• Clinical and Experimental Pediatrics
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• 제51권2호
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• pp.209-213
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• 2008

신경성 식욕부진은 여자 청소년에 있어서 체중 감소의 주된 원인임과 동시에 소아와 청소년에 있어서 입원의 주된 원인 중의 하나이다. 이는 생명을 위협할 수 있는 장애로서 약 1/3에서 심장 합병증으로 사망한다. 신경성 식욕부진 환자에서 심장막삼출이 높은 발생빈도를 보인다고 최근에 보고되고 있으나 심장막천자술이 필요한 경우는 흔하지 않다. 저자들은 많은 양의 심장막삼출을 동반한 3명의 신경성 식욕부진 여아를 경험하였기에 보고하고자 한다. 이 중 2명은 심낭압전의 가능성이 있어서 심장막천자술이 필요하였다.

• 대한수의학회지
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• 제56권4호
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• pp.273-276
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• 2016

Pericardial mesothelioma is a rare neoplasm in dogs. This report describes a case of pericardial mesothelioma in a 13-year-old Shih Tzu that presented with a clinical history of dyspnea. Hemorrhagic pericardial effusion and chylous pleural effusion with reactive mesothelial cells were identified by radiograph and cytology. Necropsy revealed multiple round nodules throughout the pericardium and regional lymph nodes in addition to chylothorax. Histopathology revealed invasive neoplasm on the pericardial surface with metastasis to the lymph nodes. The neoplastic cells were immunopositive to both cytokeratin and vimentin. Diagnosis of pericardial mesothelioma with regional lymph node metastasis was made.

• Journal of Chest Surgery
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• 제24권2호
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• pp.190-196
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• 1991

Clinical experience of 48 acute pericarditis with effusion was reviewed and presented. There were 28 male and 20 female patients ranging from 3 years to 77 years old. Malignant effusion; Twenty patients had underlying malignancy. These etiologies were lung ca[8 patients, 40%], breast ca[7 patients 35%], lymphoma[2 patients, 10%], esophageal ca[1 patients, 5%], stomach ca[1 patient, 5%], ovarian ca[1 patient, 5%]. Uremic effusion; 15 patients with renal failure required surgical intervention. Traumatic effusion; 7 patients had traumatic pericarditis. These etiologies were stab wound [5 patients, 71.4%] and aspiration[2 patients, 28.6%]. Pyogenic effusion: 6 patients had pyogenic pericarditis. These etiologies were empyema thoracis[3 patients, 50%], liver abscess[2 patients, 33.3%], pneumonia[1 patient, 16.7%]. The patients were treated by pericardiocentesis, subxiphoid tube drainage, pericardiectomy: 4 of them underwent pericardiocentesis; 37, subxiphoid tube drainage; 5, pericardiectomy. We conclude that subxiphoid tube pericardial drainage was effective for treatment of pericardial effusion.

• 한국임상수의학회:학술대회논문집
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• 한국임상수의학회 2009년도 춘계학술대회
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• pp.269-269
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• 2009

• 한국임상수의학회:학술대회논문집
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• 한국임상수의학회 2009년도 춘계학술대회
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• pp.217-217
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• 2009

• Journal of Chest Surgery
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• 제28권4호
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• pp.412-415
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• 1995

Primary cardiac tumors are extremely rare and about 20-25% of primary cardiac tumors are malignant. Recently we have experienced a case of primary cardiac rhabdomyosarcoma originated on the right atrial wall. Patient was 41 years-old women and chief complaints were pitting edema and exertional dyspnea. Emergency operation was performed to relieve symptoms by pericardial effusion that hac been seen on the echocardiogram and large soft mass in right atrial cavity on the MRI. About 700ml amounts of bloody pericardial effusion was collected into the pericardial cavity. 4X5X5 cm sized ingrowing soft mass in the right atrial cavity and two small sized outgrowing masses were inspected. A tumor was invaded into the SA node and superior limbic portion of fossa ovalis. And then mass & right atrial free wall was resected but areas of SA node and fossa ovalis were not resected. Defect of right atrial wall was reconstruced with bovine patch. She was discharged after 2 weeks without any problems and she has been treated with chemotherapy.

• Journal of Trauma and Injury
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• 제30권1호
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• pp.21-23
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• 2017

Penetrating cardiac injury caused by nail gun is an uncommon life-threatening condition characterized by a rapidly severe hemodynamic status compromise. We report non-contrast-enhanced CT findings of a right ventricle myocardium injury leading to a fluid collection in the pericardial space with the same attenuation as blood. The CT findings well depicted the pathological feature of a significant cardiac injury and may be helpful for the surgical management.

• Journal of Chest Surgery
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• 제28권7호
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• pp.713-716
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• 1995

A 75-year-old man was admitted to the hospital because of a pericardial effusion.After 3 L of blood-stained pericardial fluid was drained, clinical examination together with echocardiography and chest computed tomography showed a tumor in the right atrium. At operation a pedunculated vascular tumor was found with a broad base which was embedded in the atrial wall and extended into the pericardium.A wide resection was performed resulting in a large defect of the right atrial wall. The defect was reconstructed with a pericardial patch. The patient did well postoperatively, but bloody pleural effusion developed later, presumably because of pulmonary metastasis. The patient died 2 months after surgery as a result of respiratory failure.

• Journal of Chest Surgery
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• 제35권4호
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• pp.307-310
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• 2002

교액성심낭염(constrictive pericarditis) 환자에서 심낭절제술(pericardiectomy)을 시행했음에도 불구하고 호전되지 않을 때 일반적으로 불완전 심낭절제술(Incomplete parietal pericardiectomy), 심근섬유위축(myocardial fiber atrophy), 제한성심근병증(unexpected restrictive cardiomyopathy) 등을 생각해볼 수 있다. 그리고 교액성심 장외막염(constrictive epicarditis)의 가능성도 생각해야한다. 본원에서는 심낭삼출액(pericardial effusion)을 동반한 교액성심낭염 환자에서 심낭절제술을 시행한 후 수술 후에도 인상적으로 임상적, 혈동학적으로 호전이 없는 교액성심장외막염 환자를 접하고 2차적으로 수술(Waffle procedure)을 시행하여 좋은 결과를 얻었기에 보고하고자한다.

• Journal of Yeungnam Medical Science
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• 제3권1호
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• pp.301-306
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• 1986

저자들은 1986년 7월 2일 본 영남대학교 의과대학 부속 병원 내과에 입원한 혈액성 심낭 삼출액및 심막 비후 환자에서 심낭 개창술시 심막 조직 검사상 심막 악성 중피종으로 진단되고 급격한 임상 경과를 보이고 사망한 예를 경험하였다.