• Title/Summary/Keyword: acquired

Search Result 8,669, Processing Time 0.04 seconds

Clinical Report of 103 Cases of Open Heart Surgery in 1984 (1984 년도 년간 개심술 103례 보고)

  • 김규태
    • Journal of Chest Surgery
    • /
    • v.18 no.3
    • /
    • pp.398-406
    • /
    • 1985
  • 103 cases of open heart surgery were performed in the Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital in 1984. There were 90 congenital cardiac anomaly and 13 acquired heart diseases. Out of 90 congenital cardiac anomaly, 63 cases of acyanotic group and 27 cases of cyanotic group were noted. In 63 cases of acyanotic group, 11 ASD, 45 VSD and 7 other acyanotic anomaly were included. In 27 cases of cyanotic group, 4 Trilogy of Fallot, 15 TOF, 3 Pentalogy of Gasul and 5 other cyanotic anomaly were found. Among 13 cases of acquired heart diseases, 12 valvular lesions and 1 atrial myxoma were noted. Two open mitral commissurotomy and ten valve replacements were performed for 12 valve lesions. The frequent complications were acute respiratory insufficiency and low cardiac output syndrome occurred in 5 cases. The perioperative mortality was 4.8% in acyanotic congenital cardiac anomaly, 7.4% in cyanotic congenital cardiac anomaly, and 0% in acquired heart diseases. Overall mortality for 103 cases of open heart surgery was 4.9%.

  • PDF

The Clinical Study of 1500 Cases in Open Heart Surgery (개심술1,500례의 임상적 고찰)

  • 김주홍
    • Journal of Chest Surgery
    • /
    • v.27 no.11
    • /
    • pp.914-921
    • /
    • 1994
  • From May 1977 to November 1993, 1, 500 cases of open heart surgery were performed under the cardiopulmonary bypass. In 1500 cases of open heart surgery 975 cases[65%] were congenital heart disease and 525 cases[35%] were acquired heart disease. In 975 cases of congenital heart disease, there were 812 cases[83%] of acyanotic congenital heart anomaly and 163 cases of cyanotic congenital anomaly. In 525 cases of acquired heart disease, most cases were valvular heart disease in which 557 valves were implanted. The each operative mortality of congenital and acquired disease was 7.7% and 7.4% respectively and then overall mortality rate was 7.6%. There has been increasing incidence of open heart surgery in infants in recent years. After 1990, 28 cases of infant open heart surgery below the 12month were performed. Most lowest weight was 2, 200g[15 days]. Operative mortality of open heart surgery in infant with weight below the 10kg was very high as a 25.7%.

  • PDF

The Clinical Experience of 500 Cases in Open Heart Surgery (개심술 500례의 임상적 고찰)

  • 민용일
    • Journal of Chest Surgery
    • /
    • v.20 no.1
    • /
    • pp.148-155
    • /
    • 1987
  • From May 1977 to June 1986, 500 cases of open heart surgery were performed under the cardiopulmonary bypass. There were 278 male and 222 female patients ranging from 6 months to 69 years. 363 cases[73.6%] were congenital heart diseases, and 137 cases[27.4%] were acquired heart diseases, which were 33 valvular diseases, 3 myxomas and 1 IVC obstruction. There were 363 congenital heart anomaly with 35 operative deaths[9.6%], consisting of 279 acyanotic cases with 12 deaths [4.3%] and 85 cases of cyanotic cases with 23 deaths[28.4%]. In 133 patients of acquired valvular disease, 124 valves were implanted and operative death of valvular disease was 12%. Finally the operative mortality was 9.6% in congenital anomaly, and 12.4% in acquired heart disease, overall mortality rate was 10.4%.

  • PDF

Eosinophil disorders (호산구이상증)

  • Kim, Sun Young
    • Clinical and Experimental Pediatrics
    • /
    • v.52 no.6
    • /
    • pp.643-648
    • /
    • 2009
  • Blood eosinophilia can be classified as either familial or acquired. Familial eosinophilia is a rare autosomal dominant disorder characterized by a stable eosinophil count. Acquired eosinophilia is classified further into a primary or secondary phenomenon depending on whether eosinophils are considered integral to the underlying disease. Primary eosinophilia is considered clonal in the presence of either a cytogenetic abnormality or bone marrow histological evidence of classified hematologic malignancies. Causes of secondary eosinophilia include infections, allergic or immunologic disorders, and drugs. Idiopathic eosinophilia belongs to a category of primary eosinophilia, and this is a diagnosis of exclusion. Cases with eosinophilia that lack evidence of clonality may be diagnosed as idiopathic hypereosinophilic syndrome after all causes of reactive eosinophilia have been eliminated. Genetic mutations involving the platelet-derived growth receptor genes (PDGFRA and PDGFRB) have been pathogenetically linked to clonal eosinophilia, and their presence predicts the treatment response to imatinib. In this review, I will present a clinical summary of both familial and acquired eosinophilia with emphasis on recent developments in molecular pathogenesis and treatment.

Clinical analysis of cardiovascular surgery: a report of 1144 cases (심혈관질환 수술에 대한 임상적 고찰)

  • 유회성
    • Journal of Chest Surgery
    • /
    • v.17 no.3
    • /
    • pp.331-338
    • /
    • 1984
  • From 1959 to Jun. 30 84, 1144 cases of various cardiovascular diseases were operated consisting of 421 open heart surgery under extra-corporeal circulation or hypothermia and 723 conventional surgery at department of Thoracic and Cardiovascular Surgery in National Medical Center. There were 470 congenital anomaly and 674 acquired lesions. Out of 470 congenital anomaly, acyanotic anomaly was 289 and cyanotic anomaly was 181. Among 647 acquired lesions, 473 was cardiac lesion, 87 was pericardial lesion and 105 was vascular diseases. Over all operative mortality was 9.0%, consisting of 7.6% for acyanotic, 19.3% for cyanotic anomaly and 6.8% for acquired lesion. Mortality for 723 conventional surgery was 6.2%, and 421 open heart surgery was 13.8%.

  • PDF

Electrophysiological and radiological evidence for the multifocal nature of a case of multifocal acquired demyelinating sensory and motor neuropathy

  • Seong, Gi-Hun;Bae, Jong Seok;Ryu, Sanghyo
    • Annals of Clinical Neurophysiology
    • /
    • v.20 no.2
    • /
    • pp.101-104
    • /
    • 2018
  • Multifocal acquired demyelinating sensory and motor (MADSAM) neuropathy is a variant of chronic acquired demyelinating polyneuropathy. A 65-year-old women presented with upper arm weakness. A nerve conduction study showed conduction blocks over intermediate segments with sparing of distal compound action potentials. Magnetic resonance imaging revealed asymmetric hypertrophy of the brachial plexus on the affected side. These findings represent important electrophysiological and radiological evidence of MADSAM neuropathy. The condition of the patient began to improve after starting intravenous immunoglobulin administration.

Subsequent Treatment Choices for Patients with Acquired Resistance to EGFR-TKIs in Non-small Cell Lung Cancer: Restore after a Drug Holiday or Switch to another EGFR-TKI?

  • Song, Tao;Yu, Wei;Wu, Shi-Xiu
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.15 no.1
    • /
    • pp.205-213
    • /
    • 2014
  • The outcomes of first-generation EGFR-TKIs (Gefitnib and Erlotinib) have shown great advantages over traditional treatment strategies in patients with non-small cell lung cancer (NSCLC), but unfortunately we have to face the situation that most patients still fail to respond in the long term despite initially good control. Up to now, the mechanism of acquired resistance to EGFR-TKIs has not been fully clarified. Herein, we sought to compile the available clinical reports in the hope to better understanding the subsequent treatment choices, particularly on whether restoring after a drug holiday or switching to another EGFR-TKI is the better option after failure of one kind of EGFR-TKI.

Efficacy of Stellate Ganglion Block in Cholinergic Urticaria with Acquired Generalized Hypohidrosis

  • Shin, Jee-Hyun;Kim, Do-Wan;Yang, Jong-Yeun;Lee, Won-Il
    • The Korean Journal of Pain
    • /
    • v.25 no.4
    • /
    • pp.278-280
    • /
    • 2012
  • Cholinergic urticaria with acquired generalized hypohidrosis, and its pathophysiology is not well known. Autoimmunity to sweat glands or to acetylcholine receptors on sweat glands has been mentioned as one of the possible etiologies. Systemic steroid therapy, antihistamines, anticholinergics, and avoidance of the stimulatory situations are recommended for treatment. We experienced a case of cholinergic urticaria with acquired generalized hypohidrosis in a patient who had no other associated disease, and the symptoms eased after repeated bilateral stellate ganglion block. Stellate ganglion block normalized the elevated sympathetic tone and may relieve symptoms in patients with this condition.

Extraction of Area Load Characteristics Using Database for Distribution Transformer (데이터베이스를 이용한 배전용 변압기 지역별 부하특성 추출)

  • Im, Jin-Soon;Kim, Gi-Hyun;Yun, Sang-Yun;Han, Chan-Ho;Kim, Jae-Chul;Park, Chang-Ho
    • Proceedings of the KIEE Conference
    • /
    • 2000.07a
    • /
    • pp.528-530
    • /
    • 2000
  • This paper presents a database for extraction of area load characteristics. The database is constructed by the acquired load data, the items of transformer and customers in KEPCO. The acquired load data is acquired from sample distribution transformer that selected as a sample. Finally, we present the daily, weekly and monthly load characteristics of commercial and residential are extracted as using database.

  • PDF

The Clinical Experience of 1000 Cases in Open Heart Surgery (개심술 1000예의 임상적 고찰)

  • 정정기
    • Journal of Chest Surgery
    • /
    • v.24 no.3
    • /
    • pp.271-279
    • /
    • 1991
  • From May 1977 to April 1990, 1000 cases of open heart surgery were performed under the cardiopulmonary bypass. There were divided into group A[500 cases, from May 1977 to June 23rd 1986] and group B[500 cases, from June 23rd 1986 to April 1990] which were analyzed, summarized, and compared. Of 1000 cases of open heart surgery, 677 cases[67.7%] were congenital heart diseases, and 323 cases[32.3%] were acquired heart diseases. In 677 cases of congenital heart disease, there were 545 cases with acyanotic congenital heart anomaly[A: 279, B: 266] and 132 cases with cyanotic congenital heart anomaly[A: 87, B: 45]. In 323 cases of acquired heart disease, most cases were valvular heart disease[315 cases, A: 133, B: 182] in which 357 valves were implanted. The operative mortality of congenital R acquired heart disease was 7.8% & 8.0%, and then overall mortality was 7.9%. The operative mortality was markedly decreased. [about half] from 10.0% of A group to 5.6% of B group.

  • PDF