• Journal of Chest Surgery
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• v.20 no.2
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• pp.404-410
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• 1987

An 18-day-old male neonate with hypoplastic left heart syndrome underwent surgical intervention by modification of the Norwood procedure on September 23, 1986. Hypoplastic left heart syndrome is a serious congenital cardiac anomaly that has a fatal outlook if left untreated. Included in this anomaly are [1] aortic valve atresia, and hypoplasia of the ascending aorta and aortic arch, [1] mitral valve atresia or hypoplasia, and [3] diminutive or absent left ventricle. Patent ductus arteriosus is essential for any survival, and there is usually a patent foramen ovale. Coarctation of the aorta is frequently associated with the lesion.z With a limited period of cardiopulmonary bypass, deep hypothermia, and circulatory arrest, the ductus arteriosus was excised. The main pulmonary artery was divided immediately below its branches, and the distal stump of the divided pulmonary artery was closed with a pericardial patch. The aortic arch was incised, and a 1 5mm tubular Dacron prosthesis was inserted between the main pulmonary artery and the aortic arch. A 4mm shunt of polytetrafluoroethylene graft was established between the new ascending aorta and the right pulmonary artery to provide controlled pulmonary blood flow. Following rewarming, the heart started to beat regularly, but the patient could not be weaned from cardiopulmonary bypass. At autopsy, the patient was found to have hypoplasia of the aortic tract complex with mitral atresia and aortic atresia. A secundum atrial septal defect was noted. Right atrial and ventricular hypertrophy was present, and the left ventricle was entirely absent. Although unsuccessful in this case report, continuing experience with hypoplastic left heart syndrome will lead to an improvement in result.

• Journal of Chest Surgery
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• v.28 no.10
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• pp.885-891
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• 1995

In order to test the hypothesis that the pulmonic valve, when used to replace the aortic root as a pulmonary autograft, will remain a viable anatomical structure and will grow and develop normally along with the host, we performed aortic valve replacement with the pulmonary autograft in 15 neonatal piglets. The weight of the donor was 9.3 $\pm$ 0.2 kg, the recipient 9.6 $\pm$ 0.3 kg. Measured diameters of pulmonic annulus were 14 $\pm$ 0.2 mm for autograft and 14.2 $\pm$ 0.2 mm for pulmonary artery homograft. Operation was performed under cardiopulmonary bypass with deep hypothermia [20oC at low flow perfusion [70 ml/kg/min . The mean operation time was 227 $\pm$ 10 min., bypass time 152$\pm$ 7.6 min. and aortic cross clamp time 73$\pm$ 4.6 min.. 9 piglets survived more than 12 hours. One survived 12 days and died of pneumonia and the latest one survived in good condition and sacrificed at postoperative 6th week for cardiac catheterization and pathologic examination that revealed the viability and growing of the pulmonary autograft. Currently we are able to complete the operation with good preservation of cardiac function, and our postoperative care has evolved to the extent that we are now confident enough of having an acceptable percentage of long term survivors to undertake a definite study in this regard.

• 한국전산유체공학회:학술대회논문집
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• 1999.11a
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• pp.167-173
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• 1999

An Euler-based CFD tool has been developed for the performance evaluation of a thrust reverser mounted on a high bypass ratio turbofan engine. The computational domain surrounded by the ground and non-reflection boundary includes the whole nacelle configuration with a deployed thrust reverser. The numerical algorithm is based on the modified Godunovs scheme to allow the second order accuracy in both space and time. The grid system is generated by using eleven multi-blocks, of which the total cell number is 148,400. The thrust reverser is modeled as if it locates at the nacelle simply in all circumferential direction. The existence of a fan and an OGV(Outlet Guide Vane) is simulated by adopting the actuator disk concept, in which predetermined radial distributions of stagnation pressure ratio and adiabatic efficiency coefficient are used for the rotor type disk, and stagnation pressure losses and flow outlet angles for the stator type disk. All boundary conditions including the fan and OGV simulation are treated by Riemann solver. The developed solver is applied to a turbofan engine with a bypass ratio of about 5.7 and the diameter of the fan cowl of 83 inch. The computational results show that the Euler-based inviscid method is very useful and economical to evaluate the performance of thrust reversers.

• Journal of Chest Surgery
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• v.26 no.7
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• pp.526-531
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• 1993

Sixty-one consecutive patients with coronary artery bypass graft for myocardial revascularization were retrospectively reviewed to analyze various pattern of postoperative complication and death during hospital stay from Nov. 1988 to Oct. 1992. Fortytwo of the patients were male and nineteen female. The mean age was 56 and 51 years in male and female. Preoperative diagnosises were unstable angina in 14 of patients, stable angina in 28, postmyocardial infarction state in 15, and state of failed percutaneous transluminal coronary angioplasty in 4. 141 stenosed coronary arteries were bypassed with use of 20 pedicled internal mammary artery and 124 reversed saphenous vein grafts. Postoperative complications and perioperative death were as follows: 1. Of 61 patients undergoing operation, peri and postoperative over all complication occured in 15 patients [ 25% ]; newly developed myocardial infarction in 4, intractable cardiac arrhythmia including atrial fibrillation and frequent ventricular premature contraction in 3, bleeding from gastrointestinal tract in 2, persistent vegetative state as a sequele of brain hypoxia in 1, wound necrosis in 1, left hemidiaphragmatic palsy in 3 and poor blood flow through graft in 2. 2. Operative mortality was 8%[5 patients]. 3 out of these died in operating room; 1 patient by bleeding from rupture of calcified aortic wall, 1 by air embolism through left atrial vent catheter, 1 by low cardiac output syndrome. 2 patients died during hospital stay; 1 by acute respiratory distress syndrome with multiuple organ failure, 1 by brain death after delayed diagnosis of pericardial tamponade.

• Journal of Chest Surgery
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• v.29 no.5
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• pp.569-572
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• 1996

A sixty nine-year-old mate patient was admitted with a chief complaint of exertional dyspnea. Lung perfusion scan revealed total perfusion defect of the of left lung and CT anglography showed the ab- rupt cutoff left pulmonary artery. He denied of trauma history, previous lower leg symptom and sign, or any embolic history. With the impression of chronic pulmonary thromboembolism of unknown etiology, operation was done under the cardiopulmonary bypass through a median sternotomy. After main pulmonary artery clamping and pulmonary arteriotomy, thromboembolectomy was done. Postoperative lung perfusion scan and CT angiography showed near normal left pulmonary blood flow. The patient was discharged on the postoperative 9th day without any postoperative complication.

• International Journal of Naval Architecture and Ocean Engineering
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• v.13 no.1
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• pp.659-673
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• 2021

This study aims to investigate the impact of the High Pressure Selective Catalytic Reduction system (SCR-HP) on a large marine two-stroke engine performance parameters by employing thermodynamic modelling. A coupled model of the zero-dimensional type is extended to incorporate the modelling of the SCR-HP components and the Control Bypass Valve (CBV) block. This model is employed to simulate several scenarios representing the engine operation at both healthy and degraded conditions considering the compressor fouling and the SCR reactor clogging. The derived results are analysed to quantify the impact of the SCR-HP on the investigated engine performance. The SCR system pressure drop and the cylinder bypass valve flow cause an increase of the engine Specific Fuel Oil Consumption (SFOC) in the range 0.3-2.77 g/kWh. The thermal inertia of the SCR-HP is mainly attributed to the SCR reactor, which causes a delayed turbocharger response. These effects are more pronounced at low engine loads. This study supports the better understanding of the operating characteristics of marine two-stroke diesel engines equipped with the SCR-HP and quantification of the impact of the components degradation on the engine performance.

• Proceedings of the Korean Institute of Building Construction Conference
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• 2020.06a
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• pp.144-145
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• 2020

Recently, the cement industry has been using various wastes as raw materials and fuel for cement as an eco-friendly business. However, most of these waste resources contain large amounts of chloride and alkali, which are concentrated in manufacturing facilities and adversely affect cement production products. Accordingly, in the cement production process, the chlorine ion contained in cement is managed by introducing the Chlorine Bypass System (CBS) into the manufacturing facility and releasing the dust. However, the processing volume of CBS-Dust has been limited due to the shortage of domestic processing companies, and the cost has also been raised, requiring measures to be taken in dealing with CBS-Dust. In this study, rheological properties of CBS-Dust incorporated paste are tested. With the increase of CBS-Dust, flow was decreased due to enhanced viscosity.

• Biomedical Science Letters
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• v.8 no.3
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• pp.143-154
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• 2002

The effect of cardiopulmonary bypass (CPB) on cerebral physiology during heart surgery remains incompletely understood. This study was carried out to investigate changes of cerebral metabolism and the association between the changes and clinical factors during heart surgery. Seventy adult patients (n=70) scheduled for elective cardiac surgery were participated in the present study. Middle cerebral artery blood flow velocity (V$_{MCA}$), cerebral arteriovenous oxygen content difference (C(a-v)O$_2$), cerebral oxygen extraction (COE), and modified cerebral metabolic rate for oxygen (MCMRO$_2$) were measured during six phases of the operation; Pre-CPB, CPB-10 min, Rewarm-1 (nasopharyngeal temperature 34$^{\circ}C$), Rewarm-2 (nasopharyngeal temperature 37$^{\circ}C$), CPB-off, and Post-OP (at skin closure after CPB-off). Each relationship of age, arterial blood gas parameters, or other variables to V$_{MCA}2$, C(a-v)O$_2$, COE, or MCMRO$_2$ was evaluated. V$_{MCA}$ increased (P<0.0001) whereas C(a-v)O$_2$ decreased (P<0.01) throughout the five phases of the operation compared to Pre-CPB value (control). COE diminished at CPB-10, Rewarm-1, and CPB-off (P<0.05) while MCMRO$_2$ reduced at CPB-10 and Rewarm-1 (P<0.05) compared to Pre-CPB value. Positive correlation was found between age and cerebral metabolic parameters (V$_{MCA}$, C(a-v)O$_2$, COE, or MCMRO$_2$) during CPB (range r=0.24 to 0.38, p<0.05). Four cerebral metabolic parameters had partially negative or positive correlation with arterial blood gas parameters and other variables (arterial blood pH, $O_2$ tension, $O_2$ content, $CO_2$ tension, blood pressure, blood flow, temperature, or hematocrit) during the operation. In conclusion, CPB led to marked alterations of cerebral metabolism and age, pH, and $CO_2$ tension profoundly influenced the changes during cardiac surgery.

• Journal of computational fluids engineering
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• v.18 no.3
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• pp.1-7
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• 2013

A pure oxygen combustion technology is crucial in Carbon Capture and Storage (CCS) technology especially in capturing of $CO_2$, where CCS will reduce 9 $GtCO_2$ by 2050, which is 19% of the total $CO_2$ reduction amount. To make pure oxygen combustion feasible, a regenerative system is required to enhance the efficiency of pure oxygen combustion system. However, an existing air combustion technology is not directly applicable due to the absence of nitrogen that occupies the 78% of air. This study, therefore, investigates the heat and fluid flow in a regenerative system for pure oxygen combustion by using commercial CFD software, FLUENT. Our regenerative system is composed of aluminium packed spheres. The effect of the amount of packed spheres in regenerator and the effect of presence or absence of a bypass of exhaust gas are investigated. The more thermal mass in regenerator makes the steady-state time longer and temperature variation between heating and regenerating cycle smaller. In the case of absence of bypass, the regenerator saturates because of enthalpy imbalance between exhaust gas and oxygen. We find that 40% of exhaust gas is to be bypassed to prevent the saturation of regenerator.

• Transactions of the Korean Society of Mechanical Engineers B
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• v.25 no.3
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• pp.305-314
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• 2001

A modified model is proposed for calculation of transitional boundary layer flows. In order to develop the eddy viscosity model for the problem, the flow is divided into three regions; namely, pre-transition region, transition region and fully turbulent region. The pre-transition eddy-viscosity is formulated by extending the mixing length concept. In the transition region, the eddy-viscosity model employs two length scales, i.e., pre-transition length scale and turbulent length scale pertaining to the regions upstream and the downstream, respectively, and a universal model of stream-wise intermittency variation is used as a function bridging the pre-transition region and the fully turbulent region. The proposed model is applied to calculate three benchmark cases of the transitional boundary layer flows with different free-stream turbulent intensity (1%∼6%) under zero-pressure gradient. It was found that the profiles of mean velocity and turbulent intensity, local maximum of velocity fluctuations, their locations as well as the stream-wise variation of integral properties such as skin friction, shape factor and maximum velocity fluctuations are very satisfactorily predicted throughout the flow regions.