• 제목/요약/키워드: Shunts

검색결과 114건 처리시간 0.026초

Intrahepatic portosystemic shunt with a second degree atrioventricular block fixed by transvenous coil embolization in a dog

  • Lee, Seung-Gon;Nam, So-Jeong;Kim, Hyun-Wook;Hyun, Changbaig
    • 대한수의학회지
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    • 제48권4호
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    • pp.493-500
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    • 2008
  • A 2-year-old female Pekingese dog was presented with primary complaints including exercise intolerance and neurological sign associated with hepatic encephalopathy. The major findings in clinical examination included an intermittent seizure, a slow heart rate with pulse deficit, leukocytosis and anemia in hemogram, elevated pre- and post-prandial serum bile acid and hepatic enzymes, hypoproteinemia, coagulopathy, ammonium urate crystaluria and bilirubinuria. Diagnostic tests revealed an intrahepatic portosystemic shunt complicated with a second degree atrioventricular block and QT prolongation. The case was successfully treated with a transvenous coil embolization. Clinical signs were gradually improved and cardiac bradyarrhythmia disappeared. This case is a rare case of intrahepatic portosystemic shunts complicated with a cardiac bradyarrhythmia in a small breed dog fixed by a transvenous coil embolization.

선천성 심장질환의 고식적 수술 - 380례 보고 - (Palliative operation of congenital heart disease - a report of 380 cases -)

  • 정윤섭
    • Journal of Chest Surgery
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    • 제23권1호
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    • pp.49-60
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    • 1990
  • Between Jan. 1962 and Dec. 1988 380 cases of palliative operations were done in 357 patients for congenital heart disease. These includes 55 cases of classic Blalock-Taussig shunt, 212 cases of modified Blalock-Taussig shunt, 17 cases of Glenn shunt, 26 cases of Waterston shunt, 3 cases of Brock procedure, 33 cases of pulmonary artery banding, 6 cases of transpulmonary valvotomy, 4 cases of unifocalization, and 10 cases of open atrial septectomy. We divided the operative procedures into the conventional and the unconventional. Under the unconventional procedures, the cases since April, 1986 were only included. The number of patients who died within the early 30 days after operation is the following: 40 in systemic-pulmonary shunts, 2 in Brock procedure, 12 in PAB, 15 in unconventional procedures. The age of the patients who need palliative operation is lowering more and more and their characteristics of the disease is being transferred to the more complexities. So the role of palliative surgery in the congenital heart disease is changing.

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심실중격결손증 폐쇄술후 잔존심잡음의 발생기전에 관한 임상적 연구 (The Clinical Study to the Mechanism of Remained Murmur after VSD Repair)

  • 정황규
    • Journal of Chest Surgery
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    • 제22권4호
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    • pp.630-637
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    • 1989
  • Author studied 30 cases of remained heart murmur patients after VSD repair. The age ranged from 7months to 27 years, and sex ratio was 29: 1 in male and female. Perimembranous trabecular type of VSD was the most common causes of remained murmur after operation 11 cases, and the next was subpulmonic type 9 cases. The VSD size between 1.1 and 2.0cm in diameter was the most common in 15 cases. The operative method frequently used was patch closure in 21 cases, and commonly used surgical approaching way was through right atrium. Mechanisms of origin of postoperative remained murmur was from TR 9 cases, PI 6 cases, PS 5 cases, remnant shunts 5 cases, pulmonary artery dilatation 2 cases, MR 2 cases, and subaortic stenosis 1 cases.

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변형 Blalock-Taussig수술후의 임상적 개선효과 (Clinical Improvement after Modified Blalock-Taussig Shunt in Cyanotic Heart Disease)

  • 김종호
    • Journal of Chest Surgery
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    • 제28권11호
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    • pp.983-988
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    • 1995
  • From January 1983 to December 1994, 48 cyanotic patients were underwent a subclavian artery-pulmonary artery shunt using polytetrafluoroethylene[PTFE for the purpose of improvement of reduced pulmonary blood flow. The diameters of the PTFE used were 4mm[4 cases , 5mm[36 cases , and 6mm[8 cases sizes. The effectiveness of modified Blalock-Taussig shunts was evaluated clinically and angiographically. There were 5 early deaths and 2 late deaths. There were 3 early shunt failures and 5 late shunt failures. The overall graft patency rate was 83.3%. Postoperative hemoglobin was reduced significantly[p = 0.0011 in comparison of the preoperative and postoperative hemoglobin, SaO2, PaO2, and cardiothoracic ratio.

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지역전압 안정화를 위한 FACTS와 조상설비간의 협조제어기법 (Coordination control method between FACTS and Reactive power sources for local voltage control)

  • 이근준;이현철;윤종수;장병훈;정성원;백영식
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2008년도 추계학술대회 논문집 전력기술부문
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    • pp.181-183
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    • 2008
  • This paper suggests local voltage control method to achieve coordinative control between STATCOM and other reactive power resources, such as Shunt Capacitor/Reactors and OLTC. Voltage/Reactive power control has various difficult aspects to control because of analysis and system dynamics error. This control method suggests practical algorithm regarding system voltage and reactive power status which is easy to implement in substation basis. In normal status, STATCOM-Shunts-OOTC are in operation. In emergency status, OLTC is locked. This algorithm is tested and verified in EMTDC.

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Delayed Cerebral Abscess as a Shunt Complication and Endoscopic Removal of the Ventricular Catheter and Abscess

  • Shin, Dong-Seong;Hwang, Sun-Chul;Kim, Bum-Tae;Shin, Won-Han
    • Journal of Korean Neurosurgical Society
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    • 제43권6호
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    • pp.300-303
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    • 2008
  • Shunt infections are a common complication of ventriculoperitoneal (VP) shunts, but the formation of a brain abscess related to a shunt system is very rare. A 44-year-old woman had a VP shunt inserted for hydrocephalus secondary to a subarachnoid hemorrhage. She suffered an episode of meningitis and sepsis 8 months after the shunt operation. After recovering from the meningitis, she complained of a loss of cognitive function. An enhancing mass was found in the frontal lobe, around the frontal horn of the lateral ventricle, and the ventricular catheter was embedded inside the mass. The ventricular catheter and cerebral abscess were removed using neuroendoscopy. We present an interesting case of a shunt-related brain abscess which illustrates the usefulness of neuroendoscopy.

개존되어 있는 인조혈관(Polytetrafluorethylene)에 정맥성 역류 -1예 보고- (Venous Backflow in a Patent Polytetrafluoroethylene Arteriovenous Graft -A case report-)

  • 전순호
    • Journal of Chest Surgery
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    • 제38권5호
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    • pp.389-390
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    • 2005
  • 대퇴동맥을 통한 검사 후 대퇴동맥 천자부위를 다루는 기준적인 방법은 수동적으로나 기계적으로 압박을 가한 후 4시간 내지 8시간 동안 침상안정을 취하는 것이었다, 그러나 이러한 방법은 심한 불편함과 퇴원을 지연시키는 문제점이 발생하였다. 이에 따라 최근에 지혈을 위한 많은 장치들이 계발되었다. 이러한 장치들은 국소적인 지혈을 촉진하기 위해 콜라겐을 사용하고 있다. 하지만 이런 장치들을 사용함에 따른 많은 문제점들이 국제적으로 보고되고 있다. 그리고 본원에서는 안지오-씰 사용으로 인한 우측 대퇴동맥과 슬와 동맥에 발생한 혈전증을 수술로 성공적으로 치료한 결과를 얻어서 이를 보고하는 바이다.

9개의 하모닉을 억제하는 월킨슨 전력 분배기 (Modified Wilkinson Power Divider for Harmonic 제거)

  • 강인호;김정훈
    • 한국전자파학회:학술대회논문집
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    • 한국전자파학회 2003년도 종합학술발표회 논문집 Vol.13 No.1
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    • pp.273-277
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    • 2003
  • This paper presents a structure of the Wilkinson power divider that can suppress the 9ea harmonic output. The power divider consists of ${\lambda}/4n$ open stubs, which are located at the $3{\lambda}/4$ branches and parallel connection of resistor which shunts the output ports. Experimental results show that this power divider suppresses from 1st to 9th harmonic components to less than -37dB, while maintaining the characteristics of a conventional Wilkinson power divider; featuring an equal power split, a simultaneous impedance matching at all ports and a good isolation between output ports. these results agree quite well with the simulation results.

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대전류 측정용 마이크로-옴 분류기의 교정에 관한 연구 (Calibration of micro-ohm shunt used for large current measurement)

  • 김민규;김익균;정주영;김익수
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2002년도 하계학술대회 논문집 C
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    • pp.1862-1864
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    • 2002
  • In this study, micro-ohm shunts with rated ac current of 2, 20, 80kA intended for use as an approved system for ac current measurement were calibrated according to IEC 60060. The scale factor and linearity were determined by comparison with the reference measuring system. Measurements of temperature rise due to the rated current was also investigated to analyze a temperature effect. One of the main goals was the determination of the measurement uncertainty of the shunt. The expanded uncertainty of the scale factor for the complete measuring system was satisfied with the STL(Short-circuit Testing Liaison) guide recognized tentatively.

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정밀전력계의 교정과 시험을 위한 전력표준시스템 (Power Standard System for the Calibration and Test of Precision Power Meters)

  • 박영태;유권상;유광민;장석명
    • 대한전기학회논문지:전기기기및에너지변환시스템부문B
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    • 제51권11호
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    • pp.622-627
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    • 2002
  • The power comparison techniques have implemented power measurements, in which a power comparator is used to balance ac against a dc power obtained from known values. The developed power standard system using the comparison techniques consists of dc sources, ac source, control switches, resistive voltage dividers, resistive shunts and a power comparator. The total uncertainty of the power standard system was proved by analysis of the component instruments. Its expanded(k=2) uncertainty is evaluated to be less than 30 uW/VA at unit power factor and 42 uW/VA at power factor 0.5