• Journal of Chest Surgery
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• 제15권2호
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• pp.222-229
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• 1982

The aneurysmal dilatation of ascending aorta with the aortic regurgitation presents typical surgical problems. Over the years, various surgical procedures had been used for the management of the dilated segment of sending aorta and the aortic regurgitation. The surgical technique Is still in the state of evolution. The one method is the super coronary replacement of the ascending aorta with vascular graft and replacement of the aortic valve with preservation of the coronary ostia as advocated by Miller and his colleague at Stanford University, so called conventional technique". The other is the replacement of aortic valve and the dilated segment of the ascending aorta using a composite graft and transplantation of the coronary ostia as described by Bentall and DeBono in 1968. The controversy appears to evolve around 3 technical problems. One is bleeding from the grafted area. Two is later development of the aneurysmal dilatation of the subcoronary aortic wall when non-composite graft is employed. Three is a management of the coronary arteries. The purpose of this article is to present our experience with 7 cases of annuloaortic ectasia in whom both of these surgical techniques at that employed and to review some of the problems that encountered during the management of these patients .

• Journal of Chest Surgery
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• 제19권2호
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• pp.300-305
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• 1986

We have experienced two cases of ascending aorta aneurysm with aortic regurgitation in Marfan`s syndrome. There were abnormal findings in cardiovascular system associated with abnormalities of skeletal systems. They had total replacement of the ascending aorta and aortic valve with Bjork-Shiley`s aortic valve composite graft and reimplantation of coronary ostia on the graft. Their postoperative courses were uneventful and discharged with good clinical results for follow up.

• Journal of Chest Surgery
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• 제20권4호
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• pp.803-808
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• 1987

Two young male patients were operated on for the Marfan syndrome complicating ascending aortic aneurysm and a moderate degree of aortic regurgitation. We replaced the ascending aorta and aortic valve with Bjork-Shiley aortic valve composite graft and implanted the coronary ostia in the sides of the graft directly. Postoperatively, the atrial fibrillation occurred in one case and the other had uneventful course. They showed improvement in activity at follow-up.

• Journal of Chest Surgery
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• 제25권10호
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• pp.1152-1156
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• 1992

A 64 year-old male patient with annulo-annulo-aortic ectasia[AAE] due to cystic medial necrosis was successfully treated with Cabrol operation with Cabrol trick. The technique consist of implantation of a composite valve graft within the aneurysmal sac with reattachment of the coronary ostia using a separate, small tube graft and creation of a communication between the closed perigraft space and right atrium for bleeding control. The patient had a postoperative gastrointestinal bleeding but successful recovery was achieved eventually.

• Journal of Chest Surgery
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• 제19권1호
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• pp.153-159
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• 1986

A 11 month old child with transposition of the great arteries and a large ventricular septal defect [VSD] underwent repair by VSD closure and arterial switching with translocation of the coronary ostia. Cardiopulmonary bypass was established along with core cooling to between 18 degree C and low flow was employed. By LeCompte maneuver, we avoided the use of a tubular prosthesis in the repair of pulmonary outflow tract. The post-operative course was uneventful.

• Ocean and Polar Research
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• 제41권4호
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• pp.213-232
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• 2019

This study evaluates the accuracy of four satellite-composite (OSTIA, AVHRR, G1SST, FNMONC-S) and three model-reanalysis (HYCOM, JCOPE2, FNMOC-M) daily sea surface temperature (SST) data around the Korean Peninsula (KP) using ocean buoy data from 2011-2016. The results reveal that OSTIA has the lowest root mean square error (RMSE; 0.68℃) and FNMOC-S/M has the highest correction coefficients (r = 0.993) compared with observations, while G1SST, JCOPE2, and AVHRR have relatively larger RMSEs and smaller correlations. The large RMSEs were found in the western coastal regions of the KP where water depth is shallow and tides are strong, such as Chilbaldo and Deokjeokdo, while low RMSEs were found in the East Sea and open oceans where water depth is relatively deep such as Donghae, Ulleungdo, and Marado. We found that the main sources of the large RMSEs, sometimes reaching up to 5℃, in SST data around the KP, can be attributed to rapid SST changes during events of strong tidal mixing, upwelling, and typhoon-induced mixing. The errors in the background SST fields which are used in data assimilations and satellite composites and the missing in-situ observations are also potential sources of large SST errors. These results suggest that both satellite and reanalysis SST data, which are believed to be true observation-based data, sometimes, can have significant inherent errors in specific regions around the KP and thus the use of such SST products should proceed with caution particularly when the aforementioned events occur.

• 한국지구과학회지
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• 제40권6호
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• pp.613-623
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• 2019

지난 수십년 동안 인공위성을 통해 광범위하고 주기적으로 관측된 해수면온도 자료를 사용하여 일별 해수면온도 합성장이 생산되고 있으며 기후변화 감시와 해양 대기 예측 등 다양한 목적으로 활용되어 왔다. 본 연구에서는 지역적인 해역에서 최적화된 활용을 위해 한반도 주변해역에서 해수면온도 합성장 자료의 정확도 평가와 오차 특성 분석을 수행하였다. 2016년 1월부터 12월까지 이어도 해양과학기지 관측 수온 자료를 활용하여 4종의 다중 인공위성 기반 해수면온도 합성장 자료(OSTIA (Operational Sea Surface Temperature and Sea Ice Analysis), OISST (Optimum Interpolation Sea Surface Temperature), CMC (Canadian Meteorological Centre) 해수면온도 및 MURSST (Multi-scale Ultra-high Resolution Sea Surface Temperature))를 비교하여 각 해수면온도 합성장의 정확도를 평가하였다. 이어도 해양과학기지 수온 자료에 대하여 각 해수면온도 합성장은 최소 0.12℃ (OISST)와 최대 0.55℃ (MURSST)의 편차와 최소 0.77℃ (CMC 해수면온도)와 최대 0.96℃ (MURSST)의 평균 제곱근 오차를 나타냈다. 해수면온도 합성장 사이의 상호 비교 결과에서는 -0.38-0.38℃의 편차와 0.55-0.82℃의 평균 제곱근 오차의 범위를 보였으며 OSTIA와 CMC 해수면온도 자료가 가장 작은 오차 특성을 보인 반면 OISST와 MURSST 자료는 가장 큰 오차 특성을 나타내었다. 이어도 해양과학기지와 가장 가까운 지점에서 해수면온도 합성장 자료를 추출하여 시계열을 비교한 결과에서는 이어도 해양과학기지 관측 수온 뿐만 아니라 모든 해수면온도 합성장 자료에서 뚜렷한 계절 변동을 보였으나 봄철 해수면온도 합성장은 이어도 해양과학기지 관측 수온에 비해 과대추정되는 경향이 나타났다.

• Journal of Chest Surgery
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• 제21권2호
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• pp.334-339
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• 1988

We have experienced one case of ascending aorta aneurysm with aortic regurgitation due to atherosclerosis. The 45 year old man had been suffered from palpitation and precordial chest pain. 2-D echocardiogram and aortogram confirmed aneurysm of ascending aorta with aortic regurgitation. Atherosclerotic change was noted in the aortic wall and there was marked dilatation of the sinuses of Valsalva as well as the aortic annulus with upward displacement of coronary ostia in the operative field. The patient underwent complete replacement of the aneurysmal ascending aorta and the aortic valve with 27mm Bjork-Shiley aortic valve composite graft. We got preclotting with heparin free blood including thrombin and then autoclave at 132` for 3 minutes. The postoperative course was uneventful and the patient was discharged with good clinical result.

• Journal of Chest Surgery
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• 제19권1호
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• pp.134-139
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• 1986

Seventeen patients underwent operations for aneurysm of ascending aorta with aortic regurgitation from August 1979 to October 1985. 10 patients underwent complete replacement of the ascending aorta and the aortic valve with a composite graft and implantation of coronary ostia on the graft. Seven patients underwent supracoronary noncomposite graft replacement and aortic valve replacement. The patients ranged in age from 25 to 55 years [mean 37.6 years]. There were 11 male and 6 female patients. All patients had aortic incompetence and aneurysmal dilatation of the ascending aorta. Seven of the patients has concomitant aortic dissection in ascending aorta and one had dissection in abdominal aorta. Eight patients had signs of Marfan syndrome and the other 3 patients had cystic degeneration in the medial layer of the aorta. There was one hospital death[5.8%]. He died of sepsis on the 23rd postoperative day. All survivors showed improvement in NYHA functional classification in the 34.9 patient-year follow-up period.

• Clinical and Experimental Reproductive Medicine
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• 제48권1호
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• pp.91-94
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• 2021

A 28-year-old woman presented with a 1-year history of severe progressive dysmenorrhea following suction evacuation and tubal ligation. Sonography showed a bicornuate uterus with hematometra in the left horn. Hysteroscopy ruled out a diagnosis of a congenital Müllerian anomaly, as both ostia appeared normal. Under laparoscopy, a mass was seen on the left fundal region near the insertion of the round ligament, and needle aspiration of a chocolate-colored fluid confirmed the diagnosis of an adenomyotic cyst. The cyst was excised. The patient recovered well and has been symptom-free since surgery. Adenomyotic cyst is a rare entity in young women and must be differentiated from obstructive Müllerian anomaly. Laparoscopy is the preferred minimally invasive modality for managing this rare disorder.