• Title/Summary/Keyword: Shunts

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

  • 정윤섭
    • Journal of Chest Surgery
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    • v.23 no.1
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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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The Clinical Study to the Mechanism of Remained Murmur after VSD Repair (심실중격결손증 폐쇄술후 잔존심잡음의 발생기전에 관한 임상적 연구)

  • 정황규
    • Journal of Chest Surgery
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    • v.22 no.4
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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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Clinical Improvement after Modified Blalock-Taussig Shunt in Cyanotic Heart Disease (변형 Blalock-Taussig수술후의 임상적 개선효과)

  • 김종호
    • Journal of Chest Surgery
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    • v.28 no.11
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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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Coordination control method between FACTS and Reactive power sources for local voltage control (지역전압 안정화를 위한 FACTS와 조상설비간의 협조제어기법)

  • Lee, Geun-Joon;Lee, Hyun-Chul;Yoon, Jong-Su;Jang, B.H.;Jung, S.W.;Bak, Y.S.
    • Proceedings of the KIEE Conference
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    • 2008.11a
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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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    • v.43 no.6
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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.

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

  • Chon Soon-Ho
    • Journal of Chest Surgery
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    • v.38 no.5 s.250
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    • pp.389-390
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    • 2005
  • We report a case of a 48-year-old woman with end-stage renal failure who had a Polytetrafluoroethylene graft for hemodialysis and who had developed complications of venous outflow stenosis and venous backflow. Although venous backflow is an harbinger of graft failure, it is not enough reason to abandon the graft immediately. The patient was able to utilize her graft for 6 further months.

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

  • Kang, In-Ho;Kim, Jung-Hoon
    • Proceedings of the Korea Electromagnetic Engineering Society Conference
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    • 2003.11a
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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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Calibration of micro-ohm shunt used for large current measurement (대전류 측정용 마이크로-옴 분류기의 교정에 관한 연구)

  • Kim, M.K.;Kim, I.K.;Jeong, J.Y.;Kim, I.S.
    • Proceedings of the KIEE Conference
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    • 2002.07c
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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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Power Standard System for the Calibration and Test of Precision Power Meters (정밀전력계의 교정과 시험을 위한 전력표준시스템)

  • Park, Young-Tae;Ryu, Kwon-Sang;Yu, Kwang-Min;Jang, Seok-Myeong
    • The Transactions of the Korean Institute of Electrical Engineers B
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    • v.51 no.11
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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

Cavoatrial shunt procedure for Budd-Chiari syndrome complicated by inferior vena caval thrombosis. One case report (하공정맥우심방 단락술에 의한 BuddChiari Syndrome 수술치험 1례 보고)

  • 이승구
    • Journal of Chest Surgery
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    • v.18 no.4
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    • pp.673-678
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    • 1985
  • A 21 year-old male patient had a diagnosis of Budd-Chiari syndrome caused by inferior vena caval obstruction. Conservative medical therapy failed to control the symptoms of both portal hypertension and inferior vena caval stasis. Portocaval or mesocaval shunts may relive the symptoms of chronic forms of Budd-Chiari syndrome. But when inferior vena caval stenosis is severe, another procedure has to be used. Cavoatrial or portoatrial shunt has been suggested. Therefore, a long Dacron graft was placed from the inferior vena cava just below the left renal vein to the right atrium. He exhibited almost complete relief of symptoms for 1.5 year postoperatively. And there was angiographic proof of patency of the graft. This simple procedure should be encouraged in treatment of these patients.

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