• Title/Summary/Keyword: Old patient

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Progression of periapical cystic lesion after incomplete endodontic treatment

  • Huh, Jong-Ki;Yang, Dong-Kyu;Jeon, Kug-Jin;Shin, Su-Jung
    • Restorative Dentistry and Endodontics
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    • v.41 no.2
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    • pp.137-142
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    • 2016
  • We report a case of large radicular cyst progression related to endodontic origin to emphasize proper intervention and follow-up for endodontic pathosis. A 25 yr old man presented with an endodontically treated molar with radiolucency. He denied any intervention because of a lack of discomfort. Five years later, the patient returned. The previous periapical lesion had drastically enlarged and involved two adjacent teeth. Cystic lesion removal and apicoectomy were performed on the tooth. Histopathological analysis revealed that the lesion was an inflammatory radicular cyst. The patient did not report any discomfort except for moderate swelling 3 days after the surgical procedure. Although the patient had been asymptomatic, close follow-ups are critical to determine if any periapical lesions persist after root canal treatment.

Aortic valve Replacement Concomitant with Aorto-Coronary Bypass Surgery -One case report- (관상동맥 우회술을 병행한 대동맥판막 치환술 치험 1례)

  • 정언섭
    • Journal of Chest Surgery
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    • v.23 no.3
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    • pp.514-521
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    • 1990
  • Patient with aortic valvular disease have increased left ventricular work and greater myocardial oxygen demand, which may aggravate the effect of concomitant coronary artery disease. Thus in patient who repair aortic valve replacement, concomitant aortocoronary bypass surgery is often performed when angiographically significant coronary artery disease is present. This approach is supported by reports that revascularization does not increase operative risk when associated coronary artery disease is present and significantly reduce the occurrence of late sudden death. Recently we have experienced one case of aortic valve replacement concomitant with aorta-coronary bypass surgery. The patient was 56 year-old male and admitted with complaint of anterior chest pain especially during his exercise. He was diagnosed as aortic valve stenosis and regurgitation [GIII] with proximal right main coronary artery occlusion We performed aortic valve replacement with aorta coronary bypass surgery by use of saphenous vein. Post operative course was uneventful and chest pain was relieved. Post operative coronary angiogram disclosed good patency of grafted vessel.

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Primary Cardiac Liposarcoma with Obstruction of Main Pulmonary Artery (고도의 폐혈류장애를 동반한 원발성 우심실 지방육종)

  • An, Byeong-Hui;Jang, Won-Chae;Kim, Sang-Hyeong
    • Journal of Chest Surgery
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    • v.27 no.2
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    • pp.157-160
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    • 1994
  • Primary tumors of the heart are extremely rare, and about 25 per cent of primary cardiac tumors are malignant. Recently, We experienced a case of primary cardiac liposarcoma occurred on the right ventricular outflow tract and extended into the main pulmonary artery. The patient was 57 year-old man and the chief complaints was severe exertional dyspnea. Emergency operation to relieve the right ventricular outflow tract obstruction was performed under cardiopulmonary bypass. The tumor was 5$\times$4$\times$3 cm in size and infiltrated into the right ventricle and ventricular septum. The tumor in the main pulmonary artery was removed without any difficulty but the on the right ventricular outflow tract was difficult to remove completely. The patient was recovered without any specific problems. After successful surgical resection and postoperative radiotherapy the patient discharged with good condition. Herein, the clinical characteristics of cardiac liposarcoma, the problems in differential diagnosis, the prognosis and current therapy are reviewed.

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Diaphragm Translocation as Surgical Treatment for Agenesis of the Right Lung and Secondary Tracheal Compression

  • Kim, Dong Hee;Choi, Se Hoon
    • Journal of Chest Surgery
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    • v.49 no.1
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    • pp.59-62
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    • 2016
  • A 12-month-old boy was diagnosed with agenesis of the right lung. Mediastinal deviation progressed to the diseased side as the patient matured; therefore, tracheal distortion developed. As a result, tracheal compression developed between the vertebral body and aorta. The patient was repeatedly admitted to the hospital because of recurrent pulmonary infection and combined severe respiratory distress. Diaphragm translocation was performed to treat the patient. The postoperative course was favorable, and computed tomography scan findings and symptoms had improved at 1 year after surgery.

A 69-year-old Woman with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery: Surgical Repair Using a Trap-door Flap

  • Lim, Ju-Yong;Chung, Cheol-Hyun;Ma, Dae-Sung;Lee, Seung-Hyun
    • Journal of Chest Surgery
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    • v.44 no.5
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    • pp.358-360
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    • 2011
  • We present a patient with anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA), which was diagnosed and corrected in her 60 s. The patient is the oldest documented survivor of ALCAPA who underwent a surgical repair. ALCAPA should be corrected surgically to restore the dual coronary system at any age and this case shows that the surgical procedure may be performed safely even in an elderly patient.

Laminar Cortical Necrosis (Polioencephalomalacia) caused by Postoperative Fluid Overload in a Dog with Pyometra

  • Jeong, Yoon-Soo;Kim, Ill-Hwa;Kang, Hyun-Gu
    • Journal of Veterinary Clinics
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    • v.34 no.2
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    • pp.98-102
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    • 2017
  • A 7-year-old, intact, female Siberian husky presented with vomiting and diarrhea after a fight with a dog with which it lived. The bitch was diagnosed with pyometra and severe dehydration. The patient received IV fluid therapy for 2 day pre- and post-operatively. Four days post-surgery, the patient had a decreased level of consciousness and suffered a tonic-clonic generalized seizure. On magnetic resonance imaging and histopathological findings, a diagnosis of laminar cortical necrosis caused by fluid overload was made. This case provides important information on the potential for fluid overload in a dehydrated patient giving rise to critical condition and death.

A Case of paralytic ileus and Urinary Tract Infection with cerebral infarction (뇌경색환자에게 병발한 마비성 장폐색과 요로감염의 치험례)

  • Park, Ji-Yoon;Jun, Chan-Yong;Han, Yang-Hee;Ko, Jae-Chul
    • The Journal of Internal Korean Medicine
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    • v.22 no.3
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    • pp.471-476
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    • 2001
  • paralytic ileus and urinary tract infection(UTI) are common complications in stroke patient. A 78-year-old women was admitted because of right hemiparesis, motor aphasia due to 2nd cerebrovascular accident this patient had problem of paralytic ileus and UTI. without Western medical treatment, patient's symptom, sign and laborotory findings were improved through Korean medical treatment. so, we report it for the better treatment.

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A Case Report of Dementia with Lewy bodies (루이소체 치매 환자 1례)

  • Ko, Jae-Sang;Hwang, Jeong-Hyun;Kim, Seung-Hyeon;Koo, Byung-Soo
    • Journal of Oriental Neuropsychiatry
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    • v.22 no.4
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    • pp.157-168
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    • 2011
  • Objectives : In this case report, we will present a patient with dementia with Lewy bodies improved by application of oriental medical treatments. Methods : A 82 year-old female patient has been suffered by dementia with Lewy bodies for 7~8 years. We treated the patient with Herbal medication and acupuncture. The effects of treatment were measured by MMSE-K (Mini-Mental State Examination-K). Results : As a result of oriental treatments, the quality of sleep was improved, also the level of cognition was improved. Conclusions : These results suggest that oriental treatments have an effect on Dementia with Lewy bodies.

The Treatment of Neuroma-in-Continuity with Interpositional Nerve Graft and Vein Wrapping - A Case Report - (신경 이식과 정맥 포장을 이용한 연속성 신경종의 치료 - 1예 보고 -)

  • Kwon, Boo-Kyung;Baek, Jong-Ryoon;Kim, Dong-Hwan
    • Archives of Reconstructive Microsurgery
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    • v.19 no.2
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    • pp.93-96
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    • 2010
  • We report a case of 44 years old male patient with neuroma-in-continuity of ulna nerve. In the patient's past history, he had received operative treatment for the open supracondylar fracture of right distal humerus and ulnar nerve injury at 10 years ago, and neurolysis was tried 2 times due to severe neuropathic pain. Despite of these operations, the symptom was not improved. In operative field, we noticed neuroma-in-continuity and decided to resect the neuroma until normal nerve fascicle was noted. The nerve cable graft was done with auto sural nerve on the defect site and the nerve was wrapped with small saphenous vein. At post operative 7 months, pain was markedly decreased and sensory recovery was slightly improved and patient was satisfied with the result.

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Severe Hypothermia Accompanying Acute Subdural Hemorrhage

  • Kim, Jung-Goan;Kim, Seok-Won
    • Journal of Korean Neurosurgical Society
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    • v.39 no.3
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    • pp.228-230
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    • 2006
  • Hypothermia is relatively a common condition and most cases involve mild hypothermia. But severe hypothermia below $30^{\circ}C$ is medical an emergency condition. We report the case of a 41-year-old man who had been left in a manhole for more than 9 hours on a freezing cold water. He was transported to our emergency room in semicomatose state with a body temperature $26.5^{\circ}C$. The patient was warmed with active rewarming. After initial stabilization, the patient was taken for a brain computed tomography and found to have large fronto-temporo-parietal[FTP] subdural hemorrhage. The patient underwent an emergent decompressive craniectomy and hematoma evacuation. After surgery, he recovered to drowsy mentation and vital signs were stable.