• Title/Summary/Keyword: systemic circulation

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Superior Mediastinal Mass Revealed as Bronchopulmonary Sequestration Supplied by a Branch of the Left Pulmonary Artery

  • Lee, Na Hyeon;Ahn, Hyo Yeong;Cho, Jeong Su
    • Journal of Chest Surgery
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    • v.53 no.2
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    • pp.89-91
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    • 2020
  • Bronchopulmonary sequestration (BPS) is a rare congenital abnormality of the lower airway, generally characterized by blood supply received from the systemic circulation. We present a rare case of a 19-year-old man with incidentally detected BPS supplied by a branch of a pulmonary artery, rather than a systemic artery. Computed tomography showed a sequestered segment supplied by a branch of the left pulmonary artery and containing an ectopic bronchus. As chest computed tomography revealed necrosis in the sequestered tissue, infection was presumed, and the tissue was surgically removed. This may represent a very unusual occurrence, as such cases have yet to be reported in the literature.

Intralobar Pulmonary Sequestration - A Report of Case - (내엽형 폐격리증 - 수술치험 1예-)

  • O, Chang-Geun;Im, Jin-Su
    • Journal of Chest Surgery
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    • v.22 no.5
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    • pp.845-850
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    • 1989
  • Intralobar pulmonary sequestration is rare congenital lung disease characterized by a cystic portion of the lung that derives its arterial blood supply though aberrant vessel directly of systemic circulation. Intralobar pulmonary sequestration is usually contained within the visceral pleura of a pulmonary lobe and its venous drainage to the pulmonary venous system. We experienced a case of pulmonary sequestration postoperatively confirmed. The patient was 48-year-old female whose complaints were cough and left chest pain. Chest film showed large homogenous opacity in left lower lung field. By operation, adult fist sized mass at the lower lobe were noted. An aberrant artery, measuring 1.0 cm. in diameter and 2.0 cm. in length, arose from the descending thoracic aorta just above the diaphragm. The anomalous systemic artery was ligatures and resection, and associated with left middle, lower bilobectomy was done. The postoperative course was uneventful, and 10 days later discharged.

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The Effects of Nitric Oxide Inhibitor on Hyperdynamic Circulation in Portal Hypertensive Rats (산화 질소 억제제가 문맥 고혈압 쥐의 혈역학 변화에 미치는 영향)

  • Kim, Pill-Young;Jang, Byeong-Ik;Kim, Tae-Nyeun;Chung, Moon-Kwan
    • Journal of Yeungnam Medical Science
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    • v.16 no.2
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    • pp.181-192
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    • 1999
  • Background: Nitric oxide, a vasodilator synthesized from L-arginine by vascular endothelial cells, accounts for the biological activity of endothelium derived relaxing factor. Previous studies demonstrated that nitric oxide inhibitor, $N^{\omega}$-Nitro-L-Arginine(NNA) diminished the hyperdynamic splanchnic and systemic circulation in portal hypertensive rats The present study was done to determine the role of nitric oxide in the development of hyperdynamic circulations in the prehepatic portal hypertensive rat model produced by partial portal vein ligation. Methods: The portal hypertensive rats were divided into water ingestion group and NNA ingestion group. After partial portal vein ligation, NNA ingestion group and water ingestion group received NNA 1mg/kg/day and plain water through the mouth for 14 days, respectively. Cardiac output, mean arterial pressure, organ blood flow and porto-systemic shunting were measured by radioisotope labeled microsphere methods. Vascular resistances were calculated by standard equation. Results: There were significant decreases in mean arterial pressure, increases in cardiac output and cardiac index, and decreases in total systemic and splanchnic vascular resistance in portal hypertensive rats compared to normal control group (p<0.01). Compared to the water ingestion group, significantly increased mean arterial pressure with decreased cardiac output and cardiac index were developed in the NNA ingestion group. Total systemic and splanchnic vascular resistance were significantly increased in the NNA ingestion group compared to water ingestion group (p<0.05). But, there was no significant difference in portal pressure between the two groups. Conclusion: The hemodynamic results of this study indicate that hyperdynamic circulation in prehepatic portal hypertensive rat mode1 was attenuated by ingestion of NNA. Nitric oxide may play an important role in the development of hyperdynamic circulation with splanchnic vasodilation in chronic portal hypertension.

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Moyamoya syndrome occurred in a girl with an inactive systemic lupus erythematosus

  • Lee, Yun-Jin;Yeon, Gyu Min;Nam, Sang Ook;Kim, Su Yung
    • Clinical and Experimental Pediatrics
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    • v.56 no.12
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    • pp.545-549
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    • 2013
  • We report the case of a 17-year-old Korean girl with systemic lupus erythematosus (SLE) who presented with sudden weakness of the right-sided extremities and dysarthria. Oral prednisolone was being taken to control SLE. Results of clinical and laboratory examinations did not show any evidence of antiphospholipid syndrome or thromboembolic disease nor SLE activity. Cerebral angiography showed stenosis of the left internal carotid artery and right anterior cerebral artery with accompanying collateral circulation (moyamoya vessels). After the patient underwent bypass surgery on the left side, she recovered from the neurological problems and did not experience any additional ischemic attack during the 14-month follow-up period. This case represents an unusual association between moyamoya syndrome and inactive SLE (inactive for a relatively long interval of 2 years) in a young girl.

A study on Sustainability Model of Waste Management Using System Dynamics (시스템 다이내믹스를 이용한 페기물관리시스템의 지속가능성 분석모델에 관한 연구)

  • Park, Rhae;Cha, Gun-Ho
    • Korean System Dynamics Review
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    • v.5 no.2
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    • pp.89-123
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    • 2004
  • Using materials recovered from the waste stream instead of virgin resources as a raw material in manufacturing has great environmental and economic benefits. However, there is lack of public interest in needs for integrated waste management and its relevant facilities, because of NIMBY syndrome, This article has proposed a system dynamics model for the study of the potential and systemic consequences of resource circulation management system(RCMS) policy for a Sudokwon landfill site in Korea. The results of the study indicate that the effects of RCMS are seen continuously to increase in term with both the community welfare level and the resource and energy level. Moreover the effects of RCMS appear sharply in the first half of the simulation period.

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Prolonged Systemic Delivery of Streptokinase Using Liposome

  • Kim, In-Sook;Choi, Han-Gon;Choi, Hee-Sung;Kim, Bak-Kwang;Kim, Chong-Kook
    • Archives of Pharmacal Research
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    • v.21 no.3
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    • pp.248-252
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    • 1998
  • To prolong the biological half-life of streptokinase, a thrombolytic agent, streptokinase-bearing liposome with and distearolyphosphatidyl ethanolamine-N-poly (ethylene glycol) 2000 (DSPEPEG 2000) was prepared and evaluated. Streptokinase-bearing liposomes composed of distearolyphosphatidylcholine (DSPC), cholesterol and cholesterol-3-sulfate with DSPE-PEG 2000 was prepared by the freeze-thawing method and administered via femoral vein to rats (15000 IU/kg). The activity of streptokinase in plasma was determined by the method based on the amidolytic activity of streptokinase-plasminogen complex. Pharmacokinetic parameters of streptokinase incorporated in liposomes were compared with those of streptokinase alone. The $T_{1/2}$ and $AUC_\infty$ streptokinase incorporated in DSPC-PEG liposome increased 16.3- and 6.1-fold, respectively, compared with those of streptokinase alone. Streptokinase-bearing long-circulating liposome could increase the circulation time of streptokinase in blood and expect longer thrombolytic activity compared with streptokinase alone.

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Design of a Hydrodynamic Mock Circulation System For Prosthetic Heart Valve Testing (인공심장 판막의 수력학적 특성)

  • Wetering, Jan E.v.d.;Suh, Soo-W.;Kim, Gi-J.;Chong, Chan-I.;Kim, Hee-C.;Kim, In-Y.;Min, Byoung-G.
    • Proceedings of the KOSOMBE Conference
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    • v.1993 no.05
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    • pp.146-151
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    • 1993
  • A new hydrodynamic mock circulation system was developed, which can test prosthetic heart valves of various sizes in order to obtain valve parameters, such as pressure drop, regurgitation and valve performance index with a high reproducibility. High reproducibility can be obtained only under equal testing conditions, i.e., the compliance, resistance and inertance of the mock circulation system must be constant parameter estimation using actual pressure and flow data was applied to calculate these systemic variables in order to adjust them to create the necessary equal testing conditions.

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인조신경망을 이용한 좌심실보조장치의 동적 모델링

  • 김훈모
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 1996.04a
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    • pp.346-350
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    • 1996
  • This paper presents a Neural Network Identification (NNI) method for modeling of highly complicated nonlinear and time varing human system with a pneumatically driven mock circulation system of Left Ventricular Assist Device(LVD). This system consists of electronic circuits and pneumatic driving circuits. The initation of systole and the pumping duration can be determined by the computer program. The line pressure from a pressure transducer inserted in the pneumatic line was recorded. System modeling is completed using the adaptively trained backpropagation learning algorithms with input variables, Heart Rate(HR), Systole-Diastole Rate(SDR), which can vary state of system, and preload, afterload, which indicate the systemic dynamic characteristics and output parameters are preload, afterload.

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Temperature distribution in VX-2 hepatoma heated with thermoseed hyperthermia (열소자 온열요법시 VX-2 hepatoma내의 온도 변화에 대한 연구)

  • Choi, Ihl-Bohng;Bahk, Yong-Whee
    • Radiation Oncology Journal
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    • v.12 no.3
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    • pp.295-300
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    • 1994
  • It was the purpose of present study to develop a new thermoseed for heating deep-seated tumors and assessment of the effect of magnetic control on thermoseeds. Aqueous suspension of iron micro spheres (Ferropolysaccharide) was injected directly into the VX-2 hepatoma and heated with 1.2 MHz inductive radiofrequency unit. Aqueous thermoseed suspension was delivered to the tumor by simple percutaneous injection. The limitation of the thermoseed heating method is the positional change of thermoseed particles in the tumor after implantation. The thermoseed particles could enter the systemic blood circulation and cause a severe embolization of a critical organ. To minimize this limitation, we have used the magnetic control after loading the thermoseed in the tumor, W hen ferropolysaccharides were exposed to a strong magnetic field, they magnetized and subsequently exerted a magnetic force on each other, forming larger aggregates of particles. The size of aggregated Particles were too big to enter the systemic blood circulation. Thus, unlike other thermoseed method, we hold the thermoseed particles stationary in the tumor. The temperature of the injected site and immediate vicinity elevated by $4-5^{\circ}C$. The temperature of the surrounding normal hepatic tissue elevated by $1-2^{circ}C$ only. The heating effect within the tumor was variable depending on the density of ferromagnetic aqueous suspension. Our results suggest that inductive heating of tumor injected with ferropolysaccharide solution offers the possibility of effective heat delivery to the defined tumor volume, which is difficult to heat with other heating devices.

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