• 제목/요약/키워드: Thrombus

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The Studies of the Heechum-san(HCS)'s Effects on the Thrombosis (희첨산이 혈전에 미치는 영향)

  • 김민상;김윤식;설인찬
    • The Journal of Korean Medicine
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    • v.25 no.1
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    • pp.21-30
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    • 2004
  • Objectives : We aimed to identify the effects of Heechum-san(HCS) On the thrombosis. Methods : We measured the protective effects of HCS on pulmonary thromboembolism induced by collagen and epinephrine, intravascular coagulation induced by dextran. Results : HCS showed a effective inhibition on coagulation of platelets induced by ADP or epinephrine. HCS showed survival rate of 14.28% on pulmonary thrombo- embolism caused by collagen and epinephrine. On the measure of the blood flow rate induced by the thrombus, in vivo HCS accelerated the blood flow rate. Conclusions : HCS has antithrombotic effects.

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Surgical Treatment of Postmyocardial Infarct LV Aneurysm - A case report - (심근경색후 발생한 좌심실류의 외과적 치료)

  • 유환국
    • Journal of Chest Surgery
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    • v.22 no.6
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    • pp.1078-1083
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    • 1989
  • We experienced one case of the left ventricular aneurysm. The patient was 44 years old male, who complained of dysarthria and dysphagia due to right cerebellar infarction EKG revealed antero-lateral myocardial infarction, so checked 2-D echo-cardiogram showed the left ventricular aneurysm with the mural thrombus. Aneurysmectomy with removal of thrombi was made for preventing further propagation of the systemic embolization. But CABG was impossible due to fine coronary artery at the portion of myocardial infarction. Mild LCOS was noted but postop course was smooth. During 12 months follow-up period, he lives in good physical activity [MYHA F.C. II /IV] and absence of chest pain.

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Calcified Right Ventricular Mass; A Case Report (우심실내 석회화된 혈전;치험1례)

  • 박기진
    • Journal of Chest Surgery
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    • v.26 no.7
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    • pp.548-551
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    • 1993
  • Calcified right ventricular thrombi are very rare.One case of large clacified thrombus in right ventricle being seen in a 65-year old man, is presented. He had dyspnea and generalized edema.The chest film showed a large calcified mass in cardiac shadow especially in lateral view.On echocardiography and chest computed tomography, large calcified mass density occupied nearly entire right ventricular outflow tract.The mass removal was performed through right ventriculotomny.The mass was whitish, stony hard, measured 4 cm x 4.5 cm x 8 cm, tightly attached to right ventricular infundibular septum and ventriculoinfundibular fold.

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Benign superior vena cava syndrome -A case report- (양성 상공정맥 증후군 -1예 보고-)

  • 한병선
    • Journal of Chest Surgery
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    • v.19 no.3
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    • pp.449-452
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    • 1986
  • A patient with benign superior vena cava syndrome caused by the thrombus and fibrotic membrane in superior vena cava is described. Surgical treatment of superior vena cava syndrome remains controversial still. After endvenectomy and thrombectomy of superior vena cava, angioplasty with use of Gore-Tex patch and bypass graft using 10mm diameter Dacron vessel graft from left innominate vein to right atrial appendage were performed. The early postoperative course was uneventful with achievement of good decompression. But 12 months later, the symptoms of superior vena cava syndrome were reoccurred.

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Treatment of Acute Pulmonary Thromboembolism with Left Atrial Thrombus via Atrial Septal Defect - A case report- (심방중격결손을 통해 좌심방으로 유입되어 있는 혈전을 동반한 급성 폐동맥 혈전색전증의 치험)

  • 김시욱;최재성;유재현;임승평;이영;나명훈
    • Journal of Chest Surgery
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    • v.37 no.12
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    • pp.1010-1014
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    • 2004
  • Though acute pulmonary thromboembolism is usually managed medically with the use of thrombolytics or anticoagulants, an emergent life-saving surgery would be required. In a case of acute pulmonary thromboembolism with acute severe right heart failure and deferment of it could result in fatal outcomes in a short time. In addition, the mortality is raised considerably if it is combined with right heart thrombi. Despite paradoxical thromboembolism via patent foramen ovale was reported, few report might be presented, in which showed the thrombus in right atrium has traversed atrial septal defect into left atrium and left ventricle like this case as the evidence of paradoxical thromboembolism. We report a case of acute pulmonary thromboembolism with acute right heart failure arising from deep vein thrombosis, developed immediately after low anterior resection for colon cancer in a 63-year-old male, who was managed successfully by emergent thromboembolectomy with cardiopulmonary bypass.

A Case of Lemierre Syndrome Manifests with Persistent Fever and Neck Stiffness Following Acute Oropharyngeal Infection (급성 입인두 감염 후에 발열과 경부 강직을 주소로 내원한 Lemierre 증후군 1례)

  • Lee, Yena;Hong, Ye-Seul;Kim, Sung Soo
    • Pediatric Infection and Vaccine
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    • v.23 no.2
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    • pp.143-148
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    • 2016
  • Lemierre syndrome is a rare disease involving multiple organs affected by septic emboli following oropharyngeal infection. After the introduction of penicillin in the 1940s, it became a "forgotten" disease. However, due to the development of diagnostic image modalities including neck computed tomography (CT) scan, the number of published reports of Lemierre syndrome and diagnosis has been increasing since the 1990s. In this report, we describe a case of Lemierre syndrome, following oropharyngeal infection in a 16-year-old patient, who manifested with persistent fever and neck stiffness. Neck ultrasonography confirmed thrombus formation in the right internal jugular vein without definite evidence of septic emboli to other organs. After the three-week-long antibiotics therapy was completed, the thrombus in the right internal jugular vein finally disappeared.

Inferior Vena Cava Thrombectomy in a Patient with Antiphospholipid Syndrome - A case report - (하대정맥의 혈전증을 동반한 인지질항체 증후군의 수술적 치료 - 1예 보고 -)

  • Jang, Jae-Seok;Kwon, Oh-Choon;Lee, Sub;Kim, Seok
    • Journal of Chest Surgery
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    • v.42 no.3
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    • pp.371-374
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    • 2009
  • A 36-year-old woman with a history of spontaneous abortion and photosensitivity was admitted to our hospital with periumbilical pain and lower extremity edema. The preoperative CT scan revealed massive inferior vena cava thrombus, which extended from the suprarenal portion of the vena cava to the hepatic vein. The laboratory data showed an elevated level of anticardiolipin antibody, which suggested the diagnosis of antiphospholipid syndrome. After medical management, she underwent an operation for removal of an vena cava thrombus by performing cavectomy and thrombectomy. After the operation, she has been taking oral anticoagulation and she is doing quite well at 9 months after her operation.

The Effect of Manbunbang on Thrombus Disease Related Factors (만분방(漫盆方)이 혈전(血栓) 병웅(病熊) 유관(有關) 인자(因子)에 미치는 영향(影響))

  • Jung, Woo-Suk;Cho, Han-Baek;Kim, Song-Baeg;Choe, Chang-Min;Choi, Chul-Won
    • The Journal of Korean Obstetrics and Gynecology
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    • v.21 no.1
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    • pp.55-82
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    • 2008
  • Purpose: In this study, we evaluated anti-inflammatory activity and anti-thrombosis effect of Manbunbang(MBB) prescribed to chronic PID patients. Methods: We studied inhibitory effect of platelet aggregation, suppression effect of GPIIb/IIIa activity and inhibitory effect of $TXB_2$ and $PGE_2$ biosynthesis which were caused by ADP, epinephrine, collagen and arachidonic acid in vitro. And suppression of pulmonary embolism, changes of related factors in dextran coagulation condition model and anti-oxidative effect of oxidative damage were studied in vivo. Results: MBB extract showed LD50 of $200\;{\mu}g/ml$ or higher in mouse lung fibroblast cells, and significantly decreased the GPT and GPT level in dextran coagulation condition model compared to the control. MBB extract showed dose-dependent inhibition effect on platelet coagulation induced by ADP, epinephrine, collagen, arachidonic acid. MBB extract showed dose-dependent inhibition effect on GPIIb/IIIa activities compared to the control. MBB extract significantly suppressed TXB2 and PGE2 biosynthesis compared to the control. MBB extract suppressed pulmonary embolism triggered by collagen and epinephrine by 37.5% compared to the control. MBB extract significantly suppressed the decrease of speed of bloodstream caused by blood coagulation in dextran coagulation condition model compared to the control. Concluson : The results strongly suggest the anti-inflammatory activity of Manbunbang through anti-thrombus. Various applications using Manbunbang on inflammatory diseases are anticipated. Anti-oxidative efficacy comparison data between the Manbunbang prescription and the drug compositions may be used as important clinical information, and further investigation of anti-oxidative activities of Chrysanthemum indicum and Rhemaniae Radix should be followed.

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Development of Numerical Model of Electrode for Radiofrequency Catheter Ablation Considering Saline Irrigation and Temperature-controlled Radiofrequency System (온도 조절형 고주파 시스템 및 식염수 분사를 고려한 전극도자절제술용 전극의 수치 모델 개발)

  • Ahn, Jin-Woo;Kim, Young-Jin;Lee, Seung-A;Jung, Ha-Chul;Kim, Kyung-Ah;Cha, Eun-Jong;Moon, Jin-Hee
    • Journal of Biomedical Engineering Research
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    • v.38 no.6
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    • pp.285-290
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    • 2017
  • Radiofrequency catheter ablation is the interventional therapy that be employed to eliminate cardiac tissue caused by arrhythmias. During radiofrequency catheter ablation, The thrombus can occur at electrode tip if the temperature of tissue and electrode is excess $100^{\circ}C$. To prevent this phenomenon, we investigated numerical model of electrode for radiofrequency catheter ablation considering saline irrigation and temperature-controlled radiofrequency system. The numerical model is based on coupled electric-thermal-flow problem and solved by COMSOL Multiphysics software. The results of the models show that the dimensions of the thermal lesion are increased if the flow rate of the saline irrigation and the set temperature are increased. The surface width characterized to determine the thermal lesion isn't need to measure in temperature-controlled radiofrequency system due to convective heat transfer by saline irrigation at tissue-electrode interface.