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Truncus Arteriosus, Type I one case report (총동맥간증 [1 형] 의 치험례)

  • 송인석
    • Journal of Chest Surgery
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    • v.18 no.3
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    • pp.414-422
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    • 1985
  • Truncus arteriosus is one of the rare cyanotic congenital cardiac anomalies and thought to be result from complete or partial failure of trunco-conal septum. A single arterial trunk receiving blood from both ventricles supplies the coronary, pulmonary and systemic circulation. The symptoms were usually related to the degree of the pulmonary blood flow and functional status of truncal valve, and mostly appeared within the first two months of life. The prognosis is generally considered to be poor in spite of successful surgical correction. This report is a case of 13 years old female with type I truncus arteriosus, which was successfully corrected using a intracardiac Dacron tunnel graft[semilunar, 18mm] from VSD to the truncal valve, and a extra-cardiac lonescu-Shiley valved[20mm] Dacron conduit [21mm] from RV to the pulmonary artery[Rastelli operation].

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Congeniral Coronary Arteriovenous Fistula; Right Coronary- Right Ventricle; Report of Two Cases (우관상동맥에서 우심실로 개구되는 선천성 관동맥루;수술치험 2례)

  • 윤영철
    • Journal of Chest Surgery
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    • v.26 no.8
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    • pp.638-642
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    • 1993
  • Congenital coronary arteriovenous fistula is relatively uncommon and widespread use of echocardiogram and selective coronary angiogram are being recognized with increasing frequency. The right coronary artery is most commonly involved and the fistulous communication is most common to right ventricle. Surgical correction is strongly recommended to prevent the development of congestive heart failure, angina, subacute bacterial endocarditis, myocardial infarction, and pulmonary hypertension, as well as coronary aneurysm formation, with subsequent rupture or embolism. We report two cases of coronary arteriovenous fistula originated from right coronary artery terminated in the right ventricle. These 8 year-old female and 7 year-old male patients had surgical interventions using cardiopulmonary bypasses.

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Congenital esophageal atresia and tracheoesophageal fistula: report of 4 cases (선천성 식도 폐쇄 및 기관식도루 4례 보고)

  • 채성수
    • Journal of Chest Surgery
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    • v.16 no.1
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    • pp.127-130
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    • 1983
  • Esophageal atresia and Tracheoesophageal fistula may occur as separate entities but usually occur in combination. First described by Durston in 1970, esophageal atresia was not successfully treated until 1939 when the first two survivors of staged correction were described by Ladd and Leven. In 1941, Haight and Towsley performed the first successful primary repair. Authors report four cases of esophageal atresia of which two cases were treated surgically in success with Haight`s method. The type of four cases were all the same as upper blind pouch and lower tracheoesphageal fistula. Two of them were associated with verterbral defect, imperforate anus and/or rib fusion. Two cases died within seven days due to parent`s refusal for operative therapy, others were treated surgically with Haight`s method. Operative patients tolerated all the operative procedure and recovered uneventfully, permitted feeding on 7th postoperative day. On follow up study, one patient revealed intermittent regurgitation and corrected with bougienation another with good health without complication.

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Surgical Repair of Esophageal Atresia with Tracheoesophageal Fistula - Report of Three Cases - (선천성 식도 폐쇄및 기관식도루 수술치험 3례)

  • 허강배
    • Journal of Chest Surgery
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    • v.25 no.9
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    • pp.891-899
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    • 1992
  • Esophageal atresia with tracheoesophageal fistula may occur as separate, but usually occur in combination. First described by Thomas Gibson in 1696, esophageal atresia was not successfully treated until 1939 when the first two survivors of staged correction were described by Ladd and Leven. In 1941, Haight and Towsley performed the first successful one-stage primary repair. We report three cases of esophageal atresia with tracheoesophageal fistula of which were treated with one-stage surgical repair method. The operation was performed tra-nspleurally through right 4th intercostal space. The fistula in the trachea was closed with interrupted 5-O prolene sutures and esophagoesophageal anastomosis was performed with 3-O prolene single layer sutures in all cases. All patients tolerated the operative procedures and recovered uneventfully. On follow-up study, anastomotic stricture was developed in one patients, so esophageal dilatation was performed for it with the Griintzig balloon catheter and the result was satisfactory. The other patients were well-being without any complication.

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Osteogenesis Imperfecta (Correction of Anterior Tibial Bowing) - A case report - (골형성 부전증환자의 경골 전방만곡 교정 치험례)

  • Seo, Jae-Sung;Ihn, Joo-Chul
    • Journal of Yeungnam Medical Science
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    • v.4 no.1
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    • pp.157-163
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    • 1987
  • Osteogenesis imperfecta has been categorized as a heritable disorder of connective tissue affecting both bone and soft tissues and is characterized by fragility of bone, blue sclerae, and deafness, less frequently by dentinogenesis imperfecta and laxity of ligament. The goals of orthopedic management with osteogenesis imperfecta are the treatment of acute fractures and long-term rehabilitation in an effort to maintain ambulation. We report a case of osteogenesis imperfecta with anterior bowing of tibia which was successfully corrected by multiple osteotomies and intramedullary fixation by Sofield method and reviewed literatures.

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Surgical Repair of Type II Truncus Arteriosus Without a Extra-cardiac Conduct -A Case Report- (제2형 동맥간의 심장외 도관을 사용하지 않는 완전교정술 -1례 보고-)

  • 조은희
    • Journal of Chest Surgery
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    • v.28 no.6
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    • pp.619-622
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    • 1995
  • We report a successful surgical correction of type II truncus arteriosus without using a extra-cardiac conduit in an 2 month-old infant. The truncal root is transected, and the confluence of branch pulmonary arteries is brought anterior to the aorta by using Lecompte`s maneuver. The aorta is then reconstructed directly with an end-to-end anastomosis. The right ventricular outflow tract is reconstructed by anastomosing the posterior wall of the confluence directly to the upper part of the vertical right ventriculotomy. A monocusp ventricular outflow patch is then placed anteriorly to complete reconstruction of the right ventricular outflow tract. The patient had an uncomplicated postoperative course and was discharged on the 9th postoperative day.

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A CASE REPORT OF SURGICAL CORRECTION OF POSTTRAUMATIC LAGOPHTHALMOS (외상에 의한 마비성 토안(兎眼)의 외과적 치험례)

  • Lee, Tae-Young;Chung, Bong-Jun;Kim, Myung-Sub
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.12 no.2
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    • pp.55-61
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    • 1990
  • Patients with facial paralysis, in whom nerve damage is irreparable or in whom the innervation of the paralyzed musculature cannot be restored by nerve suture, grafting, or cross-face nerve transplantation, should be offered some form of reconstructive static and dynamic aid. Temporalis muscle-fascia unit used as a circumorbital sling and motor unit is a dynamic controlled reconstructive procedure, but it has several disadvantages such as wide surgical exposure, bulky-looking at lateral canthal area, insufficient voluntary control. This is a case report of facial palsy of posttraumatic lagophthalmos of 41-year-old male, which was corrected by temporalis muscle-tendon transfer with plantaris tendon transplantation.

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A CASE REPORT ON CORRECTION OF ANGLE'S CLASS III MALOCCLUSION WITH MACROGLOSIA (거대설을 동반한 Angle씨 제3급 부정교합의 치료일례)

  • Choi, Hai Kyung;Nahm, Han Woo;Ryu, Young Kyu
    • The korean journal of orthodontics
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    • v.5 no.1
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    • pp.69-73
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    • 1975
  • This is case report of true class III malocclusion with macroglossia is corrected by glossectomy in 13 years female patient. After orthodontic treatment, the patient is bound to glossectomy because the corrected condition is relapsed to the previous condition due to relatively enlarged tongue compared with the original dental arch. By the interpretation of the cephalogram and model analysis, it is approved that the growth pattern and direction are normal range and mandible is located anterioly to the cranium. The results are follows: 1. We could treat the true Cl III malocclusion. 2. We could prevent the relapse of the treated condition by the surgical intervention, such as partial glossectomy. 3. Sensory, speech, swallowing and so other functions after the operation have been with in normal limit without any serious complications or seguellae.

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Tetralogy of Fallot with Pulmonary Arteriovenous Fistula -A Case Report- (폐동정맥루를 동반한 팔로사징환자의 치험 -1례보고-)

  • 김상익;박국양;박철현;김정철;현성열;이재웅;이현우;이성재;김종호
    • Journal of Chest Surgery
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    • v.33 no.3
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    • pp.257-261
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    • 2000
  • Pulmonary arteriovenous fistula can occur in a variety of clinical situations including liver diseases, infections, metastatic carcinomas, systemic disorders, and after the palliation of congenital heart diseases. A 72-day-old male infant with Tetralogy of Fallot and pulmonary atresia underwent surgical correction without difficulty. However, ventilator weaning in the ICU failed initially because of an unexplained postoperative hypoxemia(FiO2: 0.8, PaO2: 40 mmHg, SaO2: 80∼90%). Postoperative follow-up lung perfusin scan at postoperative 15 days showed right-to-left shunt(33.6%) and ventilator weaning was performed on the 20th day after the operation (FiO2: 0.4, PaO2, 50mmHg, SaO2: 86.9%). Arterial oxygen saturation under room air was 80∼85% at 7 months postoperatively. One and half year follow-up lung perfusion scan showed decreased amount of right-to-left shunt (11.2%). We report a case with a review of the literatures.

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Acquired Hallux Varus Treated Using Extensor Hallucis Brevis Tendon - A Case Report - (무지 내반증의 단무지 신전근을 이용한 치료 - 증례보고 1예 -)

  • Lee, Kyung-Tai;Young, Ki-Won;Ong, Sang-Suk;Kim, Jin-Young;Seon, Jae-Myoung
    • Journal of Korean Foot and Ankle Society
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    • v.4 no.1
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    • pp.23-29
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    • 2000
  • Acquired Hallux varus is defined radiographically by a negative metatarsophalangeal angle and clinically by adduction of the hallux on the first metatarsal and most commonly occurs after hallux valgus surgery. It's the prevalence has ranged from 2% to 17%. We report a case of hallux varus resulted from weakening of support of lateral soft tissue and resection of an excessive amount of the metatarsal head during a bunionectomy after initial correction of hallux valgus. We corrected the hallux varus deformity using transfer of extensor hallucis brevis tendon with reconstruction os lateral capsule.

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