• Title/Summary/Keyword: Leaflet

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The Right Ventricular Myxoma Which Attached to the Tricuspid Valve: Sliding Tricuspid Valvuloplasty

  • Cho, Seong Ho;Shim, Man-Shik;Kim, Wook Sung
    • Journal of Chest Surgery
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    • v.48 no.3
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    • pp.228-230
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    • 2015
  • We report a rare case of an extremely large right ventricular myxoma involving the ventricular side of the tricuspid valve. The tumor was excised along with the entire posterior leaflet and part of the anterior leaflet. The tricuspid valve was repaired by sliding valvuloplasty combined with ring annuloplasty.

One Stage Repair of Traumatic Ventricular Septal Defect and Mitral Regurgitation (외상성 심실중격결손 및 승모판막 역류증의 일차 완전정복)

  • 이재원;송태승;제형곤;송명근
    • Journal of Chest Surgery
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    • v.32 no.12
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    • pp.1131-1134
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    • 1999
  • After a penetrating thoracic injury early detection of intracardiac injury and early surgical repair when indicated are essential. A case presenting severe respiratory distress two weeks after a penetrating thoracic injury is reported. Transesophageal echocardiography showed massive pericardial effusion ventricular septal defect and mirtal regurgitation, The infundibular ventricular septal perforation was repaired using a Dacron patch the anterior mitral leaflet by interrupted sutures and the ruptured chordae of the posterior leaflet by a new chordae formation.

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Selective Fluidization of Synaptosomal Plasma Membrane Vesicles by 17β-Estradiol

  • Lee, Sae A;Park, Yong Jin;Jang, Il Ho;Kang, Jung Sook
    • Biomedical Science Letters
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    • v.23 no.1
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    • pp.17-24
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    • 2017
  • Estrogens are effective neuroprotectants in vivo and in vitro. To obtain a better insight into the molecular mechanisms of action of neuroprotection by $17{\beta}-estradiol$ (E2), we examined the differential effects of E2 on the fluidity of synaptosomal plasma membrane vesicles (SPMV) isolated from rat cerebral cortex. Intramolecular excimerization of 1,3-di(1-pyrenyl)-propane (Py-3-Py) was used to investigate the effects of E2 on the bulk and annular lateral diffusion of the SPMV. In addition, we examined the effects of E2 on the rotational diffusion of individual leaflet of SPMV exploiting selective quenching of outer monolayer 1,6-diphenyl-1,3,5-hexatriene (DPH) fluorescence by trinitrophenyl groups. The $F{\ddot{o}}rster$ distance $R_0$ value for the tryptophan-Py-3-Py donor-acceptor pair was $26.9{\AA}$. E2 increased the lateral mobility of both bulk and annular lipids in SPMV in a dose-dependent manner, but a larger effect on bulk lipids was observed. Although E2 decreased the anisotropy of DPH in SPMV, E2 had a greater fluidizing effect on the outer leaflet compared to the inner leaflet. These results suggest that E2 selectively fluidizes the more fluid regions within SPMV. It is highly probable that E2 mostly fluidizes the bulk lipids, away from either annular lipids or lipid rafts, in the outer leaflet of SPMV. This selective fluidization may be one of the nongenomic mechanisms of neuroprotection by E2.

Atomic Force Microscopy of Asymmetric Membranes from Turtle Erythrocytes

  • Tian, Yongmei;Cai, Mingjun;Xu, Haijiao;Ding, Bohua;Hao, Xian;Jiang, Junguang;Sun, Yingchun;Wang, Hongda
    • Molecules and Cells
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    • v.37 no.8
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    • pp.592-597
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    • 2014
  • The cell membrane provides critical cellular functions that rely on its elaborate structure and organization. The structure of turtle membranes is an important part of an ongoing study of erythrocyte membranes. Using a combination of atomic force microscopy and single-molecule force spectroscopy, we characterized the turtle erythrocyte membrane structure with molecular resolution in a quasi-native state. High-resolution images both leaflets of turtle erythrocyte membranes revealed a smooth outer membrane leaflet and a protein covered inner membrane leaflet. This asymmetry was verified by single-molecule force spectroscopy, which detects numerous exposed amino groups of membrane proteins in the inner membrane leaflet but much fewer in the outer leaflet. The asymmetric membrane structure of turtle erythrocytes is consistent with the semi-mosaic model of human, chicken and fish erythrocyte membrane structure, making the semi-mosaic model more widely applicable. From the perspective of biological evolution, this result may support the universality of the semi-mosaic model.

Clinical Results of Mitral Valve Repair (승모판막질환의 판막재건술36례 성적)

  • Jang, Bong-Hyeon;Han, Seung-Se;Kim, Gyu-Tae
    • Journal of Chest Surgery
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    • v.21 no.1
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    • pp.70-81
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    • 1988
  • From January 1962 to March 1987, 97 patients underwent operation for mitral valve disease. Of these patients, 61 [62.9%] required mitral valve replacement. Thirty-six patients [37.1%] had mitral valve repair. The mean age was 26.9*11.6 years [range 5 months to 48 years]. There were 32 [88.9%] cases of rheumatic valve disease, 4 [11.1%] cases of congenital mitral valve disease. Valve dysfunction was classified into three types: type I [normal leaflet motion], 6 patients; type II [prolapsed leaflet], 1 patient; type III [restricted leaflet motion], 29 patients. Twenty-nine patients [80.6%] had pure or predominant stenosis and 7[19.4%] had pure regurgitation. No patient was in NYHA functional class I. Three patients [16.7%] were in functional class II, 15[83.3%] were in functional class II. The techniques used included closed mitral commissurotomy [16 patients], open mitral commissurotomy [13 patients], localized Wooler type annuloplasty [4 patients], suture repair of leaflet defect [3 patients], chordal shortening [1 patient], Carpentier ring annuloplasty [1 patient], and fenestration of fused chordae [1 patient]. There were two perioperative deaths [5.6%], related to left ventricular failure and reoperation. The survivors were followed up for 94 patient-years [mean 4.68*5.54 years]. One late death [1.1*1.1% per patient-year] occurred and was valve related. Reoperation was required in 3 patients, of whom 2 were deaths. There was 1 case [1.1*1.1% per patient-year] of thromboembolism. No patient received anticoagulant after operation. At 10 year, 92*7.4% of the patients were still alive. The actuarial survival rate of patients free of valve-related complication was 79*6.4% at 6 years, 27*12.1% at 11 years. After surgery, 18 patients [88.9%] were in NYHA functional class I or II.

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Population´s Limit of Corydalis (Sect. res-gallinaceua) Group Living in the Same Area

  • Min, Byeong-Mee
    • The Korean Journal of Ecology
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    • v.26 no.4
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    • pp.173-180
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    • 2003
  • To clarify whether the closely related species living in the same area is a population or populations ecologically, leaf morphology, specific leaf area, and fruit and seed production were studied in the natural group of sect. Pes-gallinaceua of Corydalis of Namhansansung area from 1999 to 2000. There were 352 plants in one square meter and total eight species or varieties were identified. Of the 352 plants, the number of C. turtschaninovii was the most with 103(29.3%), and that of C. ambigua was the next with 78(22.2%), and that of C. turtschaninovii var. fumariaefolia was the smallest with 9(2.6%). In the 28 plants having spotted leaves, central leaflet did not parted or again parted. The extent of partition with the plant was various from non-parted type to perfectly two-parted type (three leaflet). Between two extreme types, there were diverse types so that this character formed a gradient. The rate of length/breadth was in the range of 0.79~2.17. This character was related to the extent of leaflet partition but did not well expressed the distinguishing trait along a species. The number and the type of serration were diverse and there was no sharp borderline among the species or varieties. Ecological properties, specific leaf area, the number of fruit per plant, and the number of seed per fruit, varied with a wide range in a species or variety but differences between species or variety were not significant. Therefore, the Corydalis group studied was regarded as a population on the three criteria: (1) possibility of interbreeding, (2) continuity of leaf morphology, (3) irrelevance between character and species, (4) similarity of several ecological properties.

In Vitro Motion Analysis of Supplementary Valve (생체외 실험을 이용한 보조판막의 운동 연구)

  • 김상현;박영환
    • Journal of Biomedical Engineering Research
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    • v.19 no.1
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    • pp.47-52
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    • 1998
  • To develop the supplementary heart valve which could reduce the complications of prosthetic heart valve, in vitro experiments were performed to analyze the movement of the supplement valves from the view point of the flow dynamics and leaflet dynamics. The autologous pericardium was attached to deficient portion of the porcine valve which was dissected completely and partially. The pericardium was treated by buffered glutaraldehyde solution in the preshaped mould to preserve the shape of the leaflet. The function of the valves were evaluated in the mock circulatory system and three sets of experiment were performed. The instantaneous motion of the leaflet was pictured by the 35mm camera and the pressure drop through the valve and cardiac output were measured. The supplementary valve which was replaced completely performed better thatn the valve replaced partially. In vitro experiments showed that the supplementary valve which was replaced completely performed better than the valve replaced partially. In vitro experiments showed that the supplementary valve could undertake the prosthetic heart valve in clinic.

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Effect of Medium Conditions on Adventious Bud Formation of Mulberry Winter Bud Leaflet (배지조건이 뽕나무 동아엽편의 불정아형성에 미치는 영향)

  • 성규병;정정박명;김호락;구태원
    • Journal of Sericultural and Entomological Science
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    • v.37 no.1
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    • pp.6-9
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    • 1995
  • To establish a regeneration system of mulberry through the adventitious bud formation of winter bud leaflet, medium conditions were examined. Adventitious bud formation rate of mulberry winter bud leaflet on the medium containing different concentrations of BA and TDZ as the growth regulators was high on 5mM BA and 0.5mM TDZ. The effect of preculture on the medium containing BA or TDZ was affected not only by the concentration of growth regulators but the duration of preculture. Fructose as carbon source was effective on adventitious bud formation.

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Valve Leaflet Escape of Edwards Duromedics Mechanical Valve - A Case report - (Edwards Duromedics 기계판막엽 탈출 - 1례 보고 -)

  • 윤영남;유경종
    • Journal of Chest Surgery
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    • v.35 no.1
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    • pp.60-63
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    • 2002
  • Edwards Duromedics mechanical valve was introduced into clinical use in 1982 and is still being used today after several modifications. Valve-related complications after mechanical valve replacement are thiombo-embolism, endocarditis, valve malfunction, valve leaflet escape and fracture. Incidence of valve leaflet escape is very low. A 40 year-old male patient who had undergone mitral replacement with a 31mm Edwards Duromedics mechanical valve(model