• 제목/요약/키워드: appendage

검색결과 160건 처리시간 0.04초

심장판막증에 동반된 관상동맥루 -1례 보고- (Coronary Artery Fistula Associated with Valvular Heart Disease)

  • 백완기
    • Journal of Chest Surgery
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    • 제23권1호
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    • pp.158-161
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    • 1990
  • A congenital coronary artery fistula is an uncommon anomaly which has a direct communication between a coronary artery and the lumen of any one of the four cardiac chambers, or the coronary sinus, or its tributary veins or the superior vena cava. The right coronary artery is involved most frequently, and the abnormal communication in most often is to the right ventricle followed in incidence by drainage into the right atrium and the pulmonary artery. Recently. we experienced a case of congenital coronary artery fistula associated with valvular heart disease. The fistulous communication was noted between the left circumflex artery and the left atrial appendage. Under the cardiopulmonary bypass, the internal obliteration of the left atrial appendage, mitral valve replacement, and aortic valve exploration were accomplished. Postoperative hospital course was uneventful and the patient was discharged without any problems.

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체정맥환류이상을 동반한 복잡심기형환자에 있어 체정맥심방 양분을 이용한 Fonatan 씨 술식 체험 -새로운 수술방법- (Bilateral Partitioning of Systemic Venous Chamber in Conjunction with Atriopulmonary Anastomoses [Fontan - Kreutzer] - A new technique -)

  • 김진국;김용진;서경필
    • Journal of Chest Surgery
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    • 제21권5호
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    • pp.948-953
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    • 1988
  • A technique applicated for physiologic correction of complex congenital cardiac disease suitable for Fontan procedure in which drainage of left superior vena cava and hepatocardiac vein to left atrium combined is described. We made one systemic venous baffle from left hepatocardiac vein to left superior vena cava and another systemic venous baffle from right inferior vena cava to the right superior vena cava with rigid prosthetic material[0.5mm thickness PTFE patch]. And then we anastomosed directly between the right sided atrial appendage and right pulmonary artery, and left-sided atrial wall beneath the appendage and left pulmonary artery. We believe that this procedure is superior to the method using intraatrial tube graft to divert the left hepatocardiac venous blood to right atrium, and applicable for physiologic correction of any complex congenital cardiac disease suitable for Fontan-type procedure in which anomalies of systemic venous drainage combined.

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Heart Transplantation in a Patient with Persistent Left Superior Vena Cava

  • Lee, Jae-Hong;Park, Eun-Ah;Lee, Whal;Cho, Hyun-Jai;Kim, Ki-Bong;Hwang, Ho Young
    • Journal of Chest Surgery
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    • 제47권6호
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    • pp.533-535
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    • 2014
  • A 56-year-old male presented with severe exertional dyspnea and pitting edema in the lower extremities. The preoperative evaluation demonstrated biventricular dysfunction associated with severe tricuspid valve regurgitation and a persistent left superior vena cava. He was registered as a transplantation candidate, and orthotopic heart transplantation was performed using the standard bicaval technique. The left superior vena cava was connected to the right atrial appendage after the construction of a conduit using the recipient's autologous coronary sinus tissue. One-month postoperatively, computed tomography imagery demonstrated a patent conduit between the left superior vena cava and right atrial appendage.

Isolated Ventricular Inversion and Anatomically Corrected Malposition of the Great Arteries Associated with Right Juxtaposition of Left Atrial Appendage: A case of Successful surgical repair

  • 이정렬
    • Journal of Chest Surgery
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    • 제23권6호
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    • pp.1280-1287
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    • 1990
  • A seven month old female infant with isolated ventricular inversion and anatomically corrected malposition of the great arteries in situs solitus, associated with ventricular septal defect, patent ductus arteriosus, right-sided juxtaposition of left atrial appendage, is reported. The patient showed usual atrial arrangement with somewhat superoinferior relation, a discordant atrioventricular connection, and a concordant ventriculoarterial connection with aorta in the right-sided position. A normal sized left atrium was connected to the left superiorly positioned morphologic right ventricle through a tricuspid valve, which crossed the left ventricular outflow tract anteriorly. Well developed bilateral[subaortic and sub-pulmonary]conus was documented at operative field. successful surgical repair was done by performing the Senning procedure and by closing the ventricular sepal defect with a patch through the right ventriculotomy. The infant’s postoperative course was uneventful with normal sinus rhythm. Postoperative cardiac catheterization revealed no hemodynamic obstruction or residual shunt.

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Scanning Electronic Microscopy Examination for the Egg of Skin Parasite, Entobdella hippoglossi on the Commercially Important Culture Fish, the Atlantic Halibut, Hippoglossus hippoglossi

  • Yoon Gil Ha
    • Fisheries and Aquatic Sciences
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    • 제1권1호
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    • pp.68-71
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    • 1998
  • The egg structure and shape of the skin parasite, Entobdella hippoglossi from the Atlantic halibut, Hippoglossus hippoglossus was examined using scanning electronic microscope. The newly produced eggs of E. hippoglossi were yellowish in color and tetrahedral in shape. The eggs were entwined together in a complicated chain-like fashion by a long filament. The appendage showed the presence of buoy-like structures. The buoy-like structures on the appendage of the eggs of E. hippoglossi in the present study were totally different from other sticky droplets. It is suggested that these structures are not sticky droplets but buoys for floating eggs which have entwined together on the bottom of the sea. It seems that these buoy-like structures may be needed for preventing the eggs from being covered by mud or particles and thus maintaining the eggs in an oxygenated environment.

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불안정 운동을 동반한 파랑관통형 고속활주선의 운동성능 개선을 위한 부가물 부착효과에 대한 수치해석 연구 (A Numerical Study on the Effect of the Side and Stern Appendage for Improving Seakeeping Performance for Wave-Piercing High-Speed Planing Craft Accompanied by Instability Motion)

  • 김상원;이경우;서광철;이동건;박근홍
    • 해양환경안전학회:학술대회논문집
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    • 해양환경안전학회 2017년도 추계학술발표회
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    • pp.16-16
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    • 2017
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Digital Holographic Particle Tracking Velocimetry 기법을 사용한 동물성 플랑크톤(요각류 Calanus sinicus)의 헤엄침 양태 연구 (Swimming Behavior Study of the Zooplankton(Copepod Calanus sinicus) by Using a Holographic Particle Tracking Velocimetry Technique)

  • 손명환;박병화;최용석;이상준;강영실;강양순
    • 한국군사과학기술학회지
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    • 제13권5호
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    • pp.941-949
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    • 2010
  • The present study investigated the swimming pattern and appendage postures of a copepod species, Calanus sinicus, which prevails in the south-east sea of the Korean peninsula, by employing a digital holographic particle tracking velocimetry(PTV) technique. The results showed that the copepod Calanus sinicus had various swimming patterns such as hover, hop, sink, cruise, and downward cruise. Most frequent pattern was the 'hop and sink'. The average swimming speeds ranged from 1.1 to 45.7 body-lengths/s, and the corresponding flow Reynolds number ranged from $10^0$ to $10^2$.

핵연료봉 지르칼로이-4 지지체부착을 위한 레이저용접부의 특성 조사 (An Investigation of Laser Welding Characteristics for Attachments of Zircaloy-4 Bearing Pads of Nuclear Fuel Elements)

  • 김수성;이성구;이영호
    • Journal of Welding and Joining
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    • 제20권1호
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    • pp.41-46
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    • 2002
  • A new laser welding system far the appendage of bearing pads of PHWR nuclear fuel elements has been developed. This system consists of laser oscillator, a optical fiber transmission, a monitoring device and a welding controller. The basic welding experiments of the appendage of Zircaloy-4 bearing pads were carried out. The laser welded samples were investigated and made by using the optical fiber of GI $400\mu\textrm{m}$. As a result, the seam welding with the bead width of 1.0mm and the weld penetration of 0.3mm could be accomplished.

부가물이 미부착된 리프팅 러그의 구조 건전성에 관한 연구 (A Study on the Structural Integrity of Lifting Lug without Appendage)

  • 최경신;김지준;최정주
    • 한국기계가공학회지
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    • 제20권11호
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    • pp.108-114
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    • 2021
  • In this study, a multivariate function was applied to the genetic algorithm for D-type lugs currently used in shipyards to closely analyze the behavioral form of weight loss without double plates. An optimal lifting lug structure design without attachments is proposed. MATLAB R2016a was used to design features by applying multivariate functions to genetic algorithms. Furthermore, the design was achieved by deriving the optimal shapes of lugs using genetic algorithms. The shapes of the designed lugs were validated for structural bonding using the structural analysis program ANSYS 2020 R2, and a robust design of lugs with no appendages was developed.