• Title/Summary/Keyword: heart surgery

Search Result 2,869, Processing Time 0.027 seconds

Clinical Analysis of 39 Cases of Open Heart Surgery (개심술 39례의 임상적 고찰)

  • Lee, Jae-Seong;Sin, Gi-U;Choe, Sun-Ho
    • Journal of Chest Surgery
    • /
    • v.18 no.4
    • /
    • pp.711-717
    • /
    • 1985
  • Over a period from July 1984 to June 1985, 39 cases of open heart surgery were done under cardiopulmonary bypass. There were 23 male and 16 female patients, ranging in age from 18 months to 58 years. Thirty cases were valvular disease. The most common of congenital heart disease is VSD. Among the 9 cases of acquired valvular diseae,1 MAP, 5 MVR, 2 MVR+TAP, and 1 MVR+AVR were done. There were 1 operative death[11%] which was done MVR+TAP. Operative mortality in 30 congenital heart disease was 7%; 1 death [5%] in 22 acyanotic and 1[13%] in 8 cyanotic cases. Finally, overall mortality for 39 cases was 8%; 7% for congenital heart disease and 11% for acquired heart disease.

  • PDF

Nerve Block Anesthesia for Foot and Ankle Surgery (신경 차단 마취를 이용한 족부 및 족근 관절 수술)

  • Park, Yong-Wook;Chung, Yung-Khee;Yoo, Jung-Han;Jun, Deuk-Soo;Chun, Jin-Ho
    • Journal of Korean Foot and Ankle Society
    • /
    • v.3 no.1
    • /
    • pp.5-11
    • /
    • 1999
  • We present our experience with the use of nerve block anesthesia in 212 of 484(43.8% ) surgical procedures of the foot and ankle between 1995 and 1997. Nerve block anesthesia was used for surgical procedures of the forefoot, midfoot, hindfoot, and ankle in the setting of elective surgery and trauma. From the viewpoint of the surgeon, nerve block anesthesia was completely successful in 99.5% of the procedures performed. We confirmed that 80% of patients were satisfied with the use of nerve block anesthesia for their operative procedure. There were only one(0.5%) miner complication being toxic neuritis of posterior tibial nerve. With increasing experience, the expanded indications and uses of nerve block anesthesia for foot and ankle surgery are proving to be simple, safe, reliable, and well tolerated by the patient.

  • PDF

Arginine Vasopressin Therapy of Vasodilatory Shock after Cardiopulmonary Bypass - Two cases- (체외 순환 후 발생한 혈관 확장성 쇼크에 대한 바소프레신 투여요법 -2예 보고-)

  • Ahn Young-Chan;Park Chul-Hyun;Lee Jae-ik;Jeon Yang-Bin;Park Kook-Yang
    • Journal of Chest Surgery
    • /
    • v.39 no.1 s.258
    • /
    • pp.60-63
    • /
    • 2006
  • Vasodilatory shock has been implicated in life-threatening complications after cardiac surgery. This syndrome may result from the vasopressin deficiency following cardiopulmonary bypass (CPB), which do not respond to fluids or usual intravenous inotropes. We used arginine-vasopressin in adults with vasodilatory shock coming on cardiopulmonary bypass. Therefore, we report these cases with a review of articles.

Pott's puffy tumor of the upper eyelid misdiagnosed as simple abscess: a case report and literature review

  • Kuylhee Kim;Donghyun Lee;Soyeon Jung;Chul Hoon Chung;Yongjoon Chang
    • Archives of Craniofacial Surgery
    • /
    • v.25 no.3
    • /
    • pp.141-144
    • /
    • 2024
  • A 76-year-old woman, initially thought to have a simple abscess on her right upper eyelid, presented to our department of plastic and reconstructive surgery. Enhanced three-dimensional facial computed tomography (CT) revealed an abscess on the right upper lid, with a pyomucocele present in the right frontal sinus, accompanied by bone erosion in the superior wall of the right orbit. Based on the results of the CT scan, we diagnosed an atypical Pott's puffy tumor (PPT) with an abscess on the upper lid originating from the frontal sinusitis. First, surgical incision and drainage were performed in our department, and a percutaneous vacuum drain was placed. To provide a more definitive treatment, endoscopic sinus surgery (ESS) was subsequently performed by otorhinolaryngologists. The patient was discharged without any complications 5 days after ESS. At a 1-year follow-up, no recurrence or notable neurological symptoms were observed. In the case we observed, the patient presented with an upper eyelid abscess and cellulitis, indicating possible orbital involvement. For such patients, a CT scan is necessary. Given the possibility of PPT, it is critical to perform a comprehensive differential diagnosis rather than defaulting to a straightforward approach involving abscess treatment.

Surgical Treatment of Peroneus Longus Tendon Rupture after Ostectomy of Peroneus Tubercle of Calcaneus: A Case Report (종골의 비골 결절 골절제술 후 발생한 장비골건 파열에 대한 수술적 치료: 증례 보고)

  • Lee, Jin-Young;Kim, Gab-Lae;Jung, Min;Lee, Eui-Soo;Kwon, Jae-Woo;Seo, Dong-Yeon
    • Journal of Korean Foot and Ankle Society
    • /
    • v.18 no.2
    • /
    • pp.72-75
    • /
    • 2014
  • We experienced a patient in whom rupture of the peroneus longus tendon occurred after ostectomy of the peroneus tubercle of the calcaneus. Acute rupture of the peroneus tendon can be managed by end-to-end anastomosis, while neglected cases can be treated by tenodesis, tendon transfer, or tendon graft. In the current patient, the tendon ends were mildly retracted, yielding a small gap. We successfully repaired the retracted tendon ends after lengthening by Z-plasty.

Heart Transplantation Performed in a Patient with Isolated Cardiac Sarcoidosis (심장에 국한된 유육종증 환자에서 시행된 심장 이식)

  • Cho, Hyun Jin;Jung, Sung-Ho;Yun, Tae-Jin;Moon, Dukhwan
    • Journal of Chest Surgery
    • /
    • v.42 no.1
    • /
    • pp.92-95
    • /
    • 2009
  • Sarcoidosis is a systemic inflammatory disease with granulomatous lesions, and cardiac involvement occurs in 20~60% of patients. Isolated cardiac sarcoidosis is extremely rare, and heart transplantation can be performed, if indicated, contingent upon the absence of systemic manifestations of the disease. We present a case of isolated cardiac sarcoidosis with progressive heart failure, which was successfully managed by heart transplantation.

Almost Spontaneously Developed Rupture of Bilateral Achilles Tendons - 1 case report - (거의 자연 발생된 양측 아킬레스건의 파열 - 1예 보고 -)

  • Park, In-Heon;Song, Kyung-Won;Shin, Sung-Il;Lee, Jin-Young;Park, Sung-Jin;Hyun, Youn-Seok
    • Journal of Korean Foot and Ankle Society
    • /
    • v.6 no.1
    • /
    • pp.106-110
    • /
    • 2002
  • The rupture of the Achilles tendon is rather uncommon, but its incidence has been increasing. Main causes are usually due to direct injury or sudden indirect high energy trauma such as sports activity without predisposing disease. Spontaneous rupture of the Achilles tendon are sporadically reported especially from person who took steroid or with similiar predisposing disease. We experienced a patient with bilateral ruptures of the Achilles tendon that had occurred almost spontaneously, without any steroid related medication or underlying diseases.

  • PDF

Bilateral Painful Snapping Scapula - A Case Report - (동통을 동반한 양측성 발음성 견갑골 - 1예 보고 -)

  • Shin Sung-Ryong;Ko Young-Seok;Park Yong-Wook;Lee Sang-Soo;Jeong Un-Seob;Kim Do-Young
    • Clinics in Shoulder and Elbow
    • /
    • v.8 no.2
    • /
    • pp.170-175
    • /
    • 2005
  • Painful and disabling snapping scapula is an unusual condition and there have been several reports that have revealed good results after surgical treatment for unilateral snapping scapula. We experienced a case of bilateral painful snapping scapula in a young man, but with successful treatment by partial resection of the superomedial angle of both scapula. Preoperative 3-dimensional CT revealed bony prominence of the superomedial angle of both scapula and narrowing between superior scapular angle and chest wall.

COMPLEX OSTEOTOMY FOR THE CORRECTION OF POST-TRAUMATIC MIDFACIAL DEFORMITY (외상 후 중안면 기형을 교정하기 위한 복합골 절단술)

  • Lee, Moon-Hoy;Song, Chi-Won;Lee, Dong-Geun;Kim, Seong-Gon;Lee, Yong-Chan;Cho, Byong-Ouck
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • v.28 no.6
    • /
    • pp.488-490
    • /
    • 2002
  • The traffic accident was one of most common cause for the facial bone fracture. When it involved the midfacial structures, the nasal bone fracture was usually shown. If the reduction was not done in time, it would result in facial deformity. Simple case could be corrected by simple rhinoplasty. However, severe cases would require more invasive technique. We used triangular osteotomy included the nasal bones, the vomer, and the medial wall of maxilla for the correction of post-traumatic nasal deformity and reported the result with the review of literatures.

Clinical experience of open heart surgery -500 cases- (개심술 500예에 대한 임상적 고찰)

  • 정황규
    • Journal of Chest Surgery
    • /
    • v.19 no.4
    • /
    • pp.633-643
    • /
    • 1986
  • Five hundred cases of open heart surgery were operated in the Dept. of Thoracic and Cardiovascular Surgery, Pusan National University Hospital from July, 1981 to October, 1986. The clinical data were summarized as follows: 1. The age distribution of congenital heart disease patients was 2 to 41 years old and mean age was 13.4 years and of acquired heart disease was 11 to 57 years old and mean age was 32.7 years. 2. There were 319 cases [63.8%] of acyanotic congenital heart anomalies, 56 cases [11.2%] of cyanotic anomalies and 125 cases [25.[%] of acquired heart disease. 3. For myocardial protection, Bretschneider and potassium glucose solution had been used as cardioplegic solution and since 1983, GIK solution is being used repeatedly every 30 to 40 minutes time interval with excellent results. 4. The ingredient of the priming solution is Hartmann`s solution, mannitol, sodium bicarbonate, potassium, chloride, fresh ACD whole blood, calcium chloride, heparin and dexamethasone. 5. There were 94 cases of mild hypothermia, 280 cases of moderate hypothermia and 126 cases of intermediate hypothermia. 6. The overall mortality was 8.2%. And the mortality rate in each disease entity is 2.5% in acyanotic congenital cases, 33.9% in cyanotic congenital cases and 11.2% in acquired heart disease.

  • PDF