• Title/Summary/Keyword: ventricular

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Correction of Coarctation in Infants Less than Age 3 Months (3개월 이하 영아의 대동맥 축착증 수술치료에 대한 임상연구)

  • Sin, Je-Gyun;Song, Myeong-Geun
    • Journal of Chest Surgery
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    • v.23 no.6
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    • pp.1139-1145
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    • 1990
  • Seven infants less than age 3 months underwent patch aortoplasty and tube graft bypass for relief of coarctation of aorta. All had intractable congestive heart failure, despite aggressive medical therapy Each infant had other cardiac anomalies including patent ductus arteriosus, ventricular septal defect, atrial septal defect and congenital mitral stenosis. All patients underwent closure of the ductus arteriosus and patch angioplasty of the aorta to produce a luminal diameter of at least 15mm or tube graft interposition utilizing the Gortex tube graft diameter larger than 10mm. In 5 patients who had ventricular defect, they underwent pulmonary arterial banding. &ere was one hospital death 17 days after operation secondary to the hydronephrosis and renal failure. Hospitalization was less than 10 days after operation except one case. In 3 patients who had associated VSD, open heart surgery[VSD closure+PA debanding]was done without difficulty. Surgical repair of critical coarctation of the aorta in infants can safely be offered despite the poor preoperative condition and presence of other cardiac anomalies.

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Left Ventricular Function Changes Under Normothermic Krebs Perfusate in Newborn Piglet (신생 돼지심장에서 상온의 Krebs 용액 관류에 따른 좌심실 기능의 변화)

  • O, Bong-Seok;Na, Guk-Ju;Lee, Dong-Jun
    • Journal of Chest Surgery
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    • v.23 no.6
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    • pp.1067-1073
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    • 1990
  • To clarify the changes of left ventricular function under normothermia, the time interval between the onset of ischemia and the beginning of contracture of left ventricle[TIC] were recorded in newborn piglet. Myocardial performance was assessed using intraventricular balloon to determine compliance and systolic function after 5 to 10 minutes interval per-fusing normothermic substrate free Krebs solution as a perfusate. The time to onset TIC was 29.5\ulcorner1.7 minutes and peak ischemic contracture was 46.7\ulcorner4.0 minutes[p<0.01]. In myocardial performance, systolic function of left ventricle[defined as cardiac contractility] was kept until 25 minutes of perfusion, but was decreased abruptly after 30 minutes of perfusion[p<0.0018] and diastolic function of left ventricle[defined as diastolic compliance] was kept until 15 minutes of perfusion, but was decreased after 20 minutes of perfusion [p=0.00\ulcorner9]. This study demonstrated maximal time of the tolerance to normothermic global ischemia and functional changes of left ventricle using Krebs perfusate under the same condition.

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Classification of Premature Ventricular Contraction Arrhythmia by Kurtosis Analysis (첨도치 해석을 통한 심실조기수축 부정맥 검출)

  • Kim, Kyeong-Seop;Kim, Jeong-Hwan
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2013.07a
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    • pp.355-356
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    • 2013
  • 심장의 활동을 전기적 변위로 표현되는 심전도 신호는 심장병 진단에 중요한 임상적 파라미터들을 제공한다. 특히 심전도 신호에서 P, QRS Complex,, T 특징점들로 대표되는 파형 변곡점들의 시간상 위치와 크기 및 형태학적 모양은 심장의 이상 리듬을 나타내는 부정맥여부를 검출하는데 핵심적인 역할을 한다. 본 연구에서는 특히 QRS complex 구간에 대한 첨도치의 연산 해석을 통하여 정상적인 심전도 리듬과 심실조기수축 부정맥 리듬을 구분하는 방법을 제시하고 또한 스마트폰을 기반으로 하는 심전도 모니터링 시스템에 적용하고자 하였다.

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Surgical Repair of Postinfarction VSD -Two Cases Report- (심근경색후 발생한 심실중격결손의 외과적 치료 -2례 보고-)

  • Lee, Yong-Hun;Choe, Pil-Jo;U, Jong-Su
    • Journal of Chest Surgery
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    • v.28 no.6
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    • pp.623-629
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    • 1995
  • Rupture of ventricular septum following myocardial infaction is one of the serious complication of coronary artery disease. The characteristic manifestations are sudden appearance of a harsh systolic murmur, precordial pain, cardiovascular collapse and permit early diagnosis. We report two cases of successful repair of postinfaction ventricular septal defect. The infarcted area was anterior wall of ventricle and VSD was placed near apex of heart in two cases all. VSD was closed with pledgetted Dacron patch and incised wall was sutured with Teflon felt and concomitant coronary artery bypass graft was done respectively .Postoperative courses were uneventful.

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Development of a stroke output control algorithm using a fuzzy logic for a left ventricular assist device

  • Choi, Jae-Soon;Choi, Won-Woo;Park, Seong-Keun;Park, Seong-Keun;Min, Byoung-Goo
    • 제어로봇시스템학회:학술대회논문집
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    • 1995.10a
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    • pp.514-517
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    • 1995
  • A new stroke output control algorithm with a fuzzy logic for an electrohydraulic left ventricular assist device(EH-LVAD) was developed. The EH-LVAD pumps out blood from left atrium actively. Excessive suction of blood may cause fatal damage in left atrium. The LVAD has to provide a maximal stroke output without collapse of left atrium. In this study a new fuzzy algorithm for predicting and detecting suction and doing proper action on LVAD without using an extra pressure sensor but with bellows pressure signal and motor current signal is developed. The performance of the fuzzy control algorithm is demonstrated by the results from mock circulatory experiments.

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Cardiac systolic time intervals and heather index measured by impedance cardiography during postural changes (체위변화시 심장의 수축기 시간간격 및 Heather Index의 변화)

  • 고성경;김창규;김덕원
    • Journal of the Ergonomics Society of Korea
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    • v.11 no.1
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    • pp.67-79
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    • 1992
  • Cardiac systolic time intervals (STLs) and Heather index (HI) were used to access changes in left ventricular function of six male subjects exposed to postural changes,$0^{\circ}C$, ${\pm}2^{\circ}C$, ${\pm}45^{\circ}C$, ${\pm}90^{\circ}C$, Significant prolongation of the pre-ejection period (PEP) and PEP/ LVET ratio, shortening of the left ventricular ejection time (LVET), STI, HI and $1/PEP^{2}$were observed during exposure to both $+45^{\circ}C $ and $+90^{\circ}C $But the values measured during $-45^{\circ}C $ and$-90^{\circ}C $ were reversed. Changes in fluid shift, filling volume, preload, after load and sympathetic activities may account for the observed findings. Early response of cardiac foctions was recorded using impedance cardiography. This method is very simple but accurate. Thus it will be useful in this aerospace and work physiology. In conclusion, STIs appear to provide reliable noninvasive method for examining changes of cardiac function during exposure to postural changes.

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2 Cases of Malignant Schwannoma (악성신경초종 2례)

  • Kim Chan-Woo;Choi Jong-Ouck;Jung Kwang-Yun;Yoo Hong-Kyun
    • Korean Journal of Head & Neck Oncology
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    • v.8 no.1
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    • pp.44-49
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    • 1992
  • Malignant schwannoma is a rare tumor arising from the schwann sheath of the nerve fibers. It spreads early to reginal node and metastasis to the lung. Radical surgery have performed for treatment of choice but combined modalities such as radiotherapy or adjuvant chemotherapy have been recommanded recently. The authors experienced two cases of malignant schwannoma originating from the ethmoid sinus and ventricular fold of larynx. and we report these cases briefly.

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Transposition of great arteries with pulmonary stenosis and remote muscular inlet ventricular septal defect (원거리근육입구형심실중격결손과 폐동맥협착이 동반된 대혈관전위)

  • 김웅한;이택연;김수철;전홍주;한미영;김수진;이창하;정철현;오삼세
    • Journal of Chest Surgery
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    • v.33 no.3
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    • pp.262-264
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    • 2000
  • We report a successful biventricular repair of D-transposition of great arteries, pulmonary stenosis and remote muscular inlet ventricular septal defect, after modifie Blalock-Taussing shunt early in infant. A long left ventricle-to-aorta intraventricular rerouting tunnel was created without stenosis by transferring the medial papillary muscle of the tricuspid valve to the tunnel, obliterating the trabeculation of right ventricle in the course of tunnel and excising the secondary chordae of the tricuspid valve.

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Surgical Treatment of Hemolytic Anemia Induced by Residual VSD and PS (잔여 심실중격결손과 우심실 유출로 협착으로 유발된 용혈성 빈혈의 외과적 치험)

  • 홍민수
    • Journal of Chest Surgery
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    • v.25 no.11
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    • pp.1250-1253
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    • 1992
  • A patient with intravascular hemolysis due to residual shunt and right ventricular outflow track obstruction after total correction of TOF was presented. The patient was 29 years old female. She underwented VSD closure with dacron patch, infundibulectomy, pulmonic valvotomy and direct closure of PFO. 8 months after the operation, severe intravascular hemolysis and hemolytic anemia appeared. Conservative therapies were not effective, her general condition and laboratory finding got worse gradually. She underwent reoperation, the shunt was closed and right ventricular outflow tract obstruction was corrected by pulmonary valvotomy, infudibulectomy and transannular patch. After operation, hemolysis disappeared dramatically. Severe hemolysis may induce renal failure and necessitate transfusion frequently. If hemolytic anemia is not corrected by conservative treatment, early reoperation is required.

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Anesthesia for Cesarean Section in a Parturient with Dilated Cardiomyopathy -A Case Report- (확장성 심근병증 산모의 제왕절개술을 위한 마취 경험)

  • Kim, Sae-Yeon;Heo, Su-Jeong;Song, Sun-Ok
    • Journal of Yeungnam Medical Science
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    • v.27 no.1
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    • pp.52-56
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    • 2010
  • Idiopathic peripartum cardiomyopathy is an uncommon malady disease. Making the diagnosis is often difficult and it is always necessary to exclude other prior heart disease and other causes of left ventricular dysfunction in pregnant women. Heart failure in these women ensues when the cardiovascular demands of normal pregnancy are further amplified when the common complications of pregnancy complications superimposed upon these underlying conditions that cause compensated ventricular hypertrophy. This may be aggravated by making a late diagnosis and providing inappropriate treatment. We experienced a 38-year-primigravida who has diagnosed with idiopathic peripartum cardiomyopathy and underwent elective cesarean section with general anesthesia.

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