• Journal of Chest Surgery
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• 제29권10호
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• pp.1166-1169
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• 1996

신경초종은 아주 희귀한 질환으로 기관 하방 113 부분에서 호발하며 수술로 치료가 가능하다는 면에서 상당히 의미가 있는 질환이다. 국소증상이 늦게 발현하므로 기도 폐쇄가 심하게 진행되기 전까지는 진단되기 어렵고 호발증상으로는 지속적인 마른 기침과 호흡곤란이다. 신경초종의 궁극적 치료방법은 외과적 절제술이다. 최근 저자들은 기관내 신경초종을 외과적 절제술로 특별한 합병증 없이 완치하였기에 문헌고찰과 함께 보고하는 바이다.

• Journal of Chest Surgery
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• 제28권5호
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• pp.491-494
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• 1995

A fibroma arising in the right ventricle outflow tract of a 14 month-old infant was successfully removed. The patient was first seen because of shortness of breath and tachycardia. Pertinent clinical and laboratory findings included a grade II/VI systolic murmur, blood pressure of 120/60 mmHg, slight cardiomegaly on chest X-ray, a mass obstructing the outflow tract of the right ventricle on echocardiography and magnetic resonance imaging. On october 30,1992, under cardiopulmonary bypass, a 4cm x 3cm x 3cm tumor was resected from the right ventricular outflow tract, together with a portion of the ventricular wall. Histologically, it was diagnosis as a fibroma. The patient was sent home on the 6th postoperative day following an uneventful recovery form the operation. Although cardiac fibroma is the second most common cardiac tumor in infancy and childhood, it is usually found in the left ventricle and one arising in the right ventricle is considered rare. Although it is a benign tumor, it could produce a severe cardiac dysfunction and even sudden death, depending on its size and location. With the advance in diagnostic techniques and operative management, there is a renewed interest in the early detection and operative removal of these tumors. The case herein presented is the first such case successfully managed and reported in the Korean literature.