• Title/Summary/Keyword: aortic

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The Effects of Herb Extracts in Cerebrovascular Accidental Patient (뇌졸중 치료제인 한약의 효과)

  • Lee, Mi-Hwa;Park, Hyoung-Sook;Choi, Won-Chul
    • The Korean Journal of Rehabilitation Nursing
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    • v.3 no.2
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    • pp.141-153
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    • 2000
  • The several Chinese herbs such as Soon-Ki-Hwal-Hyul-Tang, Bo-Yang-Hwan-O-Tang, Seong-Hyang-Jeong-Ki-San, So-Hap-Hyang-Won and O-Yak-Soon-Ki-San were extracted with water and then lyophilized. For identification of the effect of extracted herbs, they were medicated to 103 patients of cerebrovascular accident for 4 week. They were hospitalized in D-Oriental Medical Hospital from April to August in 1999. The herbs were extracted with water and lyophilized and then, used as samples. The medical history of each patient was detected and analyzed from their medical records. The results were as follows; 1) Each sample (Soon-Ki-Hwal-Hyul-Tang, Bo-Yang-Hwan-O-Tang, Seong-Hyang-Jeong-Ki-San, and O-Yak-Soon-Ki-San) was statistically significant differences of systolic blood pressure(t=4.22, P=0.0004; t=3.44, P=0.0028; t=2.11, P=0.0463; t=3.23, P=0.0052). The statistically significant difference of diastolic blood pressure showed by medicated with Soon-Ki-Hwal-Hyal-Tang, Seong-Hyang-Jeong-Ki-San, and O-Yak-Soon-ki-San (t=2.13, P=0.0459; t=2.68, P=0.0136; t=3.12, P=0.0066). 2) The statistically significant difference of the arm/leg-ROM showed by medicated with Soon-Ki-Hwal-Hyul-Tang, Bo-Yang-Hwan-O Tang, So-Hap-Hyang-Won(t=4.74/4.95, P=0.0002/0.0001; t=2.25/2.44, P=0.0368/0.0248; t=5.85/6.76, P=0.0001/0.0001). 3) In the verbal disorder, Soon-Ki-Hwal-Hyul-Tang, Bo-Yang-Hwan-O-Tang had statistically significant differences(t=4.50, P=0.0002; t=3.32, P=0.0036). 4) In the conscious disorder, Soon-Ki-Hwal-Hyul-Tang, Bo-Yang-Hwan-O-Tang, Seong-Hyang-Jeong-Ki-San, and So-Hap-Hyang-Won had statistically significant differences(t=6.32, P =0.0001; t=8.32, P=0.0001; t=3.74, P=0.0012; t=5.14, P=0.0001). 5) Bovine aortic endothelial cell (BAEC) were cultured in DMEM treating 0.01mg/ml, and 0.1mg/ml of each lyophilized samples for 24 hours. In BAECs were treated by 5 kinds of samples, the effect of So-Hyap-Hyang-Won induced syncytium of adjacent endothelial cells. It may induce the recovering of the damaged blood vessels in cerebrovascular accidental patient by angiogensis of endothelial cells. Therefore, it suggests that the medication of So-Hap-Hyang-Won will help to nursing care for cerebrovascular accidental patients.

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Surgical Treatment of Coarctation of the Aorta (대동맥축착증의 외과적치료)

  • 성시찬;방정희
    • Journal of Chest Surgery
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    • v.30 no.11
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    • pp.1069-1076
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    • 1997
  • There remains controversy regarding the appropriate surgical treatment for coarctation of the aorta because of relatively high rate of recoartation and high mortality in the cases associated with complex anomalies. We evaluated 31 consecutive patients who underwent surgical repair of coarctation of the aorta from May 1992 through June 1996. Nineteen patients(61.3%) were neonates and 26(83.9%) were under three months. Nine patients did not have major associated anom lies(Group I), 15 patients had ventricular septal defect(Group II), and 7 patients had major complex anomalies(Group III). 35.5% of the patients had arch hypoplasia. Surgical procedures performed were as follows: extended end-to-end anastomosis in 17 patients, combined resection-flap procedure in 7 patients, and subclavian flap aortoplasty in 7 patients. Residual coarctation occurred in 7(25%) of 28 patients; 2 after subclavian (lap aortoplasty(2/6, 33.3%), none after combillrd resection-flap procedure(0/7, 0%), and 5 after extended end-to-end anastomosis(5/15, 33.3%). Higher incidence of residual coarctation was noticed in the group with arch hypoplasia. The incidence of postoperative coarctation at a mean follow-up of 20.5 months in survivals was 12.0%(3/25); 2 cases after subclavian flap aortoplasty(2/6, 33.3%), none after combined resection-flap procedure(017, 0%), and one after endtoend anastomosis(1/12, 8.3%). The mortality rate related to coarctation repair was 9.7%(3 patients all in Group III). This study revealed that isolated coarctation of aorta and coarctation with ventricular septal di3fect(groups I & ll) can be repaired with low mortality, but repair of coarctation with complex anomaly had a high operative mortality Also the patients with arch hypoplasia had higher incidence of post-operative residual coarctation.

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The Clinical Results of Open Heart Surgery with Coronary Artery Bypass Grafting (관상동맥 우회로 조성수술을 병행한 개심수술의 임상성적)

  • 유경종;강면식
    • Journal of Chest Surgery
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    • v.29 no.2
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    • pp.171-176
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    • 1996
  • From March, 1983 to June, 1994, twenty-two patients underwent coronary artery and combined operations. The ages of the patients ranged from 42 years to 72 years (mean 60.4$\pm$8.2 years). There were 17 male and 5 female patients. The left ventricular (LV) ejection fraction ranged from 25% to 65% (mean 46.9$\pm$14.2%). Nine patients had mechanical complication of myocardial infarction (MI), of which 5 were LV aneurysm, 3 ventricular septal defect and 1 mitral regurgitation. Nine patients had rheumatic valvular heart disease of whom 7 with aortic valve disease and 2 with mitral valve disease. Two other patients had left atrial thrombi, only one with atrial septal defect a d another with aneurysm of ascending aorta. An average of 2.1$\pm$1.0 bypasses was done, ranging from one to four. There were 3 postoperative complications; 2 perioperative MI and 1 leg wound infection. Among complicated patients, mortality was 1 patient (4.5%) due to low cardiac output syndrome after perioperative MI. With 3 to 136 months follow-up (mean 41.1$\pm$40.2 months), late mortality was 1 patient due to cerebral vascular accident. Among long-term survivors, all patients are in New York Heart Association functional class I or II. Although the number of patients was small, our surgical results were favorable. Therefore we think that coronary revascularization combined with heart operation does not increase the operative risk when associated coronary artery disease is present, and it reduces the occurrence of late death.

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Angiotensin II-Induced Generation of Reactive Oxygen Species Is Regulated by a Phosphatidylinositol 3-Kinase/L-Type Calcium Channel Signaling Pathway (Angiotensin II에 의해 유도되는 활성산소발생 기전에 대한 연구)

  • Jin, Seo Yeon;Ha, Jung Min;Kim, Young Whan;Lee, Hye Sun;Bae, Sun Sik
    • Journal of Life Science
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    • v.25 no.2
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    • pp.231-236
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    • 2015
  • Angiotensin II (AngII) is an essential hormone that affects vascular physiology. For example, stimulation of vascular smooth muscle cells (VSMCs) rapidly induces vasoconstriction and results in the up-regulation of blood pressure. Chronic stimulation of VSMCs with AngII also results in hypertrophy. In this study, we confirmed an involvement of phosphatidylinositol 3-kinase (PI3K)-dependent calcium mobilization in AngII-induced generation of reactive oxygen species (ROS). Stimulation of rat aortic smooth muscle cells (RASMCs) with AngII significantly induced the generation of ROS in a dose- and time-dependent manner. AngII-induced generation of ROS was completely abolished by pharmacological inhibition of PI3K (with LY294002), but inhibition of the ERK signaling pathway had no effect. AngII-induced calcium mobilization was completely blocked by inhibition of PI3K, whereas inhibition of the ERK signaling pathway by PD98059 was ineffective. Depletion of extracellular calcium or inhibition of the L-type calcium channel by nifedipine completely blocked AngII-induced calcium mobilization. Depletion of extracellular calcium by EGTA and incubation of RASMCs with calcium-free medium both significantly blocked AngII-induced ROS generation. Inhibition of the L-type calcium channel also significantly blocked AngII-induced ROS generation. These results suggest that AngII-induced ROS generation is regulated by calcium mobilization, which, in turn, is modulated by a PI3K/L-type calcium channel signaling pathway.

The Effects of Dietary Supplements Included Green Tea, Buckwheat and Grape Leaf Extract on Lipid Metabolism and on Regression of Fatty Streak Lesions in F1B Golden Syrian Hamsters Fed the Atherogenic Diet (녹차, 메밀 및 포도잎 추출물 첨가식이가 동맥경화유발식이를 급여한 F1B Golden Syrian 햄스터의 지질대사와 대동맥의 지방 축적에 미치는 영향)

  • Kim, Young-Eon;Kwon, Eun-Kyung;Oh, Se-Wook;Han, Dae-Seok;Kim, In-Ho;Lee, Chang-Ho;Lee, Ho-Joon
    • Korean Journal of Food Science and Technology
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    • v.37 no.6
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    • pp.962-969
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    • 2005
  • Effects of 5 and 10% dietary supplement tablets containing green tea, buckwheat, and grape leaf extracts on atherosclerosis, and plasma and hepatic lipid compositions in hamsters fed antherogenic diet [modified AIN-76A containing 10% coconut oil (w/w), 0.05% cholesterol] were examined. Compared to atherogenic diet only groups, addition of supplement to atherogenic diet-fed group significantly down-regulated triglyceride and total cholesterol levels in plasma and liver. F1B hamsters fed atherogenic diet had greater foam cell accumulation compared to control and those fed atherogenic diet with addition of supplement. Lipid metabolisms of plasma and liver increased with addition of supplement dose-dependently, whereas aortic lipid accumulation decreased. These results indicate tablets supplemented with green tea, buckwheat, and grape leaf extracts have potential to prevent cardiovascular diseases in golden Syrian hamsters.

Bupivacaine-induced Vasodilation Is Mediated by Decreased Calcium Sensitization in Isolated Endothelium-denuded Rat Aortas Precontracted with Phenylephrine

  • Ok, Seong Ho;Bae, Sung Il;Kwon, Seong Chun;Park, Jung Chul;Kim, Woo Chan;Park, Kyeong Eon;Shin, Il Woo;Lee, Heon Keun;Chung, Young Kyun;Choi, Mun Jeoung;Sohn, Ju Tae
    • The Korean Journal of Pain
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    • v.27 no.3
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    • pp.229-238
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    • 2014
  • Background: A toxic dose of bupivacaine produces vasodilation in isolated aortas. The goal of this in vitro study was to investigate the cellular mechanism associated with bupivacaine-induced vasodilation in isolated endothelium-denuded rat aortas precontracted with phenylephrine. Methods: Isolated endothelium-denuded rat aortas were suspended for isometric tension recordings. The effects of nifedipine, verapamil, iberiotoxin, 4-aminopyridine, barium chloride, and glibenclamide on bupivacaine concentration-response curves were assessed in endothelium-denuded aortas precontracted with phenylephrine. The effect of phenylephrine and KCl used for precontraction on bupivacaine-induced concentration-response curves was assessed. The effects of verapamil on phenylephrine concentration-response curves were assessed. The effects of bupivacaine on the intracellular calcium concentration ($[Ca^{2+}]_i$) and tension in aortas precontracted with phenylephrine were measured simultaneously with the acetoxymethyl ester of a fura-2-loaded aortic strip. Results: Pretreatment with potassium channel inhibitors had no effect on bupivacaine-induced relaxation in the endothelium-denuded aortas precontracted with phenylephrine, whereas verapamil or nifedipine attenuated bupivacaine-induced relaxation. The magnitude of the bupivacaine-induced relaxation was enhanced in the 100mM KCl-induced precontracted aortas compared with the phenylephrine-induced precontracted aortas. Verapamil attenuated the phenylephrine-induced contraction. The magnitude of the bupivacaine-induced relaxation was higher than that of the bupivacaine-induced $[Ca^{2+}]_i$ decrease in the aortas precontracted with phenylephrine. Conclusions: Taken together, these results suggest that toxic-dose bupivacaine-induced vasodilation appears to be mediated by decreased calcium sensitization in endothelium-denuded aortas precontracted with phenylephrine. In addition, potassium channel inhibitors had no effect on bupivacaine-induced relaxation. Toxic-dose bupivacaine-induced vasodilation may be partially associated with the inhibitory effect of voltage-operated calcium channels.

Contractile Effect of Ultraviolet Light on Isolated Thoracic Aortae of Rats (흰쥐 적출 흉부대동맥근의 자외선 수축반응에 관하여)

  • Baik, Yung-Hong;Kang, Seong-Don;Kang, Jung-Chaee
    • The Korean Journal of Pharmacology
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    • v.29 no.1
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    • pp.65-72
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    • 1993
  • Ultraviolet light radiation (UVR) did not affect resting tension of isolated thoracic aortae of rats. In aortic rings contracted with phenylephrine, however, UVR produced contractile and relaxant responses in preparations with and without endothelium, respectively. The contractile response was dependent upon the duration $(10{\sim}320\;sec)$ of irradiation, while the relaxation was not. UVR-induced contractions in endothelium-intact rings were significantly potentiated by increasing the concentrations of phenylephrine from $10^{-7}M$ to $10^{-5}M$, and also by addition of $10^{-6}M$ acetylcholine, $10^{-7}M$ isoproterenol and $3.5{\times}10^{-8}M$ nitroglycerine. However, addition of $10^{-6}M$ phentolamine, or $10^{-7}M$ to $10^{-6}M$ LY83583 inhibited the contraction or reversed the contraction to a relaxation. In endothelium-removed preparations the UVR-induced relaxation was attenuated by increasing concentractions of phenylephrine, and by addition of isoproterenol, nitroglycerin, phentolamine or LY83583. These results suggest that UVR produces contractile and relaxant responses in rat thoracic aortae with and without endothelium, respectively, and that the contractile effect results from the inhibition of endothelium-derived relaxing factor (EDRF) release by UVR the inhibition of and/or is in part re-lated to some endothelium-derived contractile factors (EDCFs).

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VLSI 설계와 CAD 기술개발 연구 전략 -다음 세대 컴퓨터 개발을 위한-

  • 이문기
    • The Magazine of the IEIE
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    • v.11 no.5
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    • pp.42-50
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    • 1984
  • 국내의 다음세대 컴퓨터 개발을 위한 VLSI 설계와 CAD 분야에 대한 연구 방향을 제시한다. 연구의 목표는 국제적으로 경쟁할 수 있는 VLSI 설계능력과 백만개 정도의 트랜지스터로 자성된 회로를 경제적으로 설계하기 위한 CAD 기술과 System의 확립이다. ·새로운 회로 구조와 알고리즘에 대한 연구 · CAD 도구와 언어의 개발에 관한 첨단 CAD 기술개발연구 · VLSI 설계에 필요한 CAD 도구 이용과 개발에 필요한 표준 인터페이스, 네트워킹, 컴퓨팅 하드웨어. 시스템 소프트웨어에 대한 연구등의 부분으로 크게 나눌 수 있다. 이용 가능한 CAD system을 평가하고 개선하며 첨단 CAD에 대한 소프트웨어와 하드웨어에 대해 · 컴퓨팅 하드웨어 · 프로그램 분위기 · 네트워킹 능력 ·자료 교환을 위한 표준인터페이스 등에 관해 조사분석도 병행한다. CAD에 관한 세부적인 연구 과제는 · 시스템 사양언어 · 설계 검증 ·시스템시뮬레이션· 설계 합성 · 설계 해석· 설계 방법론·디바이스와 공정 모델링 프로그램 등이다. 고속 계산용 VLSI에 관한 구조와 알고리즘은 행렬 계산을 위한 ·분산 배열 처리 회로 ·시스토릭 (Systolic) 배열 회로 ·셀률라(Cellular) 논리 회로 · 3차원 배열 회로 와 · 비규칙적 계산 알고리즘을 갖는 VLSI가 있다. VLSI설계훈련과 CAD 기술 축적을 위해 CAD enter를 설립하여 전국적인 CAD 네트워킹을 관계 연구소와 여러 대학에 가설하며, MPC 계획을 추진한다. VLSI설계 가능성이 입증되면 VLSI 설계능력을 더욱 향상 시키기 위해 0.5∼1.0mm기술의 silicon faundary를 설립한다. 연구 개발 조직은 대학, 산업체. 연구소가 삼위일체가 되어 수행될 수 있도록 연구 개발 위원회를 설치 운영하며 경쟁적이며 경제적으로 연구 업무를 집행하는 것이 바람직하다.았다.형질에 관여하는 귀전자에 미치는 기구에 대하여 검토할 여타가 있다고 보여진다. 분해능의 특징으로 미루어 앞으로는 레이저를 이용한 계측 방법이 그 주류를 이룰 것으로 사료된다. 우선 본 해설은 기체의 온도 및 농도의 광학적 측정방법중 Raman산란광 검출법에 대하여 실제로 측정하는 입장에서 간단히 소개한다.lity)이, 높은 $GA_3$함량에 기인된다'는 주장은 본실험(本實驗)으로 부인(否認)되었다. 따라서, 응용학적(應用學的) 측면에서 고려해 볼 때, 리베스식물(植物)의 육종기간 단축을 위한 모든 화아분화(花芽分化) 촉진 조치는 P.J.-식물(植物)이 20. node이상 생육하였을 때 취하는 것이 효율적인 것으로 결론 지어진다.앞당겨진 7月 셋째 週였다. 8. Culex (Culex) tritaeniorhynchus summoro년의 最大發生 peak는 1981年, 1982年 모두 8月 둘째 週였다. 9. Anopheles (Anopheles) sinensis의 最大發生 peak는 1981年에 7月 다섯째 週, 1982年은 2週 앞당겨진 7月 셋째 週였다. 10. 重要 3種의 最大 peak를 比城하면 Culex (Culex) pipiens pallens와 Anopheles (Anopheles) sinensis는 1981年과 1982年 모두 最大 peak時期가 同一하였으며, Culex (Culex) tritaeniorhynchus summoro년는 2年間 모두 8月둘째 週에 나타났다.osterior to manubrium and anterior to aortic arch) replacing the normal mediastinal fat. (2) In benign thymoma, the marging of the mass was smooth and the normal fat

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Development of an Measuring System for Pulse Wave Corresponding to Different Radial Artery Diameters Caused by Indentation (요골동맥 직경 변화에 따른 맥파 측정 시스템 개발)

  • Lee, Jeon;Woo, Young-Jae;Jeon, Young-Ju;Lee, Yu-Jung;Kim, Jong-Yeol
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.57 no.12
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    • pp.2351-2357
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    • 2008
  • Noninvasive radial artery pulse wave has been widely used not only for the pulse wave analysis(PWA) itself but also for assessment of arterial stiffness with estimated aortic pulse wave from peripheral pulse wave. However, it has been found that the deformation of pulse shape can be caused readily by changing measuring position, indentation pressure, and so on. So, in this study, we have developed a system which can measure radial pulse wave and skin displacement simultaneously while the indentation body goes down to occlude subject's radial artery. This system can be divided into a measuring apparatus part, an indentation control hardware part, a data acquisition part and a control and computation part. And, the measuring apparatus consists of an arm-rest, a step motor, an indentation body, a laser displacement sensor(LK-G30, Keyence Co.) and pulse wave sensor. Under load-free condition and radial artery loaded condition, the evaluation of developed system has been performed. From these results, we can conclude: 1) The developed system can control the indentation body quantitatively and the adopted laser displacement sensor shows linear output characteristic even with skin as a reflector. 2) This system can measure the pulse wave and the displacement of indentation body, that is, skin displacement simultaneously at each specific level of indentation body. 3) This system can provide the number of motor steps used to get down the indentation body, the measured skin displacement, the calculated indentation pressure, the calculated pulse pressure and the pulse waveform as well as the information generated by combining these with each others. 4) This system can reveal the relationship between the morphological changes of pulse wave and the estimated displacement of radial artery wall by indentation. Consequently, the developed system can furnish more abundant information on radial artery than previous diagnosis systems based on tonometric measurement. In further study, we expect to setup the standard measuring process and to concrete the algorithm for the estimation of radial artery's diameter and of displacement of radial artery's wall. Furthermore, with well designed clinical studies, we hope to turn out the usefulness of developed system in the field of cardiovascular system evaluation.

Clinical Analysis of Patch Repair of Ventricular Septal Defect in Infant (영아기 심실중격결손 봉합술의 임상적 고찰)

  • Jung, Tae-Eun;Lee, Jang-Hoon;Lee, Dong-Hyup;Lee, Jung-Cheul;Han, Sung-Sae;Kim, Sae-Yeun;Ji, Dae-Lim
    • Journal of Yeungnam Medical Science
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    • v.19 no.2
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    • pp.99-106
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    • 2002
  • Background: Simple ventricular septal defect(VSD) is the most common congenital heart disease. Although closure of VSD is currently associated with a relatively low risk, experience with younger and smaller infants has been variably less satisfactory. We assessed the results of surgical closure of VSD in infant. Materials and Methods: Between 1996 and 2000, 45 non-restrictive VSD patients underwent patch repair and retrospective analysis was done. Patients were divided into two groups based on weight: group I infants weighed 5kg or less(n=16), and group II infants weighed more than 5kg(n=29). Both groups had similar variation in sex, VSD location, aortic cross clamp time and total bypass time. But combined diseases (ASD, PDA, MR) were more in group I. We closed VSD with patch and used simple continuous suture method in all patients. Results: There were no operative mortality, no reoperation for hemodynamically significant residual shunt and no surgically induced complete heart block. As a complication, pneumonia(group I: 2 cases, group II: 2 cases), transient seizure(group II: 2), wound infection(group I: 1, group II: 1), urinary tract infection(group I: 1) and chylopericardium(group I: 1) developed, and there was no significant difference between two groups(p>0.05). Conclusion: Early primary closure with simple continuous suture method was applicable in all patients with non-restrictive VSD without any serious complications.

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