• 방사성폐기물학회지
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• 제7권4호
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• pp.229-236
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• 2009

우리나라에서 발생하는 사용후핵 연료를 CANDU형과 PWR형 2종류로 구분한다. PWR형 사용후핵 연료의 경우 적절한 공정을 거쳐 원료물질로 다시 사용할 수 있는 물질을 많이 포함하고 있어 재활용 공정을 고려할 수 있다. CANDU형 사용후핵 연료는 천연 우라늄을 원료물질로 사용하고 있어 재활용 가능성이 거의 없으므로 직접 처분을 고려하고 있다. 본 논문에서는 PWR형과 CANDU형 사용후핵연료 모두를 직접 처분하는 개념으로 개발한 한국형 사용후핵연료 처분시스템을 바탕으로 CANDU형 사용후핵연료 처분 시스템을 향상시키는 방안을 도출하고자 하였다. 이를 위하여, 현재 원자력발전소에서 사용하고 있는 사용후핵연료 60 다발(Bundle) 용량의 저장바스켓을 포장 활용하는 방안으로 처분용기 개념을 개선하였다. 이들 개선한 처분용기를 기반으로 하여 사용후핵연료의 심지층 처분시스템에 있어서 주요한 제한요건인 폐기물로부터 발생된 열로 인하여 완충재의 온도가 $100^{\circ}C$를 넘지 않도록 하는 요건을 만족시키면서 효율을 향상시킨 처분시스템 개념을 제시하였다. 제시한 처분 시스템 개념들은 장기저장 및 회수성이 용이한 방안을 도입한 개념과 개선한 처분용기를 1개 처분공에 2단으로 처분하는 것으로서 이들 개념을 기존 한국형 처분시스템과 효율성 측면 에서 비교 분석하였다. 본 연구를 통하여 얻은 CANDU 사용후핵연료 처분개념은 단위면적당 열효율, U-density, 처분면적, 굴착량, 완충재 및 폐쇄 물질량을 30~40 %까지 효율을 향상시킬 수 있었다.

• 대한의생명과학회지
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• 제6권2호
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• pp.119-129
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• 2000

피부는 인체의 표면을 보호하는 중요한 기관으로 피부가 손상되었을 경우 상처 재생은 염증기, 상피화기, 수복기의 정상적인 재생 단계를 거치며 치유된다 최근 저강도 레이저의 생물학적 효과로서 상처 재생과의 밀접한 관련성이 알려지고 있다. 본 연구는 저강도 레이저가 상처 재생에 미치는 유의한 효과를 세포 형태학적으로 확인하기 위해 실험적으로 유도한 가토 피부 상처 (2$\times$2 cm)에 12일 동안 5 Hz, 830 nm, 1.6 J/$cm^2$의 자극강도 (10 min/day)로 상처면에 레이저를 적용한 결과, 다음과 같은 곁과를 얻었다. 레이저 조사군의 경우 결합조직의 수복과 상피의 재형성이 대조군과 비교했을 매우 빠르게 진행되는 것으로 관찰되었으며, 특히 섬유아세포의 활성과 육아조직 합성율이 유의하게 증가되는 것으로 확인되었다. 이상의 연구 곁과를 종합해 달 때 유효한 치료강도의 저강도 레이저 자극은 피부의 개방성 창상 및 욕창 등의 상처 치유를 촉진할 수 있는 것으로 사료된다.

• Journal of Chest Surgery
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• 제12권3호
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• pp.281-288
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• 1979

For years, physicians and anatomists have been interested in the heart that has one functioning ventricle. Various terms have been suggested for this entity including single ventricle, common ventricle, double-inlet left ventricle, cor biatriatum triloculare, and primitive ventricle. In this report, the term "single ventricle" is utilized as suggested by Van Praagh, and is defined as that congenital cardiac anomaly in which a common or separate atrioventricular valves open into a ventricular chamber from which both great arterial trunks emerge. An outlet chamber, or infundibulum, may or may not be present and give rise to the origin of either of the great arteries. This definition excludes the entity of mitral and tricuspid atresia. An 11 year old cyanotic boy was admitted chief complaints of exertional dyspnea and frequent upper respiratory infection since 2 weeks after birth. He was diagnosed as inoperable cyanotic congenital heart disease, and remained without any corrective treatment up to his age of 11 year when he suffered from aggravation of symptoms and signs of congestive heart failure for 2 months before this admission. On 22nd of May 1979, he was admitted for total corrective operation under the impression of tricuspid atresia suggested by a pediatrician. Physical check revealed deep cyanosis with finger and toe clubbing, and grade V systolic ejection murmur with single second heart sound was audible at the left 3rd intercostal space. Development was moderate in height [135 cm] and weight[28Kg]. Routine lab findings were normal except increased hemoglobin [21.1gm%], hematocrit [64 %], and left axis deviation with left ventricular hypertrophy on EKG. Cardiac catheterization and angiography revealed 1-transposition of aorta, pulmonic valvular stenosis, double inlet of a single ventricle with d-loop, and normal atriovisceral relationship [Type III C solitus according to the classification of Van Praagh]. At operation, longitudinal incision at the outflow tract of right ventricle in between the right coronary artery and its branch [LAD from RCA] revealed high far anterior aortic valve which had fibrous continuity with mitral annulus, and pulmonic valve was stenotic up to 4 mm in diameter positioned posterolaterally to the aorta. Ventricular septum was totally defective, and one markedly hypertrophied moderator band originated from crista supraventricularis was connected down to the imaginary septum of the ventricular cavity as a pseudoseptum of the ventricle. Size of the defect was 3X3 cm2 in total. Patch closure of the defect with a Teflon felt of 3.5 x 4 cm2 was done with interrupted multiple sutures after cut off of the moderator band, which was resutured to the artificial septum after reconstruction of the ventricular septum. Pulmonic valvotomy was done from 4 mm to 11 mm in diameter thru another pulmonary arteriotomy incision, and right ventriculotomy wound was closed reconstructing the right ventricular outflow tract with pericardial autograft of 3 x 4 cm2. Atrial septal defect of 2 cm in diameter was closed with 3-0 Erdeck suture, and atrial wall was sutured also when rectal temperature reached from 24`C to 35.5`C. Complete A-V block was managed with temporary external pacemaker with a pacing rate of 110/min. thru myocardial wire, and arterial blood pressure of 80/50 mmHg was maintained with Isuprel or Dopamine dripping under the CVP of 25-cm saline. Consciousness was recovered one hour after the operation when his blood pressure reached 100 /70 mmHg, but vital signs were not stable, and bleeding from the pericardial drainage and complete anuria were persisted until his heart could not capture the pacemaker impulse, and patient died of low output syndrome 320 min after the operation.

• Journal of Chest Surgery
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• 제12권3호
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• pp.289-296
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• 1979

For years, physicians and anatomists have been interested in the heart that has one functioning ventricle. Various terms have been suggested for this entity including single ventricle, common ventricle, double-inlet left ventricle, cor biatriatum triloculare, and primitive ventricle. In this report, the term "single ventricle" is utilized as suggested by Van Praagh, and is defined as that congenital cardiac anomaly in which a common or separate atrioventricular valves open into a ventricular chamber from which both great arterial trunks emerge. An outlet chamber, or infundibulum, may or may not be present and give rise to the origin of either of the great arteries. This definition excludes the entity of mitral and tricuspid atresia. An 11 year old cyanotic boy was admitted chief complaints of exertional dyspnea and frequent upper respiratory infection since 2 weeks after birth. He was diagnosed as inoperable cyanotic congenital heart disease, and remained without any corrective treatment up to his age of 11 year when he suffered from aggravation of symptoms and signs of congestive heart failure for 2 months before this admission. On 22nd of May 1979, he was admitted for total corrective operation under the impression of tricuspid atresia suggested by a pediatrician. Physical check revealed deep cyanosis with finger and toe clubbing, and grade V systolic ejection murmur with single second heart sound was audible at the left 3rd intercostal space. Development was moderate in height [135 cm] and weight[28Kg]. Routine lab findings were normal except increased hemoglobin [21.1gm%], hematocrit [64 %], and left axis deviation with left ventricular hypertrophy on EKG. Cardiac catheterization and angiography revealed 1-transposition of aorta, pulmonic valvular stenosis, double inlet of a single ventricle with d-loop, and normal atriovisceral relationship [Type III C solitus according to the classification of Van Praagh]. At operation, longitudinal incision at the outflow tract of right ventricle in between the right coronary artery and its branch [LAD from RCA] revealed high far anterior aortic valve which had fibrous continuity with mitral annulus, and pulmonic valve was stenotic up to 4 mm in diameter positioned posterolaterally to the aorta. Ventricular septum was totally defective, and one markedly hypertrophied moderator band originated from crista supraventricularis was connected down to the imaginary septum of the ventricular cavity as a pseudoseptum of the ventricle. Size of the defect was 3X3 cm2 in total. Patch closure of the defect with a Teflon felt of 3.5 x 4 cm2 was done with interrupted multiple sutures after cut off of the moderator band, which was resutured to the artificial septum after reconstruction of the ventricular septum. Pulmonic valvotomy was done from 4 mm to 11 mm in diameter thru another pulmonary arteriotomy incision, and right ventriculotomy wound was closed reconstructing the right ventricular outflow tract with pericardial autograft of 3 x 4 cm2. Atrial septal defect of 2 cm in diameter was closed with 3-0 Erdeck suture, and atrial wall was sutured also when rectal temperature reached from 24`C to 35.5`C. Complete A-V block was managed with temporary external pacemaker with a pacing rate of 110/min. thru myocardial wire, and arterial blood pressure of 80/50 mmHg was maintained with Isuprel or Dopamine dripping under the CVP of 25-cm saline. Consciousness was recovered one hour after the operation when his blood pressure reached 100 /70 mmHg, but vital signs were not stable, and bleeding from the pericardial drainage and complete anuria were persisted until his heart could not capture the pacemaker impulse, and patient died of low output syndrome 320 min after the operation.

• 한국산림과학회지
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• 제106권1호
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• pp.1-9
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• 2017

산림 벌채 후 형성되는 가장자리 효과의 발생 여부과 회복 과정을 이해하는 것은 생태계 천이와 경관 및 서식지의 공간 영향을 분석하고 이해하는 필수 요소임에도 불구하고, 우리나라에서 관련 주제의 실증 연구는 찾아보기 어렵다. 본 연구는 강원 남부 지역의 소나무림 벌채 후 1, 3, 10, 16년이 경과한 장소에 형성된 벌채지 및 임내 가장자리에서 비생물 및 생물 요인의 변화 양상을 선 (20개) 및 방형구 (340개) 조사법을 병용하여 조사하였다. 벌채 후 초기(3년 이내)는 가장 자리에서 인접 숲 내부 방향으로, 15m 깊이까지 식생 피도, 풍부도, 수관 열림도, 그리고 대기 온도 및 습도가 급격하게 변화하였다. 가장자리 형성 이후, 비생물 요인 및 식물 풍부도의 안정화는 각각 10년 및 16년이 소요되었다. 교목종이 초본식물에 비하여 가장자리 환경에서 더 높은 증가 양상을 나타내었고, 교목종의 높은 증가는 하층식생의 동태에 영향을 주었다. 본 연구 결과를 통해 벌채에 의한 직 간접적인 서식지 변화는 최소 인접 산림의 15 m에서 20 m까지, 그리고 16년 수준까지 지속적으로 영향을 미치는 것으로 나타났다. 본 연구 결과는 경관 및 서식지 패치 평가에 필수적인 가장자리 효과의 깊이에 대한 첫 국내 첫 실증 연구자료로 친환경벌채 기준제시 등 활용성이 높다.

• 한국추진공학회:학술대회논문집
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• 한국추진공학회 2003년도 제20회 춘계학술대회 논문집
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• pp.91-93
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• 2003

A comprehensive numerical study is carried out to investigate for the understanding of the flow evolution and flame development in a supersonic combustor with normal injection of ncumally injecting hydrogen in airsupersonic flows. The formulation treats the complete conservation equations of mass, momentum, energy, and species concentration for a multi-component chemically reacting system. For the numerical simulation of supersonic combustion, multi-species Navier-Stokes equations and detailed chemistry of H2-Air is considered. It also accommodates a finite-rate chemical kinetics mechanism of hydrogen-air combustion GRI-Mech. 2.11[1], which consists of nine species and twenty-five reaction steps. Turbulence closure is achieved by means of a k-two-equation model (2). The governing equations are spatially discretized using a finite-volume approach, and temporally integrated by means of a second-order accurate implicit scheme (3-5).The supersonic combustor consists of a flat channel of 10 cm height and a fuel-injection slit of 0.1 cm width located at 10 cm downstream of the inlet. A cavity of 5 cm height and 20 cm width is installed at 15 cm downstream of the injection slit. A total of 936160 grids are used for the main-combustor flow passage, and 159161 grids for the cavity. The grids are clustered in the flow direction near the fuel injector and cavity, as well as in the vertical direction near the bottom wall. The no-slip and adiabatic conditions are assumed throughout the entire wall boundary. As a specific example, the inflow Mach number is assumed to be 3, and the temperature and pressure are 600 K and 0.1 MPa, respectively. Gaseous hydrogen at a temperature of 151.5 K is injected normal to the wall from a choked injector.A series of calculations were carried out by varying the fuel injection pressure from 0.5 to 1.5MPa. This amounts to changing the fuel mass flow rate or the overall equivalence ratio for different operating regimes. Figure 1 shows the instantaneous temperature fields in the supersonic combustor at four different conditions. The dark blue region represents the hot burned gases. At the fuel injection pressure of 0.5 MPa, the flame is stably anchored, but the flow field exhibits a high-amplitude oscillation. At the fuel injection pressure of 1.0 MPa, the Mach reflection occurs ahead of the injector. The interaction between the incoming air and the injection flow becomes much more complex, and the fuel/air mixing is strongly enhanced. The Mach reflection oscillates and results in a strong fluctuation in the combustor wall pressure. At the fuel injection pressure of 1.5MPa, the flow inside the combustor becomes nearly choked and the Mach reflection is displaced forward. The leading shock wave moves slowly toward the inlet, and eventually causes the combustor-upstart due to the thermal choking. The cavity appears to play a secondary role in driving the flow unsteadiness, in spite of its influence on the fuel/air mixing and flame evolution. Further investigation is necessary on this issue. The present study features detailed resolution of the flow and flame dynamics in the combustor, which was not typically available in most of the previous works. In particular, the oscillatory flow characteristics are captured at a scale sufficient to identify the underlying physical mechanisms. Much of the flow unsteadiness is not related to the cavity, but rather to the intrinsic unsteadiness in the flowfield, as also shown experimentally by Ben-Yakar et al. [6], The interactions between the unsteady flow and flame evolution may cause a large excursion of flow oscillation. The work appears to be the first of its kind in the numerical study of combustion oscillations in a supersonic combustor, although a similar phenomenon was previously reported experimentally. A more comprehensive discussion will be given in the final paper presented at the colloquium.

• 한국환경농학회지
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• 제7권2호
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• pp.102-110
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• 1988

대호(大湖) 방조제(防潮堤) 축조(築造) 후(後) 담수호(淡水湖)의 수질(水質)을 조사(調査)하여 염농도 및 일반수질변화가 관개용수원에 미치는 영향을 규명(糾明)하고자 '84년(年) 에서 '88년(年) 5월(月) 까지의 조사결과(調査結果)를 요약(要約)하면 다음과 같다. 1. 대호(大湖) 담수호(淡水湖)의 수온분포(水溫分布)는 암거탄구 설치지점(設置地點)인 -14m 상부에는 계절변화(季節變化)에 따른 기온(氣溫)의 영향으로 변화(變化)$(6-25^{\circ}C)$가 많았으며, 암거탄구 이하에서는 $11.9^{\circ}C$로 년중(年中) 변화(變化)가 없었다. 2. 방조제(防潮堤) 앞 제일 깊은곳의 연도별(年度別) 수질변화는 pH7.6 $EC16,800-1,472{\mu}m$ hos/cm, DO 9.2-10.8ppm, BOD 1.3-2.5ppm, COD 2.4-5.3ppm, T-N 0.22-2.29pp, T-P는 0.01-0.10ppm을 나타내었다. 3. 대호(大湖) 담수층(淡水層)의 평균 수질성적('88년)은 pH 7.6, $EC1,745{\mu}m$ hos/cm, DO 10.8ppm, BOD 1.8pp, COD 2.4pp, T-N 0.52ppm, T-P 0.05ppm으로 전(全) 지점(地點)에서 비슷한 경향(傾向)이었다. 4. 담수층(淡水層)(6m)에서의 염도변화(鹽度變化)는 체절(締切) 전(前) 29,000ppm에서 '84년(年) 3월(月) 11,000ppm '85년(年) 3월(月) 4,300ppm, '86년(年), '87년(年) 3월(月)에는 2,000ppm, '88년 3월(月)에는 900ppm 까지 낮아졌다. 호내(湖內) 평균(平均) 염도(鹽度) 29,000ppm 정도에서 '88년(年) 3월(月) 1,200ppm 까지 낮아졌다. 또한 암거탄구 상부의 평균염도('87년(年))는 1,300ppm 정도였으며, 탄구아래는 해수(海水)와 같은 30,000ppm정도였다. 5. 담수층(淡水層)에서 가장 높은 염도를 나타낸 지점(地點)은 방조제(防潮堤) 앞 부근이며, '84년(年)에는 5,835ppm 이었다. 6. 조사시기별(調査時期別) 염도변화(鹽度變化)는 갈수기인 '87년(年) 5월(月) 2,000ppm에서 홍수기 후 8월(月) 800ppm, 풍수기인 9월(月)에는 485ppm까지 낮아졌다. 7. 염분약층(鹽分躍層) 깊이는 암거탄구 지점(地點)인 -l4m까지 유지(維持)되어 담수호화(淡水湖化)가 진행(進行)되었다. 그러므로 대호(大湖) 담수층(淡水層)의 수질은 농업용수원(農業用水源)으로는 큰 문제가 없으며, 삽교호로부터 제염용수(除鹽用水)의 공급(供給)도 불필요할 것으로 사료된다.

• 한국산림과학회지
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• 제111권3호
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• pp.405-417
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• 2022

본 연구는 건조 스트레스에 따른 Prunus maximowiczii(산개벚나무) 및 Prunus serrulate Lindl. var. pubescens(Makino)Nakai(잔털벚나무)의 광합성 특성 및 광계II 활성에 미치는 영향을 알아보고자 수행하였으며, 건조 스트레스(drought stress, DS)는 30일간의 단수처리를 통해 유도하였다. 건조 스트레스가 진행됨에 따라 토양 수분함량은 감소하였으며, DS 10~12일 사이에 두 수종모두 10% 이하로 건조한 상태가 되고, DS 15일 이후부터는 5% 이하로 나타나 위조가 시작되는 조건에 해당되었다. DS 10일부터 최대광합성 속도, 광보상점의 감소가 두드러졌고, 암호흡 및 순양자수율은 DS 15일에 크게 감소하다가 DS 20일 이후부터 증가하는 경향을 보였다. 또한 산개벚나무의 기공증산속도는 DS 15일에 크게 감소한 뒤 DS 20일 이후부터 증가하였으며, 수분이용효율은 DS 15일에 증가한 뒤 DS 20일 이후부터 감소하였다. 잔털벚나무의 경우 기공증산속도는 DS 20일에 크게 감소한 뒤 이후부터 증가하였으며, 수분이용효율은 DS 20일에 증가한 뒤 이후부터 감소하는 경향을 보였다. 이는 수분 손실을 막기 위해 기공을 닫게 되어 수분이용효율이 일시적으로 증가한 것을 의미한다. 엽록소 형광분석을 통해 산개벚나무는 DS 15일, 잔털벚나무는 DS 20일 이후에 기능지수(PI_ABS) 및 에너지전달 효율의 감소가 두드려졌으며, 광계II의 활성이 감소되었다. 특히, Ts-Ta, PI_ABS, DI_O/RC, ET_O/RC는 토양수분함량의 감소와 광합성 특성과도 유사하게 나타나, 수목의 건조 스트레스를 평가하는데 있어서 유용한 변수로 활용될 수 있을 것으로 보인다.

• Journal of Chest Surgery
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• 제35권6호
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• pp.420-429
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• 2002

심장수술시 체외순환은 저체온 기법으로 실시되지만 최근의 동향은 정상체온 체외순환 기법을 사용하려는 경향이 늘고 있다. 그러나 심장수술 동안 뇌 대사에 대한 정상 체온 체외순환의 임상적 유용성이나 안전성은 아직 완전히 이해되거나 확립되지 않은 상태이다. 저자들은 심장수술 동안 뇌 대사에 대한 정상 체온 체외순환 기법과 중등도 저체온 체외순환 기법의 영향을 비교 평가하기 위해 전향적 연구를 시행하게 되었다. 대상 및 방법: 36명의 성인 심장수술 환자들은 연구목적에 따라 정상 체온 체외순환군(이하 정상체온군, 비인두 온도＞34.5$^{\circ}C$, n=18)과 중등도 저 체온 체외순환군(이하 저체온군, 비인두 온도 29~3$0^{\circ}C$, n=18)으로 한 뒤 비박동성 체외순환을 실시하였다. 전체 환자들에 대해 중대뇌 동맥 뇌혈류 속도(뇌혈류 속도), 뇌동정맥 산소 함량차, 뇌산소 추출률, 수정 뇌산소 대사율, 뇌산소 운반율, 뇌정맥 산소 불포화도(내경 정맥구 혈액 산소포화도$\leq$50%), 기타 동맥 및 내경 정맥구 혈액의 가스분석 등을 체외순환 전(기준치), 체외순환-10분, 재가온-1기(저체온군의 비인두 온도 34$^{\circ}C$때), 재가온-2기(양 그룹의 비인두 온도 37$^{\circ}C$때), 체외순환 종료 직후, 흉부 피부 봉합기 때 측정하였다. 수술 후 신경학적 합병증 역시 관찰하였으며, 전술한 모든 변수들을 양 그룹간에 비교 분석하였다. 결과： 뇌혈류 속도는 재가온­2 때 저체온군(153.11$\pm$8.98 %)이 정상체온군(131.18$\pm$6.94 %) 보다 유의하게 높았다(p＜0.05). 체외순환 10분 때의 뇌동정맥 산소함량차(3.47$\pm$0.21 vs 4.28$\pm$0.29 mL/dL, p＜0.05), 뇌산소 추출률(0.30$\pm$0.02 vs 0.39$\pm$0.02, p＜0.05), 그리고 뇌산소 대사율(4.71$\pm$0.42 vs 5.36$\pm$0.45, p＜0.05)은 저체온군이 정상체온군 보다 유의하게 낮았다. 뇌산소 운반율은 저체온군이 정상체온군 보다 체외순환 10분(1,527.60$\pm$25.84 vs 1,368.74$\pm$20.03, p＜0.05), 재가온-2기(1,757.50$\pm$32.30 vs 1,478.60$\pm$27.41, p<0.05), 흉부 피부봉합기 때(1,734.37$\pm$41.45 vs 1,597.68$\pm$27.50, p＜0.05) 유의하게 더 높았다. 체외순환 10분 때 내경 정맥구의 산소분압(40.96$\pm$1.16 vs 34.79$\pm$2.18 mmHg, p＜0.05), 산소포화도(72.63$\pm$2.68 vs 64.76$\pm$2.49 %, p＜0.05), 그리고 산소함량(8.08$\pm$0.34 vs 6.78$\pm$0.43 mL/dL, p＜0.05)은 저체온군이 정상체온군 보다 유의하게 더 높았다. 수술 후 신경학적 합병증(섬망) 발생 환자 수는 저체온군이 정상체온군 보다 유의하게 적었고(2 명 vs 4 명, p＜0.05) 섬망증세의 지속시간 역시 저체온군이 정상체온군 보다 훨씬 짧았다(60 시간 vs 160 시간, p＜0.01). 결론: 이상의 연구 결과들을 볼 때 정상 체온 체외순환 기법은 고령환자나 장시간 수술환자에 있어 일상적 방법으로 적용하기에 문제가 있을 것 같으며 중등도 저체온 체외순환이 정상 체온 체외순환보다 뇌대사 및 수술 후 신경학적 결과에 더 바람직 할 것으로 판단된다.

• Journal of Chest Surgery
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• 제9권1호
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• pp.1-9
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• 1976

The present. study reports four cases of congenital heart diseases, who received open heart surgery by the Sarn's Heart-Lung-Machine in the department of Thoracic Surgery, Hanyang University Hospital during the period between July 1975 and May 1976. The Heart-Lung-Machine consisted of the Sarn's five head roller pump motor system (model 5000), heat exchanger, bubble trap, the Rygg-Kyvsgaard oxygenator, and monitors. The priming of pump oxygenator was carried out by the hemodilution method using Hartman's solution and whole blood. Of the four cases of the heart diseases, three whose body weight were below 30kg, received the partial hemodilution priming and the remaining one whose body weight was 52kg received the total hemodilution priming with Hartman's solution alone. The rate of hemodilution was in the average of 60.5ml/kg. Extracorporeal circulation was performed at the perfusion flow rate of the average 94.0ml/kg/min, and at the moderate hypothermia between 35'5"C and 30'5"C of the rectal temperature. In the total cardiopulmonary bypass, arterial blood pressure was anged between 30 mmHg and 85 mmHg, generally maintaining over 60 mmHg and venous pressure was measured between 4 and $23cmH_2O$, generally maintaining below $10cmH_2O$. The first case: The patient, a nine year old girl having the symptoms and physical signs typical to cardiac anomaly was definitely diagnosed as isolated pulmonary stenosis through the cardiac catheterization. There was, however, no cyanosis, no pathological finding by X-ray and E.C.G. tracings. The valvulotomy was performed through the arteriotomy of pulmouary artery under the total cardiopulmonary bypass. Postoperative course of the patient was uneventful, and murmur and the clinical symptoms disappeared. The second case: A 12 year old boy with congenital heart anomaly was positively identified as having ventricular septal defect through the cardiac catheterization. As in the case with the first case, the patient exhibited the symptoms and physical signs typical to cardiac anomaly, but no pathological abnormality by X-ray and E.C.G. tracings. The septal defect was localized on atrioventricular canal and was 2 by 10 mm in size. The septal defect was closed by direct simple sutures under the cardiopulmonary bypass. Postoperative hemodynamic study revealed that the pressure of the right ventricle and pulmonary artery were decreased satisfactory. Postoperative course of the patient was uneventful, and murmur and the clinical symptoms disappeared. The third case: The patient, a 19 year old girl had been experienced the clinical symptoms typical to cardiac anomaly for 16 years. The pink tetralogy of Fallot was definitey diagnosed through the cardiac catheterization. The patient was placed on an ablolute bed rest prior to the operation because of severe exertional dyspnea, fatigability, and frequent syncopal attacks. However, she exhibited very slight cyanosis. Positive findings were noted on E.C.G. tracings and blood picture, but no evidence of pathological abnormality on X-ray was observed. All of the four surgical approaches such as Teflon patch closure (3 by 4cm in size) of ventricular septal defect, myocardial resection of right ventricular outflow tract, valvulotomy of pulmonary valvular stenosis, and pericardial patch closing of ventriculotomy wound were performed in 95 minutes under the cardiopulmonary bypass. Postoperative hemodynamic study revealed that the pressure of the right ventricle was decreased and pulmonary artery was increased satisfactorily. Postoperative course of the patient was uneventful, and murmur and the clinical symptoms disappeared. The fourth case: The patient, a 7 1/4 year old girl had the symptoms of cardiac anomaly for only three years prior to the operation. She was positively identified as having acyanotic tetralogy of Fallot by open heart surgery. The patient showed positive findings by X-ray and E.C.G. tracings, but exhibited no cyanosis and normal blood picture. All of the three surgical approaches, such a myocardial resection of hypertrophic sight ventricular outflow tract, direct suture closing of ventricular septal defect and pericardial patch closing of ventriculotomy wound were carried out in 110 minutes under the cardiopulmonary bypass. Postoperative hemodynamic study revealed that the pressure of the right ventricle was decreased and pulmonary artery was increased satisfactorily. Postoperative course of the patient was uneventful, and the symptoms disappeared.