• 제목/요약/키워드: ventricular

검색결과 2,088건 처리시간 0.031초

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

  • 조은희
    • Journal of Chest Surgery
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    • 제28권6호
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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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R-R 간격을 이용한 PVC-RUNs 부정맥 검출 (Assessment of PVC-RUNs Arrhythmia by R-R Interval)

  • 이선주;윤태호;김경섭;이정환
    • 대한전자공학회:학술대회논문집
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    • 대한전자공학회 2009년도 정보 및 제어 심포지움 논문집
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    • pp.393-395
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    • 2009
  • 심장의 활성 근육의 움직임에 의하여 발생되는 전기적 변화량을 나타내는 심전도는 부정맥 또는 허혈성 심장질환을 진단하는데 널리 활용되고 있다. 특히 심실빈맥(Ventricular Tachycardia) 또는 심실세동(Ventricular Fibrillation)과 같이 치명적인 심장리듬이 발생하기 이전에, 심실조기수축(Ventricular Premature Contraction)을 검출하여 생명을 위협할 수 있는 부정맥을 조기에 진단할 수 있는 연구들이 일부 진행되고 있다. 이에 따라서 본 연구에서는 심전도 신호의 R-R 간격 정보와 R-peak 정보의 진위성을 판단하여 PVC 부정맥 패턴뿐만 아니라 PVC 파형이 연속적으로 진행되는 PVC-RUNs을 효율적으로 검출할 수 있는 부정맥 진단 알고리즘을 제안하고자 하였다.

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인공신경망 Feedforward 제어기를 이용한 좌심실 보조장치의 제어실험 (Control of Left Ventricular Assist Device Using Neural Network Feedforward Controller)

  • 정성택;김훈모;김상현
    • 한국정밀공학회지
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    • 제15권4호
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    • pp.83-90
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    • 1998
  • In this paper, we present neural network for control of Left Ventricular Assist Device(LVAD) system with a pneumatically driven mock circulation system. Beat rate(BR), Systole-Diastole Rate(SDR) and flow rate are collected as the main variables of the LVAD system. System modeling is completed using the neural network with input variables(BR, SBR, their derivatives, actual flow) and output variable(actual flow). It is necessary to apply high perfomance control techniques, since the LVAD system represent nonlinear and time-varing characteristics. Fortunately. the neural network can be applied to control of a nonlinear dynamic system by learning capability In this study, we identify the LVAD system with neural network and control the LVAD system by PID controller and neural network feedforward controller. The ability and effectiveness of controlling the LVAD system using the proposed algorithm will be demonstrated by experiment.

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인공신경망 Feedforward제어기를 이용한 좌심실보조장치의 제어실험 (Control of Left Ventricular Assist Device using Neural Network Feedback Feedforward Controller)

  • 정성택;류정우;김상현
    • 한국정밀공학회:학술대회논문집
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    • 한국정밀공학회 1997년도 춘계학술대회 논문집
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    • pp.150-155
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    • 1997
  • In this paper,we present neural network for control of Left Ventricular Assist Device(LVAD)system with a pneumatically driven mock cirulation system. It is necessary to apply high perfomance control techniques, since the LVAD system represent nonlinear and time-varing characteristics. Fortunately, the neural network can be applied to control of a nonliner dynamic system by learning capability. In this study,we identify the LVAD system with neural network and control the LVAD system by PID controller and neural network feedforward controller. The ability and effectiveness of controlling the LVAD system using the proposed algorithm will be demonstrated by computer simulation and experiment.

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General Pharmacology of PEG-Hemoglobin SB1

  • Kim, Eun-Joo;Lee, Rae-Kyong;Bak, Ji-Yeong;Choi, Gyu-Kap
    • Biomolecules & Therapeutics
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    • 제7권2호
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    • pp.170-177
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    • 1999
  • PEG-hemoglobin SB1 (SB1), which is a hemoglobin-based oxygen carrier, is intended to use as a safe blood substitute against brain ischemia and stroke. The general pharmacological profiles of SB1 were studied. The doses given were 0, 5, 10, 20 ml/kg and drugs were administered intravenously. The animals used for this study were mouse, rat and guinea pig. SB1 showed no effects on general behavior, motor coordination, spontaneous locomotor activity, hexobarbital sleeping time, anticonvulsant activity, analgesic activity, blood pressure and heart rate, left ventricular peak systolic pressure, left ventricular end diastolic pressure, left ventricular developing pressure, double product, heart rate, coronary flow rate, smooth muscle contraction using guinea pig ileum, gastrointestinal transport, gastric secretion, urinary volume and electrolyte excretion at all doses tested except the decrease of body temperature. These findings demonstrated that SB1 possesses no general pharmacological effects at all doses tested.

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대량의 심낭삼출액 제거 후 발생한 급성 심부전 (Acute Heart Failure after Relief of Massive Pericardial Effusion)

  • 정태은;이동협
    • Journal of Chest Surgery
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    • 제39권9호
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    • pp.702-705
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    • 2006
  • 대량의 심낭삼출액을 제거한 뒤 발생할 수 있는 심한 좌심실 부전에 관한 보고는 많지 않다. 심실 간의 용적 차이, 심장의 갑작스런 확장 그리고 교감신경계의 작용 등이 심실기능 부전의 원인으로 생각될 수 있다. 검상돌기하 심낭창을 통해 심장 압전을 완화한 뒤 심실 기능 부전이 발생한 두 증례를 보고하면서, 특히 심장수술 후 심장 압전이 있는 환자의 경우 혈류역학을 잘 관찰하면서 심낭삼출액을 서서히 제거할 것을 제안한다.

승모판 치환술에 관련된 좌심실 파열[2례] (Left Ventricular Rupture Related to MVR - 2 Case Report -)

  • 최순호
    • Journal of Chest Surgery
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    • 제25권6호
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    • pp.605-610
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    • 1992
  • Improving intraoperative and postoperative myocardial protection and better construction and design of valvular prosthesis has reduced the mortality of MVR. But, ventricular rupture after MVR occurred occasionally and represented a potentially lethal complication. Transverse midventricular disruption presented as refractory myocardial failure immediately on termination of bypass or later often on initial period of good hemadynamics. From Jan., 1985 through Dec., 1991 131 MVRs were performed as isolated or combined procedures. Rupture of the posterior wall of left ventricle was observed in 2 patients. There were 2 type III ruptures Prevention is of utmost importance, and by taking certain precautions, the chance of ventricular rupture can be reduced. Repair should always be done by patch technique in the aid of the use of cardiopulmonary bypass with cardioplegic arrest. When the laceration is in the middle of the posterior left ventricle, external repair with the pericardial patch can be attempted first.

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Aorto-Right Ventricular Tunnel: An Uncommon Problem with a Common Solution

  • Mitropoulos, Fotios;Kanakis, Meletios A.;Chatzis, Andrew;Kiaffas, Maria;Azariades, Prodromos;Tzifa, Aphrodite
    • Journal of Chest Surgery
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    • 제49권4호
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    • pp.295-297
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    • 2016
  • Aorto-ventricular tunnel is a rare congenital malformation, and aorto-right ventricular tunnel (ARVT) is an even less common entity. Here, we report the case of a 3-month-old female who underwent successful surgical closure of ARVT. The origin of the right coronary artery was proximal to the ostium of the tunnel.

Independent Component Analysis for the Blind Separation Of Spatially Independent Components From ${H_2}^{15}O$ Dynamic Myocardial Positron Emission Tomography

  • Lee, Jae-Sung;Ahn, Ji-Young;Lee, Dong-Soo;Park, Kwang-Suk
    • 대한전자공학회:학술대회논문집
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    • 대한전자공학회 2000년도 하계종합학술대회 논문집(5)
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    • pp.134-137
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    • 2000
  • We applied the ICA method to separate the ventricle and tissue components and to extract left ventricular input function from the H$_2$$^{15}$ O myocardial PET under the assumption that the elementary activities of ventricular pools and myocardium were spatially independent, and that the mixture of them composed dynamic PET frames. ICA-generated left ventricular input functions were compared with the ROI-generated ones, and also with the invasively derived arterial blood samples. Moreover, the rMBF calculated with the ICA-generated input functions and single compartment model was correlated with the results obtained with the radiolabeled microspheres.

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퍼지 Hough 변환에 의한 2-D 심초음파도에서의 좌심실 윤곽 자동검출 (Automatic Detection of Left Ventricular Contour from 2-D Echocardiograms using Fuzzy Hough Transform)

  • 조진호
    • 대한의용생체공학회:의공학회지
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    • 제13권2호
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    • pp.115-124
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    • 1992
  • An algorithm has been proposed for the automatic detection of optimal epiand endocardial left ventricular borders from 2-D short axis echocardiogram which is degraded by noise and echo drop out. For the implementation of the algorithm, we modified Ballard's Generalized Hough Transform which can be applicable only for deterministic object border, and newly proposed Fuzzy Hough Transform method. The algorithm presented here allows detection of object whose exact shapes are unknown. The algorithm only requires an approximate model of target object based on anatomical data. To detect the approximate epicardial contour of left ventricle, Fuzzy Hough Transform was applied to the echocardiogram. The optimal epicardial contour was founded by using graph searching method which contains cost function analysis process. Using this optimal epicardial contour and average thickness imformation of left ventricular wall, the approximate endocardial line was founded, and graph searching method was also used to detect optimal endocardial contour.

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