• 제목/요약/키워드: congenital anomaly

검색결과 492건 처리시간 0.023초

선천성 족지 기형의 치료 (Treatment of Congenital toe Anomalies)

  • 차성무;서진수
    • 대한족부족관절학회지
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    • 제16권3호
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    • pp.148-155
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    • 2012
  • There are many different type of congenital toe anomalies such as syndactyly, polydactyly which are more common, and less frequently macrodactyly and curly toe. Congenital anomaly of hand can decrease the hand function and easy to be visualized, so the early treatment of anomaly is natural and recommended. On the other hand, Congenital anomaly of foot rarely decrease the foot function and was hidden in the shoe, so treatment of anomaly was delayed frequently. However, the surgery can be needed, as the foot getting grown-up, discomfort of shoe fitting or intractable plantar keratosis due to secondary deformation of foot can occur. A distinct feature and surgical consideration was compared with congenital anomaly of hand and it should be taken into account in the treatment of adult toe anomalies.

1984 년도 년간 개심술 103례 보고 (Clinical Report of 103 Cases of Open Heart Surgery in 1984)

  • 김규태
    • Journal of Chest Surgery
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    • 제18권3호
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    • pp.398-406
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    • 1985
  • 103 cases of open heart surgery were performed in the Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital in 1984. There were 90 congenital cardiac anomaly and 13 acquired heart diseases. Out of 90 congenital cardiac anomaly, 63 cases of acyanotic group and 27 cases of cyanotic group were noted. In 63 cases of acyanotic group, 11 ASD, 45 VSD and 7 other acyanotic anomaly were included. In 27 cases of cyanotic group, 4 Trilogy of Fallot, 15 TOF, 3 Pentalogy of Gasul and 5 other cyanotic anomaly were found. Among 13 cases of acquired heart diseases, 12 valvular lesions and 1 atrial myxoma were noted. Two open mitral commissurotomy and ten valve replacements were performed for 12 valve lesions. The frequent complications were acute respiratory insufficiency and low cardiac output syndrome occurred in 5 cases. The perioperative mortality was 4.8% in acyanotic congenital cardiac anomaly, 7.4% in cyanotic congenital cardiac anomaly, and 0% in acquired heart diseases. Overall mortality for 103 cases of open heart surgery was 4.9%.

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Tricuspid Valve Re-Repair in Ebstein Anomaly Using the Cone Technique

  • Kim, Do Jung;Suh, Jee Won;Shin, Yu Rim;Shin, Hong Ju;Park, Han Ki
    • Journal of Chest Surgery
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    • 제49권1호
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    • pp.35-38
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    • 2016
  • The management of recurrent tricuspid regurgitation after tricuspid valve repair in patients with Ebstein anomaly is difficult, and tricuspid valve replacement is most commonly performed in such patients. We report two cases of recurrent tricuspid regurgitation in patients with Ebstein anomaly that were successfully re-repaired using the cone technique. The cone repair technique is a useful surgical method for reconstructing a competent tricuspid valve, and can be applied in patients who have undergone previous tricuspid valve repair.

1985년도 연간개심술 131예 보고 (Clinical report of 131 cases of open heart surgery in 1985)

  • 김규태
    • Journal of Chest Surgery
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    • 제19권3호
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    • pp.399-406
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    • 1986
  • 131 cases of open heart surgery were performed in the Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital in 1985. There were 116 congenital cardiac anomaly and 15 acquired heart diseases. Out of 116 congenital cardiac anomaly, 73 cases of acyanotic group and 43 cases of cyanotic group were noted. In 73 cases of acyanotic group, 17 ASD, 52 VSD and 4 other acyanotic anomaly were noticed. In 43 cases of cyanotic group, 4 Trilogy of Fallot, 34 TOF, 1 Pentalogy, 3 DORV and 1 DCRV were included. Of the 15 acquired valvular heart disease cases, individual incidence was in mitral valve 10, double valve 3, and simple aortic valve 2 cases. Total number of valve replaced was 16, and 13 for mitral, 2 for aortic, and 1 for tricuspid in position, including 1 cases of double valve replacement. Overall operative mortality for 131 cases of open heart surgery was 4.5%, and the operative mortality was 5.5% in congenital acyanotic group, 2.3% in congenital cyanotic group, 0% in TOF group and 6.7% in acquired group.

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엡스타인 심기형 -1례 보고- (Ebstein's Anomaly -A Case Report-)

  • 전찬규
    • Journal of Chest Surgery
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    • 제27권1호
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    • pp.57-59
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    • 1994
  • Ebstein`s anomaly, a rare congenital cardiac anomaly, is characterized by downward displacement of abnormal tricuspid valve. Indication for surgical repair and the optimal surgical approach are still controversy. Recently, we experience a case of Ebstein anomaly, which was treated by atrilized right ventricular plication and annuloplasty. The patient was discharged with good result on 17th post-operative day.

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Congenital syngnathia: a case report

  • Kim, Chul-Hwan;Kim, Moon-Young
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제38권3호
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    • pp.171-176
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    • 2012
  • Congenital syngnathia refers to the fusion of bony tissues, a rare disorder with only 41 cases reported in the international literature from 1936 to 2009. The occurrence of syngnathia without any other associated systemic disease or congenital anomaly is extremely rare. This report presents a case of congenital syngnathia with unilateral maxillomandibular bony adhesion without any other oral or maxillofacial anomaly. No recommended protocol for surgery exists due to the rarity of the disorder. There is a very low survival rate for the few patients who have forgone surgical management. This case describes a 74-year-old female patient who was suffering from limitation of mouth opening and was subsequently diagnosed with congenital syngnathia. The surgical staff performed separation surgery and reconstructed the malformed oral vestibule and cheek using the radial forearm free flap operation.

DiGeorge증후군에 동반된 선천성 심장기형 치험 1례 (A case of Congenital Cardiac Anomaly Associated with DiGeorge Syndrome)

  • 손영상;김태식;황재준;김학제;박선화
    • Journal of Chest Surgery
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    • 제32권6호
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    • pp.584-587
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    • 1999
  • DiGeorge증후군은 드문 선천성 기형으로 3번째와 4번째 인후낭의 발생과정 이상에 의한 흉선과 부갑상선의 형성부전과 관련이 있다. 이 증후군은 흔히 선천성 심장기형과 안면기형을 동반한다. 저자들은 DiGeorge증후군을 동반한 선천성 심장기형을 1례 수\ulcorner 치험하였다. 환아는 생후 1개월된 남아로 몸무게는 3.5kg이었다. 동반된 선천성 심장기형은 심실중격결손증, 심방중격결손증, 대동맥축착증 및 동맥관 개존증이었다. 수술은 좌측방 개흉 및 흉골 정중절개를 통하여 일차에 거쳐 시행하였고 환아는 수술 후 별다른 문제없이 회복하였다. 현재 6개월 째 외래 추적관찰 중에 있으며 양호한 상태로 성장하고 있다.

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심혈관질환 수술에 대한 임상적 고찰 (Clinical analysis of cardiovascular surgery: a report of 1144 cases)

  • 유회성
    • Journal of Chest Surgery
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    • 제17권3호
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    • pp.331-338
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    • 1984
  • From 1959 to Jun. 30 84, 1144 cases of various cardiovascular diseases were operated consisting of 421 open heart surgery under extra-corporeal circulation or hypothermia and 723 conventional surgery at department of Thoracic and Cardiovascular Surgery in National Medical Center. There were 470 congenital anomaly and 674 acquired lesions. Out of 470 congenital anomaly, acyanotic anomaly was 289 and cyanotic anomaly was 181. Among 647 acquired lesions, 473 was cardiac lesion, 87 was pericardial lesion and 105 was vascular diseases. Over all operative mortality was 9.0%, consisting of 7.6% for acyanotic, 19.3% for cyanotic anomaly and 6.8% for acquired lesion. Mortality for 723 conventional surgery was 6.2%, and 421 open heart surgery was 13.8%.

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A Tale of the Tail : A Comprehensive Understanding of the "Human Tail"

  • Tojima, Sayaka
    • Journal of Korean Neurosurgical Society
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    • 제64권3호
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    • pp.340-345
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    • 2021
  • Humans do not have tails; however, a congenital anomaly named "human tail" has been recognized since old times. In contrast with its impactful name, the anomaly itself is not fatal, and thus it has not been considered as a clinically serious symptom. However, many case reports suggested that retention of "the tail" is closely associated with spinal cord malformation and should be treated with care by neurosurgeons. Therefore, this review summarizes our knowledge regarding the anatomy, function, and development of the tail as a general structure in mammals. Learning the basic knowledge regarding tail anatomy and development would help clinicians to understand the "human tail" more concisely and to select more appropriate examinations or treatments in relation to this congenital anomaly.

개심술1,500례의 임상적 고찰 (The Clinical Study of 1500 Cases in Open Heart Surgery)

  • 김주홍
    • Journal of Chest Surgery
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    • 제27권11호
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    • pp.914-921
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    • 1994
  • From May 1977 to November 1993, 1, 500 cases of open heart surgery were performed under the cardiopulmonary bypass. In 1500 cases of open heart surgery 975 cases[65%] were congenital heart disease and 525 cases[35%] were acquired heart disease. In 975 cases of congenital heart disease, there were 812 cases[83%] of acyanotic congenital heart anomaly and 163 cases of cyanotic congenital anomaly. In 525 cases of acquired heart disease, most cases were valvular heart disease in which 557 valves were implanted. The each operative mortality of congenital and acquired disease was 7.7% and 7.4% respectively and then overall mortality rate was 7.6%. There has been increasing incidence of open heart surgery in infants in recent years. After 1990, 28 cases of infant open heart surgery below the 12month were performed. Most lowest weight was 2, 200g[15 days]. Operative mortality of open heart surgery in infant with weight below the 10kg was very high as a 25.7%.

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