• Title/Summary/Keyword: 대동관

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One-stage Repair of Distal Aortopulmonary Septal Defect, Aortic Origin of Right Pulmonary Artery, Patent Ductus Arteriosus and Hypoplasia of Aortic Isthmus -A case of report- (대동맥 협부 발육부전, 동맥관 개존, 대동맥기시 우폐동맥을 동반한 원위 대동맥폐 동맥 중격결손의 일차 완전 교정술 1례)

  • 이호철;류한영
    • Journal of Chest Surgery
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    • v.29 no.5
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    • pp.554-558
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    • 1996
  • A case of distal aortopulmonary septal defect associated with aortic origin of right pulmonary ar- tery, patent ductus arteriosus and hypoplasia of aortic isthmus in a 50-day-old female infant is presented. Ligation of patent ductus arteriosus, resection and end-to-end anastomosis of hypoplasia of aortic isthmus, implantation of rlght pulmonary artery to main pulmonary artery and autologous peri- cardial patch repair of aortopulmonary septal defect were performed under cardiopulmonary bypass as one-stage approach. Deep hypothermic total circulatory arrest was applied during repair of hypoplasia of aortic isthmus. The p stoperative course was uneventful.

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A case of congenital ductus arteriosus aneurysm (Congenital ductus arteriosus aneurysm 1례)

  • Wang, Sheng Wen;Kim, Ji Eun;Lee, Young Seok;Lee, Young Ah
    • Clinical and Experimental Pediatrics
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    • v.49 no.12
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    • pp.1363-1366
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    • 2006
  • Aneurysmal dilatation of the ductus arteriosis has been considered a rare but potentially fatal abnormality. The mechanism of ductal aneurysmal formation remains uncertain. Plain chest radiography has proven helpful in the diagnosis of ductus arteriosus aneurysm (DAA), before the application of transthoracic echocardiography. The transthoracic echocardiography is an important tool for the diagnosis and follow-up of DAA. We present a case of congenital ductus arteriosus aneurysm in a newborn, that was an incidental discovery. The diagnosis was made by echocardiography, three-dimensional surface rendering computed tomography (CT), and spontaneous regression after four weeks of follow-up.

A Novel Pulse Pressure Amplification Index for Assessment of Artery (혈관기능평가를 위한 새로운 맥압증폭지수)

  • Lee, Chungkeun;Park, Sungha;Ha, Jong-Won
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2012.07a
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    • pp.227-228
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    • 2012
  • 맥압증폭은 대동맥과 말초기관과의 혈압기능 평가 및 심혈관 질환을 예측하는 주요 매개변수로 나이와 관련이 높다. 그러나, 기존의 맥압증폭을 구하기 위해서는 관혈적인 방법으로 대동맥압을 측정하거나 혹은 전달함수와 같은 복잡한 대동맥압 추정 알고리즘을 구현하여 측정하여야 한다. 그러나, 유헬스를 활용한 스마트케어 환경에서 복잡한 알고리즘은 오히려, 계산량을 높이고, 시스템가격을 높일 수 있으므로, 최대한 단순화된 알고리즘이 필요하다. 본 논문에서는 맥압증폭을 주파수영역의 에너지 관점으로 맥압증폭을 접근하였고, 대동맥압 추정없이 추정할 수 있는 새로운 지수를 제안한다.

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Aortic Root Remodeling Procedure in Marfan Syndrome associated with Aortic Dissection: Yacoub-David Technique (말판증후군과 동반된 해리성 대동맥류에 대한 대동맥 근부 개형술(改型術): Yacoub-David 수술법)

  • Park, Hyung-Joo;Lee, Seong-Jin;Park, Young-Woo;Choi, Tai-Myung;Shin, Won-Yong;Kwak, Soo-Dal;Ko, Jeong-Kwan;Lee, Cheol-Sae;Youm, Wook
    • Journal of Chest Surgery
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    • v.34 no.7
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    • pp.557-558
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    • 2001
  • We operated on a Marfan patient who had Stanford type A acute aortic dissection, aortic root aneurysm, and aortic regurgitation. The Yacoub-David aortic root remodeling procedure which preserves native aortic valve and replaces all three aortic sinuses and ascending aorta by a Dacron graft, was applied for this patient. A 24mm Hemashield graft was designed to three tongues at the aortic root end to meet the shape of the Valsalva sinuses. The patient recovered from the procedure uneventfully and there was no aortic regurgitation posto-peratively.

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Automatic Extraction of Ascending Aorta and Ostium in Cardiac CT Angiography Images (심장 CT 혈관 조영 영상에서 대동맥 및 심문 자동 검출)

  • Kim, Hye-Ryun;Kang, Mi-Sun;Kim, Myoung-Hee
    • Journal of the Korea Computer Graphics Society
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    • v.23 no.1
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    • pp.49-55
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    • 2017
  • Computed tomographic angiography (CTA) is widely used in the diagnosis and treatment of coronary artery disease because it shows not only the whole anatomical structure of the cardiovascular three-dimensionally but also provides information on the lesion and type of plaque. However, due to the large size of the image, there is a limitation in manually extracting coronary arteries, and related researches are performed to automatically extract coronary arteries accurately. As the coronary artery originate from the ascending aorta, the ascending aorta and ostium should be detected to extract the coronary tree accurately. In this paper, we propose an automatic segmentation for the ostium as a starting structure of coronary artery in CTA. First, the region of the ascending aorta is initially detected by using Hough circle transform based on the relative position and size of the ascending aorta. Second, the volume of interest is defined to reduce the search range based on the initial area. Third, the refined ascending aorta is segmented by using a two-dimensional geodesic active contour. Finally, the two ostia are detected within the region of the refined ascending aorta. For the evaluation of our method, we measured the Euclidean distance between the result and the ground truths annotated manually by medical experts in 20 CTA images. The experimental results showed that the ostia were accurately detected.

The Characteristics and Significance of Wood Block Printed Daedongyeojijeondo (목판본 "대동여지전도(大東輿地全圖)"의 특징과 가치)

  • Oh, Sang-Hak
    • Journal of the Korean Geographical Society
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    • v.45 no.1
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    • pp.184-200
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    • 2010
  • The production period of Daedongyeojijeondo is estimated from 1861 to 1866 in consideration of place names. Daedongyeojijeondo is elaborated enough that there are the latest data in, especially is better than Haejwajeondo that is a representative map in the 19th century in marking distance. Daedongyeojido is an official map for national defense and administration, on the other hand Daedongyeojijeondo is a popular map in which social and economical contents are included. The recognition of mountains and rivers based on organic view of the land is also represented in Daedongyeojijeondo, and the principle of the whole of mountains and rivers is well reflected. It is far better than modem maps in the expression of road system and distances, tidal area in rivers.

Successful Treatment of Organ Malperfusion Caused by Acute Aortic Dissection -Report of 4 cases- (급성 대동맥 박리증에 의한 주요 장기 관류 부전의 치험)

  • 유지훈;박계현;박표원;이영탁;전태국;성기익;박준석
    • Journal of Chest Surgery
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    • v.36 no.3
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    • pp.194-201
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    • 2003
  • Malperfusion of major organs which frequently accompanies acute aortic dissection is one of the major causes of death. Malperfusion does not only develop before surgery, but also during or after surgery in various manifestations according to the aortic branches involved. Expeditious diagnostic and therapeutic measures based on high degree of clinical suspicion are mandatory for successful treatment. The authors report four cases of acute aortic dissection accompanied by malperfusion of various organs that were successfully treated.

Aortic Unfolding Measurement Using Non-Contrast Cardiac CT: Normal Range of Low-Risk Subjects (관상동맥 석회화 CT에서 측정한 대동맥 전개: 저위험 환자군에서의 정상 범위)

  • Ji Won Lee;Byoung Wook Choi
    • Journal of the Korean Society of Radiology
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    • v.83 no.2
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    • pp.360-371
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    • 2022
  • Purpose This study aimed to assess the factors influencing aortic unfolding (AU) defined by aortic width on coronary artery calcium (CAC) scan and determine the normal limits for AU. Materials and Methods In this retrospective study, we measured AU in 924 asymptomatic subjects who underwent CAC scanning during routine health screening from June 2015 to June 2018. Multivariate regression analysis was used to evaluate the factors influencing AU. After the exclusion of subjects with risk factors associated with AU, 283 subjects were included in the analysis of normal values of AU. Mean AU, standard deviation, and upper normal limit were calculated. Results Sex, age, CAC score, body mass index, body surface area, hypertension, left ventricular hypertrophy, plasma creatinine, and smoking were significantly associated with AU. The mean AU was 102.2 ± 12.8 mm for men and 93.1 ± 10.7 mm for women. AU increased with advancing age (9.6 mm per decade). Conclusion AU determined from a single measurement on CAC scans was associated with cardiovascular risk factors. The normal limits of AU were defined by age, sex, and body surface area in low-risk subjects in this study.

Suspected Intimal Sarcoma in the Abdominal Aorta -A case report- (복부 대동맥에 발생한 혈관 내막 육종 의증 - 1예 보고 -)

  • Choi, Eun-Seok;Kim, Kyung-Hwan;Choi, Jin-Ho;Lee, Jae-Hang;Hwang, Ho-Young;Kim, Ki-Bong
    • Journal of Chest Surgery
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    • v.43 no.2
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    • pp.204-207
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    • 2010
  • A 68 year-old man visited our institution due to chest pain. Coronary angiography revealed triple vessel disease. A computed tomographic angiogram performed as a routine preoperative examination demonstrated an intraluminal spider-web-like mass from the infrarenal abdominal aorta to both common iliac arteries. The infrarenal aorta and both common iliac arteries were excised and replaced with concomitant off-pump coronary artery bypass grafts. Histologic examination of the aorta suggested an intimal sarcoma. A postoperative computed tomographic angiogram performed 3 months postoperatively showed no evidence of a residual or a recurred lesion.