• Title/Summary/Keyword: 관상용

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Coronary Artery Bypass Graft (CABG) for Intracavitary Coronary Artery Disease - A case report- (심강내관상동맥(Intracavitary Coronary Artery)질환에 대한 관상동맥우회술 -수술치험 1예-)

  • Kim Su-Wan;Sung Kiick;Park Pyo Won;Jun Tae-Gook;Park Kay-Hyun;Lee Young Tak
    • Journal of Chest Surgery
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    • v.38 no.7 s.252
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    • pp.504-506
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    • 2005
  • Intracavitary coronary artery is variant anomalous entrance to right ventricular cavity of left anterior descending artery. Since the disease is extremely rare, there has not been any report of it in Korea and is only found in $0.2\~0.3\%$ of all CABG patients. It is very difficult to be diagnosed by preoperative coronary arteriography (CAG) and secure suture is needed for right ventriculotomy after CABG due to bleeding from right ventricle. Horizontal mattress suture with pledget has been recommended but, it could compress the myocardium surrounding ventriculotomy and result in disturbed flow of left anterior descending artery branch and perforating artery. So we used simple interrupted suture and the patient was recovered as other CABG patients without complications.

조경수의 해충-능소화를 가해하는 해충

  • 최광식
    • Landscaping Tree
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    • s.105
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    • pp.15-17
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    • 2008
  • 7월이면 도심의 벽 울타리를 따라 화려하게 꽃으로 장식하며 우리의 마음을 한결 가볍게 해주는 능소화는 중국 원산으로 낙엽활엽의 덩굴성 식물로 주로 중부 이남 지역에서 사찰의 관상용으로 식재하였으나 요즘은 전국 어디서나 쉽게 볼 수 있고, 사람들에게 많은 사랑을 받고 있는 식물이다. 특히 도심의 고건축물이나 휴식공간에 식재하면 나팔 모양의 꽃과 색상이 화려하면서 점잖고 기품이 있어 동양적인 아름다움을 함께 누릴 수 있는 나무이다. 또한 공해에도 비교적 강하기 때문에 도심의 정원수나, 조경수로 보급 가능하다. 해풍과 염기에 강하며 해안지역에서도 잘자라며 비옥한 사질양토에서 생장이 좋다. 이런 능소화를 가해하는 해충으로 뒷노랑얼국나방과 미국흰불나방 등이 피해를 주고 있어 이들에 대한 생태 및 방제법을 간략하게 소개하고자 한다.

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Thrombolytic Therapy and Long Term Follow-up Study in a Child with Kawasaki Disease Complicated by Giant Coronary Aneurysm with Thrombosis (가와사끼병 환아에서 발생한 거대관상동맥류 내 혈전의 성공적 용해요법과 장기 치료 및 경과 1례)

  • Moon, Su Jung;Lee, Su Ya;Na, Kyong Hee;Park, Sun Young;Kim, Eun Young;Kim, Kyoung Sim;Kim, Yong Wook
    • Clinical and Experimental Pediatrics
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    • v.46 no.3
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    • pp.302-307
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    • 2003
  • The long-term clinical issues in Kawasaki disease are concerned with the coronary artery lesions that result in aneurysmal formation, thrombotic occlusion, progression to ischemic heart disease, and premature atherosclerosis. We here report a 3 month old infant with Kawasaki disease complicated by giant coronary aneurysm with thrombosis. After urokinase(10,000 IU/kg) and heparin(400 IU/kg) were injected for two days as thrombolytic agents, thrombi were successfully dissolved. Even though long-term oral anticoagulation with low-dose aspirin, dipyridamole and coumadin were administered, thrombosis of the left main coronary artery was slowly increased. five years later, coronary angiography showed nearly total occlusion of the left anterior descending artery and collaterals from the right posterior branch and radionuclide scan demonstrated complete reversible perfusion defect of several portions of the left ventricle.