• Journal of Chest Surgery
• /
• v.15 no.2
• /
• pp.222-229
• /
• 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
• /
• v.19 no.2
• /
• pp.300-305
• /
• 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
• /
• v.20 no.4
• /
• pp.803-808
• /
• 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
• /
• v.25 no.10
• /
• pp.1152-1156
• /
• 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
• /
• v.19 no.1
• /
• pp.153-159
• /
• 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
• /
• v.41 no.4
• /
• pp.213-232
• /
• 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.

• Journal of the Korean earth science society
• /
• v.40 no.6
• /
• pp.613-623
• /
• 2019

Over the past decades, daily sea surface temperature (SST) composite data have been produced using periodically and extensively observed satellite SST data, and have been used for a variety of purposes, including climate change monitoring and oceanic and atmospheric forecasting. In this study, we evaluated the accuracy and analyzed the error characteristic of the SST composite data in the sea around the Korean Peninsula for optimal utilization in the regional seas. We evaluated the four types of multi-satellite SST composite data including OSTIA (Operational Sea Surface Temperature and Sea Ice Analysis), OISST (Optimum Interpolation Sea Surface Temperature), CMC (Canadian Meteorological Centre) SST, and MURSST (Multi-scale Ultra-high Resolution Sea Surface Temperature) collected from January 2016 to December 2016 by using in-situ temperature data measured from the Ieodo Ocean Research Station (IORS). Each SST composite data showed biases of the minimum of 0.12℃ (OISST) and the maximum of 0.55℃ (MURSST) and root mean square errors (RMSE) of the minimum of 0.77℃ (CMC SST) and the maximum of 0.96℃ (MURSST) for the in-situ temperature measurements from the IORS. Inter-comparison between the SST composite fields exhibited biases of -0.38-0.38℃ and RMSE of 0.55-0.82℃. The OSTIA and CMC SST data showed the smallest error while the OISST and MURSST data showed the most obvious error. The results of comparing time series by extracting the SST data at the closest point to the IORS showed that there was an apparent seasonal variation not only in the in-situ temperature from the IORS but also in all the SST composite data. In spring, however, SST composite data tended to be overestimated compared to the in-situ temperature observed from the IORS.

• Journal of Chest Surgery
• /
• v.21 no.2
• /
• pp.334-339
• /
• 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
• /
• v.19 no.1
• /
• pp.134-139
• /
• 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
• /
• v.48 no.1
• /
• pp.91-94
• /
• 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.