• Journal of Chest Surgery
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• v.26 no.3
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• pp.228-233
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• 1993

Patients with anomalous connection of the left coronary artery to the pulmonary artery are at risk for myocardial infarction, and early or sudden death. Between 1986 to 1992, a total of 4 of these patients underwent surgical intervention with various operative techniques at our institution. Age at operation ranged from 2 months to 43 years. Three infant patients had congestive heart failure, 2 of them had mitral regurgitaion, and 1 had ST-T change on elctrocardiogram. Operative techniques included direct coronary artery transfer to the aorta[n=2], intrapulmonary tunnel from the aortopulmonary window[n=1], coronary artery bypass using saphenous vein[n=1]. One deaths occured at 2 weeks after direct coronary arterial transfer due to respiratory failure caused by Respiratory Syncitial virus pneumonia. Supravalvar pulmoanry stenosis occured after intrapulmoanry tunnel. We recommend direct aortic implatation of the anomalous coronary artery at the time of diagnosis. Intrapulmonary tunnel from aortopulmonary window or subclavian-coronary anastomosis could be alternatives in whom aortic implantation is not feasible anatomically.

• Journal of Biomedical Engineering Research
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• v.21 no.5
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• pp.449-455
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• 2000

순간적으로 승모판에서 혈류가 역류하는 영역을 측정하기 위해서, PISA 방법이 자주 이용되고 있다. 이 방법은 물질보존법칙에 근거하여, 구멍을 통과하는 유체량을 isotach 표면적과 이에 대응하는 속도의 곱으로 구하는 것이다. 이러한 PISA 방법에서 사용되는 유동모델은 반구모델과 비반구모델의 형태인데, 이는 isotach 표면적이 반구이거나 비반구임을 가정하여 계산된 것이다. 이러한 isotach 모델링에서는 isotach의 높이와 폭의 결정이 유체량을 추정하는데 아주 중요한 변수가 된다. 본 연구에서는 in-vitro 칼라 도플러 영상으로부터 PISA 영역을 추정을 위하여 영역기반을 근간으로 하는 비반구모델에 대한 표면적 추정방법을 제안하였다. 이 방법의 타당성을 알아보기 위해 180개의 칼라 도플러 영상에 대해 isotach의 높이와 폭을 추정한 결과, 기존의 에지기반방법이 19개 영상에서 에러를 가지는 반면, 제안한 방법에서는 에러영상이 없음을 알 수 있었다.

• Journal of Chest Surgery
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• v.35 no.6
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• pp.475-478
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• 2002

A 45 year old man was admitted for aggravated dyspnea, abdominal distension and poor oral intake. On Echocardiogram, mitral stenosis(severe), tricuspid regurgitaion(IV), and LA thrombus were diagnosed. We used heparin with continuous infusion for prevention of systemic thrombo embolism. On the 11th day of admission, the patient showed thrombocytopenia and we suspected Heparin-induced thrombocytopenia. Hirudin was used in this case as alternative anticoagulant during cardiopulmonary bypass to prevent serious complication of heparin. The patient was recovered without any complication as postoperative bleeding or systemic thromboembolism.