• Title/Summary/Keyword: cardiovascular system

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수술 로봇을 이용한 양측 내흉동맥 채취 후 시행한 최소 침습적 다혈관 관상동맥 우회술 - 1예 보고 - (Multi-vessel Small Thoracotomy (MVST) CABG with Robot-assisted Bilateral ITA Harvesting - A case report -)

  • 정진우;이재원;제형곤
    • Journal of Chest Surgery
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    • 제41권2호
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    • pp.264-267
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    • 2008
  • 현재 사용되고 있는 수술 로봇 중 가장 진보된 장비인 da Vinci (Intuitive Surgical, Sunnyvale, CA, USA)는 심장 수술분야에서도 그 적응증을 넓혀가고 있다. 저자들은 주로 승모판막의 수술에 이용되었던 da Vinci 시스템을 이용하여 3혈관 질환 환자에서 양측 내흉동맥을 박리하고, 좌 요골동맥을 취득한 후 최소 개흉 다혈관 관상동맥우회술을 섬박동하에 성공적으로 시행하였기에 문헌고찰과 함께 보고하는 바이다.

Recent Evidence and Initial Experiences of Transcatheter Edge-to-Edge Repair of the Mitral Valve in South Korea

  • Hong, Sung-Jin;Kim, Jung-Sun;Hong, Geu-Ru
    • Journal of Chest Surgery
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    • 제54권3호
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    • pp.165-171
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    • 2021
  • As a percutaneous technique for the reduction of mitral regurgitation, the MitraClip system (Abbott Vascular, Abbott Park, IL, USA) for transcatheter edge-to-edge repair of the mitral valve was developed in 1998 and first used in 2003. Its main advantage is being less invasive than surgery, because it can be performed through a transcatheter approach without any hemodynamic compromise. Recent studies have shown that this procedure reduces symptoms and improves functional capacity with low complication rates. Two randomized clinical trials have investigated the use of this technique for functional mitral regurgitation. The Korean Ministry of Food and Drug Safety approved its use for degenerative mitral regurgitation in 2019, and this procedure started to be performed in Korea in January 2020. Its use for functional mitral regurgitation was also approved in Korea in 2020. In this article, recent evidence on transcatheter edge-to-edge repair of the mitral valve and our initial experiences in Korea will be reviewed.

Harlequin Syndrome Following Resection of Mediastinal Ganglioneuroma

  • Jeon, Yeong Jeong;Son, Jongbae;Cho, Jong Ho
    • Journal of Chest Surgery
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    • 제50권2호
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    • pp.130-132
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    • 2017
  • Harlequin syndrome is a rare disorder of the sympathetic nervous system characterized by unilateral facial flushing and sweating. Although its etiology is unknown, this syndrome appears to be a dysfunction of the autonomic nervous system. To the best of our knowledge, thus far, very few reports on perioperative Harlequin syndrome after thoracic surgery have been published in the thoracic surgical literature. Here, we present the case of a 6-year-old patient who developed this unusual syndrome following the resection of a posterior mediastinal mass.

종합병원 심혈관센터의 공간구성 및 면적계획에 관한 연구 (A Study on the Space Composition and Area Planning of the Cardiovascular Center in General Hospital)

  • 윤우용;채철균
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제18권4호
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    • pp.75-87
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    • 2012
  • Purpose: As the nation is becoming an aging society, there is an increasing number of the patient who has Diseases of cardiovascular disease. So it is necessarily to build a facility which provides specialized health care. Methods: Field surveys to facilities and analysis to the floor plan have been conducted in order to suggest adequate architectural composition to the specialized cardiovascular center and the dimensions of rooms. Results: The result of this study can be summarized into six points which contain guide to how to organize the specialized cardiovascular center. One of the most important things in this study is to suggest the architectural type which provides efficient collaborating system between the outpatient and angiography unit. Implications: It can be said that this paper can be useful research material when the architect tries to plan the specialized cardiovascular center.

심장 섬유종 -1례 보고- (A Case Report of Cardiac Fibroma)

  • 장재한;김민호;조중구;김공수
    • Journal of Chest Surgery
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    • 제29권1호
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    • pp.99-102
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    • 1996
  • Cardiac fibroma is a rare benign tumor of the heart that occurs primarily in infants and children. Prognosis depends on size, extent and site of tumor. Cardiac fibroma may invade the conduction system, papillary muscle and outflw of inflow tract of ventricle. In these situations, its clinical course is very poor Although operative mortality is high, surgical resection is treatment of choice because lethal arrhythmia and sudden death can be developed by the fibroma. A cardiac fibroma was successfully resected from the left ventricular myocardium of a 8 years old male patient in the Department of Thoracic and Cardiovascular Surgery, Chonbuk National University Hospital.

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Sternal Resection and Reconstruction for Solitary Plasmacytoma of the Sternum: Case Report

  • Choi, Chang Woo;Park, You Kyeong;Shin, Hwa Kyun;Lim, Jae Woong;Her, Keun
    • Journal of Chest Surgery
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    • 제54권5호
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    • pp.400-403
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    • 2021
  • A 63-year-old patient was admitted with a sternal fracture and mass. On evaluation, most of the body of the sternum had been destroyed by a tumor. Radical resection of the sternum was performed and part of the major pectoral muscles adherent to the sternal tumor was also resected. The chest wall defect was reconstructed with mesh, bone cement, and a titanium rib plate system. Reconstruction with this method seemed to be an appropriate procedure to prevent instability of the chest wall.

Development of Castleman Disease in the Paravertebral Space Mimicking a Neurogenic Tumor

  • Kwak, Yu Jin;Park, Samina;Kang, Chang Hyun;Kim, Young Tae;Park, In Kyu
    • Journal of Chest Surgery
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    • 제52권1호
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    • pp.51-54
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    • 2019
  • Castleman disease is a relatively rare disease, characterized by well-circumscribed benign lymph-node hyperplasia. The disease may develop anywhere in the lymphatic system, but is most commonly reported as unicentric Castleman disease in the mediastinum along the tracheobronchial tree. It is usually asymptomatic and detected on plain chest radiography as an incidental finding. We report an incidentally detected case of Castleman disease in the paravertebral space that was preoperatively diagnosed as a neurogenic tumor and treated by complete surgical resection.

우주비행 직후 인체 심혈관계의 혈류역학적 변화에 대한 수치적 연구 (Computational analysis of the hemodynamic changes in human cardiovascular system after space flight)

  • 심은보;고형종
    • 한국전산유체공학회:학술대회논문집
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    • 한국전산유체공학회 2000년도 추계 학술대회논문집
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    • pp.123-128
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    • 2000
  • Orthostatic stress in human cardiovascular system following spaceflight remains a critical problem in the current lifercience space program. The study presented in this paper is part of an ongoing effort to use mathematical models to investigate the effects of gravitational stresses on the cardiovascular system of normals and microgravity adapted individuals. We employ a twelve compartment lumped parameter representation of the hemodynamic system coupled to set-point models of the arterial baroreflex and the cardiopulmonary reflex to investigate the transient response of heart rate to orthostatic stress. We simulate current hypotheses concerning the mechanisms underlying postspaceflight orthostatic intolerance over a range of physiologically reasonable values and compare the simulations to astronaut stand-test data pre-and postflight.

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다빈치 수술로봇을 이용한 흉부수술 1예 보고 (First Experience of Thoracic Surgery with the da $Vinci^{TM}$ Surgical System in Korea)

  • 김대준;정경영;박인규;박성용
    • Journal of Chest Surgery
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    • 제39권6호
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    • pp.482-485
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    • 2006
  • 비디오흉강경수술은 조직에 손상을 덜 주고, 통증완화 및 미용효과가 우수하며, 환자의 회복이 빠른 장점이 있어 흉부외과 영역에 광범위하게 적용되고 있다. 그러나 2차원 평면이미지의 한계, 내시경기구들의 제한된 움직임 등의 단점이 있어 이를 극복하고자 많은 기술적 발전이 이루어져 왔으며, 이 중 현재 가장 앞선 것이 다빈치 수술로봇(da $Vinci^{TM}$ Surgical System)이다. 구미에서는 이미 많은 기관에서 다빈치 수술로봇을 이용한 수술이 시행되고 있으며, 국내에는 2005년 5월 연세대학교 의과대학 세브란스병원에 도입된 후 7월에 식품의약품안전청의 승인을 받아 수술에 이용되기 시작하였다. 저자들은 전종격동에 발생한 기형종에 대하여 다빈치 수술로봇을 이용한 종양적출술을 성공적으로 시행하였기에 보고하는 바이다.