblique shape of anastomosis, eversion CEA is associated with low risk of long-term restenosis. The false anastomotic aneurysms occurrence is very rare, almost impossible after eversion CEA. However, the usage of carotid shunt during eversion CEA is not always simple, while proximal or distal extension of the carotid plaque can make eversion CEA more difficult and risky. Eversion CEA should be the first choice in carotid surgery. Conventional CEA is indicated in cases when carotid plaque is extended more than usual, as well as, if the usage of carotid shunt is necessary.

• Journal of Chest Surgery
• /
• 제26권12호
• /
• pp.955-958
• /
• 1993

Pseudocoarctation is extremely rare and is due to elongation and kinking of aortic arch which mimiks true coarctation but has no pressure gradient across it. This state is essentially benign entity and needs no surgical intervention, but it frequently tends to progress into the aortic aneurysm that results in compressive symptom due to mass effect and unawared rupture and death.We experienced a descending aortic aneurysm secondary to pseudocoarctation. The patient was 53 year-old female presented as easy f`atiguability and facial flushing. The aortogram revealed tortuous and enlarged aorta at the level of ligamentum arteriosum. The aneurysm was resected and was end-to-end anastomosed successfully under partial cardiopulmonary bypass. The postoperative course was uneventful and the patient was discharged on postoperative 10 day.

• 한국전산구조공학회:학술대회논문집
• /
• 한국전산구조공학회 2007년도 정기 학술대회 논문집
• /
• pp.845-850
• /
• 2007

The empirical AISC panel zone thickness provision$(t_z\geq(d_z+w_z)$/90) to prevent the cyclic shear buckling of the panel zone was proposed based on the test data of Krawinkler et al. (1971) and Bertero et al. (1973) However, no published records of the equation development or any other background information appear to be available. The calibrated finite element analysis results of this study indicated that the AISC provision was not reasonable. In this study, through including the effects of the column axial force and the aspect ratio of the panel zone, a new equation for the relative strength between the beam and the panel zone was proposed such that the proposed equation can prevent the panel zone shear buckling and reduce the potential fracture associated with the kinking of the column flanges.

• The Korean Journal of Pain
• /
• 제8권2호
• /
• pp.378-382
• /
• 1995

Continuous epidural blockade has been used widely for providing anesthesia and analgesia. But many kinds of unusual complications have been reported such as: kinking, knotting, shearing, abnormal positions of catheter, etc. We experienced a case of malposition of the catheter which pass out the epidural space through the intervertebral foramen in a 33-year-old cancer patient. We confirmed it by epidurogram.

• Structural Engineering and Mechanics
• /
• 제55권1호
• /
• pp.93-109
• /
• 2015

Finite element analysis (FEA) combined with the concepts of linear elastic fracture mechanics (LEFM) provides a practical and convenient means to study the fracture and crack growth of materials. In this paper, a numerical modeling of crack propagation in the cement mantle of the reconstructed acetabulum is presented. This work is based on the implementation of the displacement extrapolation method (DEM) and the strain energy density (SED) theory in a finite element code. At each crack increment length, the kinking angle is evaluated as a function of stress intensity factors (SIFs). In this paper, we analyzed the mechanical behavior of cracks initiated in the cement mantle by evaluating the SIFs. The effect of the defect on the crack propagation path was highlighted.

• Journal of Chest Surgery
• /
• 제32권3호
• /
• pp.318-321
• /
• 1999

폐 절제수술후 나머지 폐엽의 뒤틀림은 드문 합병증 중의 하나이다. 저자들은 50세 좌상엽에 진균종을 가진 남자 환자에서 좌상엽의 폐엽 절제술 후 좌하엽의 뒤틀림(torsion)에 의한 폐경색이 발생하여 수술후 2일째 남아있는 좌하엽 절제수술을 시행하였으며 23일간의 인공호흡기 치료와 92일간의 영양공급 및 물리치료가 필요하였다. 폐엽절제술 후 남아 있는 폐의 뒤틀림에 의한 폐경색은 적절한 치료에도 불구하 \ulcorner사망률이 22%에 이르기 때문에 정확한 진단과 신속한 치료가 가장 중요하다.