• Title/Summary/Keyword: Leaflet extension

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Long-Term Results of the Leaflet Extension Technique for Rheumatic Aortic Regurgitation: A 20-Year Follow-up

  • Kwak, Yu-jin;Ahn, Hyuk;Choi, Jae Woong;Kim, Kyung-Hwan
    • Journal of Chest Surgery
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    • v.52 no.1
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    • pp.9-15
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    • 2019
  • Background: Although aortic valve repair can reduce prosthesis-related complications, rheumatic aortic regurgitation (AR) caused by leaflet restriction is a significant risk factor for recurrent AR. In this study, we evaluated the long-term results of the leaflet extension technique for rheumatic AR. Methods: Between 1995 and 2016, 33 patients underwent aortic valve repair using the leaflet extension technique with autologous pericardium for rheumatic pure AR. Twenty patients had severe AR and 9 had combined moderate or greater mitral regurgitation. Their mean age was $32.2{\pm}13.9$ years. The mean follow-up duration was $18.3{\pm}5.8$ years. Results: There were no cases of operative mortality, but postoperative complications occurred in 5 patients. Overall survival at 10 and 20 years was 93.5% and 87.1%, respectively. There were no thromboembolic cerebrovascular events, but 4 late deaths occurred, as well as a bleeding event in 1 patient who was taking warfarin. Twelve patients underwent aortic valve reoperation. The mean interval to reoperation was $13.1{\pm}6.1$ years. Freedom from reoperation at 10 and 20 years was 96.7% and 66.6%, respectively. Conclusion: The long-term results of the leaflet extension technique showed acceptable durability and a low incidence of thromboembolic events and bleeding. The leaflet extension technique may be a good option for young patients with rheumatic AR.

Aortic Valvuloplasty : Leaflet Extension Technique with Glutaraldehyde-preserved tautologous Pericardium (판막첨 연장술을 이용한 대동맥 판막 성형술)

  • Ahn, Hyuk;Kim, Jun-Seok
    • Journal of Chest Surgery
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    • v.29 no.3
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    • pp.331-336
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    • 1996
  • Four operative cases of aortic valvuloplasty with leaflet extension technique using glutaraldehyde preserved tautologous pericardium are described. All patients had severe aortic regurgitation on preoperative echocardiogram, and Grade W AR on oath-angiogram. The causes of aortic regurgitation were rheumatic fever in 2 cases, degenerative change in 1 case, and 1 case of unknown cause. The autologous pericardium was fixed In a 0.625% glutaraldehyde solution for 15 minutes and rinsed in saline for an additional 15 minutes. Leaflet extension technique varied in 4 patients depending on the site and the extent of the leaflet size and lesion. There was no hospital mortality and no thromboembolic episode without anticoagulation. Post-operative cardiac size was reduced on simple chest film in all cases, and LVESD and LVEDD were reduced on folio w- up echo cardi o gram . This experience permits us to conclude that leaflet extension technique is simple and safe in valve r construction, allowing repair of aortic valves that need to be replaced.

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Characteristics of Nursery Plants Influenced by Leaflet and Raising Method for Soft-Nodal cuffing in Cherry Tomato (토마토 절간(節間)을 이용한 마디삽목 시(時) 삽수의 절위(節位)와 삽수의 소엽(小葉)부착 유무가 묘(苗) 소질에 미치는 영향)

  • Yang, Seung Koo;Son, Dong-Mo;Choi, Kyung Ju;Kim, Sang Chaul;Kim, Wol-Soo;Chung, Soon Ju
    • Horticultural Science & Technology
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    • v.19 no.4
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    • pp.483-487
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    • 2001
  • This study was carried out to investigate the role of attached leaflet on rooting and growth by one nodal cutting in tomato. As cutting sources 4 to 6 nodes could be obtained from one nursery seedling. Medium for cutting was a mixture with perlite plus peat moss (1 : 1, v/v), and each plug capacity was 30mL in the 72 cells-plug tray. Plant height and the number of leaves were significantly increased by attached leaflet cutting in 'Pepe' and 'Coco' cherry tomato. Dry weights of top and root were increased as much as 3 to 15 times in the cutting attached leaflet. Rooting percentage was 93.5% in one node cutting and 86% in the cutting with hypocotyl node part. At 20 to 24 days after nodal cutting, healthy nursery plant could be produced to transplant in field. The nursery plants by nodal cutting (NPNC) showed more fibrous roots and less tap roots than that of seedling. In terms of rooting pattern, NPNC rooted at the whole ground stem part, while rooting of seedling occurred at basal part of hypocotyl.

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Occurrence Monitoring and Population Growth of Tomato Russet Mite, Aculops lycopersici Massee (Acari: Eriophyidae) Using Green Label Sticker (시설토마토에서 녹색 라벨 스티커를 이용한 토마토녹응애의 발생예찰과 개체군 생장)

  • Choi, Yong Seok;Nam, Yun Gyu;Whang, In Su;Park, Hong Hyun;Kim, Hyeong Hwan;Park, Deok Gee
    • Korean journal of applied entomology
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    • v.51 no.4
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    • pp.405-410
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    • 2012
  • This study is conducted to develop a new method of early occurrence monitoring for Aculops lycopersici Massee (Acari: Eriophyidae), a major pest in tomato. A. lycopersici causes damage to plants such as curling of leaflet edges, followed by leaflet bronzing. As feeding continues by the mites, the plant takes on a russeted, wilted appearance, eventually culminating in leaflet desiccation and finally plant death. Fruit damages in tomato were shown when the density of mites was very high. Also, A. lycopersici caused more damage to unripe fruits than ripe fruits. The time taken to detect A. lycopersici on green label sticker was 7.0 seconds, the shortest. Blue, orange and white label stickers took 17.1, 19.8 and 12.3 seconds respectively. The permeable microscope with side illumination was useful in observing A. lycopersici on label stickers. A. lycopersici began to occur in late-April and the density of the mites increased rapidly after mid-May. The density peaked in mid to late-June, and decreased after late-June. A. lycopersici was observed on lower stems 20 days after the release of mites and observed on higher stems 60 days after. The peaked densities were observed on stems 40 and 60 days after and on leaf 80 days after. The label sticker is enough to monitor early occurrence of A. lycopersici in tomato cultivation facilities.

Aortic Valvuloplasty Using Leaflet Extension Technique (판막첨 연장술을 이용한 대동맥판막 성형술의 중기성적 평가)

  • Ahn, Hyuk;Kim, Hyun-jo
    • Journal of Chest Surgery
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    • v.30 no.7
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    • pp.656-662
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    • 1997
  • Aortic valvuloplasty has recently gained attention as an attractive alternative procedure for aortic valvular disease. Between March 1995 to August 1996, 14 patients with pure aortic regurgitation(AR) underwent aortic alvuloplasty using leaflet extension with glutaraldehydepreserved autologous pericardium. There were 11 males and 3 females, and the mean age was 34.8 $\pm$ 15.3 years. Preoperative echocardiography and cardiac catheterization revealed that the degree of AR was mean 3.4$\pm$0.65, and more than moderate degree of mitral regurgitation(MR) were detected in 4 patients. In 12 patients, 3 leaflets were extended and in another 2 patients only one deformed leaflet was extended. Concomitant mitral valvuloplasty (MVP) was performed in 4 patients. The competency of the aortic valve after completion of repair was evaluated by the transesophageal echocardiography in operating theater, and there was no aortic and mitral stenosis or regurgitation. In an early postoperative echocardiography, trivial AR was detected in 3 patients and mild MR in 1 patient. The end-systolic and end-diastolic dimensions of the left ventricle were decreased significantly(p<0.05) as compared with those of preoperative values. T ere was no mortality and no significant postoperative complication encountered. Late complication developed in 2 patients during the follow-up period(mean 7.9$\pm$ 5.9 months). One patient underwent AVR on postoperative 7th month due to endocarditis, and the another patient with Behcet's disease underwent Ross operation at postoperative 4th month. In conclusion, AVP of leaflet extension technique offers an excellent early clinical result and represents a good alterna!ivy surgical treatment for the pure AR especially in young age group, although long-term follow-up is necessary to determine the durability of glutaraldehyde-preserved autologous pericardium as a valve leaflet.

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A New Mungbean Cultivar 'Juhyeon' with High Sprout Yield (고수율 나물 녹두 신품종 '주현')

  • Kim, Dong-Kwan;Son, Dong-Mo;Choi, Jin-Gyung;Kim, Myeong-Seok;Shin, Hae-Ryong;Lee, Seuk-Ki;Seo, Min-Jung;Cho, Sang-Kyun;Oh, Young-Jin;Kim, Hyun-Tae
    • Korean Journal of Breeding Science
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    • v.43 no.3
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    • pp.218-221
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    • 2011
  • A mungbean cultivar 'Juhyeon' (Vigna radiata (L.) Wilczek) was derived from the cross between Keumseong and VC1834-4-B-2-B-3B-B at Jeollanamdo Agricultural Research & Extension Services (JARES) in 2009. 'Juhyeon' has an erect growth habit, heart leaflet, green hypocotyl, black and straight pod when matured, and dull green seed surface. The pod number per plant was 26, which was 8 more than check cultivar 'Owool'. The plant height and thousand seed weight were 66 cm and 47 g, respectively. This cultivar has field resistance to mungbean mottle virus, cercospora leaf spot, powdery mildew, and lodging. The sprout yield was up to 18% more than that of the check cultivar. The average yield was 1.84 MT/ha, which was 6% more than the check cultivar.

A New Mungbean Cultivar, "Dahyeon" with Many Pod and High Yielding (다협 다수성 녹두 신품종 "다현")

  • Kim, Dong-Kwan;Choi, Jin-Gyung;Lee, Ya-Seong;Son, Dong-Mo;Moon, Jung-Kyung;Oh, Young-Jin;Kim, Kyong-Ho
    • Korean Journal of Breeding Science
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    • v.41 no.1
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    • pp.36-39
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    • 2009
  • A new mungbean cultivar "Dahyeon" (Vigna radiata (L.) Wilczek) was derived from the cross between Jeonnam11 and AV-1-3-34-204 at National Institute Crop Science (NICS) and Jeollanamdo Agricultural Research & Extension Services (JARES) in 2006. "ahyeon" has erect growth habit, heart leaflet, green hypocotyl, black and straight pod when matured, and dull green seed surface. The pods number per plant was 21.0, which was 4.0 more than check cultivar "wool" The plant height and thousand seed weight were 57cm and 48 g respectively. The sprout yield was up to 5% more than that of the check cultivar. It was field resistance to mungbean mottle virus, cercospora leaf spot, and powdery mildew. The average yield was 1.90 ton/ha, which was 17% more than the check cultivar.

A New High Quality and Yield Mungbean Cultivar "Sohyeon" (고품질 다수성 녹두 신품종 "소현")

  • Kim, Dong-Kwan;Lee, Ya-Seong;Jung, Byung-Joon;Son, Dong-Mo;Moon, Jung-Kyung;Oh, Young-Jin;Kim, Jung-Bong;Kim, Kyong-Ho
    • Korean Journal of Breeding Science
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    • v.40 no.4
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    • pp.507-511
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    • 2008
  • A new mungbean cultivar "Sohyeon" (Vigna radiata (L.) Wilczek) was bred from the cross between "Suwon28" and "KM94004" at the Jeollanamdo Agricultural Research & Extension Services (JARES) in 2006. "Sohyeon" has erect type, heart shape leaflet, green hypocotyl, black and straight pod when matured, and dull green seed surface. This new cultivar shows 42 g per a thousand seed weight. And sprout yield was up to 9% more than that of comparison cultivar "Owool". It contains 12.0, 12.4 mg/g of vitexin and isovitexin, respectively, which was shown about 38, 31% more than comparison cultivar. It shows resistance to mungbean mottle virus, cercospora leaf spot, and powdery mildew in the normal cultivate condition. The average yield of this cultivar shows 1.62 ton/ha, which was 7% more than comparison cultivar.

A New Mungbean Cultivar, "Daseon" with Greenish Purple Hypocotyl and High Yielding (녹자색배축 다수성 녹두 신품종 "다선")

  • Kim, Dong-Kwan;Lee, Ya-Seong;Jung, Byung-Joon;Son, Dong-Mo;Moon, Jung-Kyung;Oh, Young-Jin;Kim, Kyong-Ho
    • Korean Journal of Breeding Science
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    • v.40 no.4
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    • pp.456-460
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    • 2008
  • A new mungbean cultivar Daseon (Vigna radiata (L.) Wilczek) was derived from the cross between KM9003-2B-783 and Keumseong at the Jeollanamdo Agricultural Research & Extension Services (JARES) in 2006. Daseon has erect growth habit, heart leaflet, greenish purple hypocotyl, black and straight pod when matured, and dull green seed surface. A thousand seed weight was 52 g, sprout yield ratio was 630%, and the anthocyanin (delphinidin 3-glucoside) of fresh sprouts contained 1.7 ug/g. The average plant height was 2 cm shorter than the check cultivar (Owool). It is field resistance to mungbean mottle virus, cercospora leaf spot, and powdery mildew. The average yield was 1.76 ton/ha, which was 21% more than check cultivar.

Growth and Cut-Flower Productivity of Spray Rose as Affected by Shading Method during High Temperature Period (차광방법에 따른 고온기 절화용 스프레이 장미의 생장 및 절화 생산성)

  • Cheong, Dong-Chun;Lee, Jin-Jae;Choi, Chang-Hak;Song, Young-Ju;Kim, Hee-Jun;Jeong, Jong-Sung
    • Horticultural Science & Technology
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    • v.33 no.2
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    • pp.227-232
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    • 2015
  • This experiment was carried out to investigate the effects of shading materials (aluminum specific-shading screen and polypropylene non-woven fabric) and shading ratio (50% and 70%) on climatic changes, cut-flower quality, and yield of spray rose cultivars for export during high temperature periods. The daily cumulative solar radiations were higher with the aluminum specific-shading screen, especially with 50% shading compared to polypropylene non-woven fabric. Air temperature and root zone temperature within rockwool media greatly decreased with the aluminum specific-shading screen, but relative air humidity was not different among shading methods. Chlorophyll contents (SPAD values) were slightly higher with aluminum-specific shading screen than with polypropylene non-woven fabric, and were higher with 50% than with 70% aluminum specific-shading screen. Except for 'Lovely Lydia', marketable and exportable yields of all cultivars were higher with 50% than with 70% aluminum shading treatment. In addition, flowers talk length, stem diameter, number of node and 7ea-leaflet, and floret number tended to be better with aluminum specific-shading screen. Flower stalk length was higher with 70% than with 50% aluminum shading treatment. Chromaticity of petals slightly increased, and vase life was 0.5-2.5 days longer for each cultivar with aluminum specific-shading screen than with polypropylene non-woven fabric.