• Journal of Chest Surgery
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• 제34권10호
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• pp.769-774
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• 2001

배경: 하행 괴사성 종격동염은 문헌에 따라 25%에서 40%의 사망률을 보이는 중증 질환이다. 대개의 원인은 치원성 및 구인두의 감염의 합병증으로 발병된다. 이에 된 교실에서는 지난 4년간 하행 괴사성 종격동염으로 외과적 치료를 받은 환자를 대상으로 후향적 조사를 하여 결과를 보고하고자 한다. 대상 및 방법: 1977년부터 2000년가지 하행 괴사성 종격동염으로 진단된 7례를 대상으로 하였다. 초기 구인두 감염이 종격동염으로 진행된 경우가 47례(57%), 치원성 감염이 3례(43%)이었다. 모든 경우에 괴사조직 제거 및 배농술을 위해 응급경부절개술, 개흉술 및 흉골절개술을 시행하였다. 결과: 평균 재원일은 42일이었고, 2례가 사망하여 사망률은 28.6%이었다. 재발된 농흉 2례와 심낭 압전증 1례는 재수술을 시행하였다. 사망 원인은 재수술후 12일째 대혈관 침식, 신부전 및 호흡부전으로 사망하였다. 재수술을 받지 않은 1례에서 수술후 10일째 기관지-식도루에 의한 질식으로 사망하였다. 결론: 하행 괴사성 종격동염의 사망률을 줄이기 위해서는 조기 진단과 신속한 경흉부 컴퓨터단층촬영 및 적극적인 외자적 치료가 필요하며, 세심한 수술 후 관리가 요구된다 하겠다.

• Journal of Chest Surgery
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• 제46권6호
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• pp.467-470
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• 2013

The rupture of a renal artery aneurysm is a rare disease that is difficult to diagnose. Although we usually consider the appropriate treatment to be open laparotomy with aortic aneurysm surgery or stenting with graft insertion through intravascular intervention, thus far, there is no general consensus on the treatment protocol for renal artery aneurysm. Notably, ruptured renal artery aneurysm is a true critical emergency that may result in a fatal outcome. We are reporting two renal artery aneurysm patients who had ruptured and underwent emergency laparotomy.

• Journal of Chest Surgery
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• 제10권2호
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• pp.295-298
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• 1977

The incidence of abdominal aortic aneurysm is very rare in this country as other disease of the aorta. Aneurysm can be cased by a variable cause but mainly by arteriosclerosis. It is the disease of aged and degeneration. So recently it may be prevalent due to increase of aged people. In general the natural course of an abdominal aortic aneurysm is very grave so surgical intervention is indicated as soon as possible after the diagnosis. Recently a case of abdominal aortic aneurysm was seen in this clinic with abdominal pain and pulsating mass on the abdomen. This case was confirmed by aortography and treated by graft replacement of the aneurysm with favorable result.

• Journal of Chest Surgery
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• 제24권5호
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• pp.480-484
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• 1991

Traumatic rupture of the main bronchus is comparatively very rare. With the advent of widespread mechanization and high-speed era, the incidence of traumatic rupture of the tracheobronchial tree has been increased considerably. Rupture of the bronchus is an unusual result of nonpenetrating trauma to the chest. Early recognition of bronchial rupture and emergency thoracotomy and management is essential for reducing of morbidity, mortality and late complications. We experienced 3 cases of bronchial rupture caused by nonpenetrating chest trauma with or without rib fracture. Patients were suffered from dyspnea and chest pain. After closed thoracostomy, corrective surgery was performed. Postoperative courses were uneventful and discharged without any complication.

• Journal of Chest Surgery
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• 제33권5호
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• pp.422-427
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• 2000

Confusion of a patent ductus arteriosus (PDA) for the descending thoracic aorta is a fatal error occurring occasionally in infants or neonates. As a result, the left pulmonary artery (LPA) may be misconceived as the PDA, and ligated. This surgical mishap of other hospital leads to serious congestive heart failure and loss of left lung function due to the underdevelopment in the peripheral vascular and alveolar structures in neonates and premature infants. In this report, 3 cases of LPA ligation and subsequent treatment are presented.

• Journal of Chest Surgery
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• 제28권11호
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• pp.1054-1062
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• 1995

Discrete bullae are a well-recognized feature in patients with generalized emphysematous lung disease. They result in space occupation, expanding preferrentially at the expense of adjacent lung tissue, which has a more normal compliance.The presence of these bullae may aggravate the dyspnea consequent to generalized disease. We underwent operation for emphysematous lung disease using a modification of a technique first described by Monaldi for the drainage of pulmonary cavities after tuberculous infection.

• Journal of Chest Surgery
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• 제16권1호
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• pp.146-152
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• 1983

Hamartoma has been considered rare disease as a congenital malformation of a tumorous lesion since the original description by Albrecht in 1904. Pulmonary hamartoma is interesting to chest surgeon because of good result by surgical procedures and of slightly high incidence then another organs. It is characterized as lesion of very slow growing mass as peak incidence of age of 50 years age group and as sex ratio is 2:1. Especially endobronchial hamartoma is rarer than peripheral type. We had experienced a case of endobronchial hamartoma who has 53 years old male patient at right main bronchus and then treated by excision of tumor mass through right bronchotomy and preserving right lung except any lobectomy and pneumonectomy.

• Journal of Chest Surgery
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• 제13권2호
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• pp.138-142
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• 1980

mediastinal teratomas are encountered commonly in adult life, and rarely in childhood. Characteristically, these mediastinal teratomas are located anteriorly with only rare examples in the posterior mediastinum. The cystic teratoma usually behaves as a benign neoplasm, but the solid [non-cystic] teratoma is frequently malignant. We experienced a case of large anterior mediastinal cystic teratoma in a two-years old boy, which was treated by complete surgical excision with good result.

• Journal of Chest Surgery
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• 제17권4호
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• pp.625-631
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• 1984

A modified Fontan procedure was performed on two patients with Univentricular heart. The first patient had UVH of right ventricular type with trabecular pouch and had various associated anomalies, such as common atrium, common atrioventricular valve and combined pulmonary stenosis. The second patient had UVH of left ventricular type with outlet chamber and the associated anomalies were atrial septal defect, tricuspid stenosis and combined pulmonary stenosis. Postoperative hemodynamic insufficiency, fluid retention and renal insufficiency were occurred in the first patient, but relieved with the aid of inotropics and vasodilators. We thought that the good postoperative course and surgical result were gained from the widely patent atriopulmonary anastomosis.

• Journal of Chest Surgery
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• 제11권1호
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• pp.112-116
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• 1978

A congenital agenesis of right diaphragm which is very rare diaphragmatic anomaly was experienced in a 7-year old male patient who was very well until receiving traffic accident on Nov. 1, 1977. Congenital agenesis of diaphragm have been reported only 3 cases in the world, and no one have been reported in Korea. The surgical result of this patient was successful and the review of the literature was made.