• Title/Summary/Keyword: 맥

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Pulmonary Autograft Replacement in Native Aortic Root Abscess (대동맥 판막 및 근부 심내막염에서 자가폐동맥판을 이용한 대동맥근부치환술)

  • 나찬영;김수철;오삼세;김욱성;정철현;정도현;김웅한;이창하;이영탁
    • Journal of Chest Surgery
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    • v.31 no.10
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    • pp.1009-1013
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    • 1998
  • Bacterial endocarditis of the native aortic valve is associated with significant morbidity and mortality despite aggressive medical and surgical treatment, especially when perivalvular tissue was invaded and destructed. The pulmonary autograft is full viable and immune compatible tissue. This paper describes successful Ross operation as total root replacement in 38 years old native valve endocarditis patient with aortic root abscess.

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One-Stage Ascending, Arch. and Descending Thoracic Aorta Replacement Through Median Sternotomy (정중 흉골 절개술을 통한 상행, 궁부, 하행 대동맥 동시 치환 수술례)

  • 이재원;이용직;이상권;주석중;윤석원
    • Journal of Chest Surgery
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    • v.35 no.9
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    • pp.675-679
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    • 2002
  • In patient with severe adhesion between lung and aorta, there is some limitation in approaching the distal arch or descending thoracic aorta through the usual left thoracotomy. We report a case of a successfully managed distal arch and descending thoracic aortic aneurysm through the median sternotomy without any manipulations of the lung in a 66 year old man who presented hemoptysis.

Aortobronchial Fistula After Chest Trauma (흉부수상후에 발생한 대동맥기관지루)

  • 김재현;문상호;김삼현;서필원;임수빈;박성식
    • Journal of Chest Surgery
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    • v.35 no.2
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    • pp.141-143
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    • 2002
  • Few patients with traumatic aortic laceration remain undiagnosed and survive long enough to develop a chronic aneurysm. Such aneurysms are frequently asymptomatic: alternatively, they may manifest chest pain, dysphagia, bronchial irritation, or sudden death. A case of aortobronchial fistula secondary to a chronic post-traumatic aneurysm of the aortic isthmus is presented. Hemoptysis was the main sign. The affected segment of the thoracic aorta was repaired with a Hemashield patch and a left upper lobectomy was performed.

Carotid intima-media thickness by using time varying analysis (경동맥 내중막 두께의 시변동성 분석에 관한 연구)

  • Choe, Hyeong-Min;Jang, Seung-Jin;Jang, Hak-Yeong;Gang, Ji-Yun;Kim, Won-Sik
    • Proceedings of the Korean Society for Emotion and Sensibility Conference
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    • 2009.05a
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    • pp.207-208
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    • 2009
  • B-모드 초음파를 이용한 경동맥 내중막 두께(IMT intima-media thickness) 측정은 관상동맥 질환이나 허혈성 뇌질환 위험도의 독립적인 인자로 매우 중요하다. 본 연구에서는 NTSC(national television system committee) 방식으로 경동씩 초음파 동영상신호를 획득하여 프레임으로 나누어 각각의 IMT를 측정하였다. 각각의 측정값을 시간축으로 재구성하여 시간도메인에서 IMT 의 시변동성을 분석하였다. IMT 시변동성 분석을 통하여 상대적으로 부정맥피험자가 정상피험자에 비해 IMT 평균값이 작아 위험도가 낮다고 평가 될 수 있지만 시변동성 분석으로 IMT 평균값이 작아도 혈관의 기능적 특징이 부족하여 위험도가 높다는 것을 알 수 있었다. 경동맥의 형태적 특징과 기능적 특징을 반영하는 이 분석방법은 경동맥 내중막 두께측정의 신뢰성을 향상시키며 관련질환의 위험도와 중증도를 세분화 할 수 있는 새로운 방법이 될 수 있을 것이다.

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Arrhythmia Detection System using Heart Rate (심박수를 이용한 부정맥 검사 시스템)

  • Zhang, YuanLi;Park, Doo-Soon
    • Proceedings of the Korea Information Processing Society Conference
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    • 2016.04a
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    • pp.458-460
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    • 2016
  • 전 세계적으로 스마트 폰이 보편화되면서 스마트 폰을 잘 활용하기 위한 많은 애플리케이션들이 등장하였다. 특히나 건강관리에 관한 애플리케이션이 많이 나오고 있다. 현대 사회는 자기 몸 상태, 심근경색 등의 허혈성 심질환, 선천성 심질환, 심근증, 심장판막질환 등 심장의 변화, 고도의 스트레스, 카페인, 술, 흡연, 불충분한 수면등 환경의 변화 등이 부정맥을 유발할 수 있는 원인이 많기 때문에 부정맥에 걸리는 사람이 늘어나고 있다. 따라서 부정맥을 예방하기 위해 부정맥을 찾는 애플리케이션이 필요하다. 본 논문에서는 심박을 통한 부정맥을 찾는 방법을 제안하고 구현하였다.

Effects of Mineral Stone and Silicate Fertilizer Application on the Growth and Yield of Rice Plant (점토광물(맥반석) 및 규산질비료시용이 수도의 생육 및 수량에 미치는 영향)

  • Sim, Jae-Seong
    • The Journal of Natural Sciences
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    • v.5 no.1
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    • pp.5-13
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    • 1992
  • 맥반석을 벼에 시용하였을 때 벼의 초장 및 분벽경수 는 증가하였고 건물율 및 근발생율도 증가 하였다. 맥반석을 시용함으로서 벼의 초장이 6~9cm정도 단간화되었으며 총분벽경수 및 유효분벽경수도 현저하게 증가하였다. 벼의 정조중에 있어서는 맥반석 100kg시용구에서 무처리구보다 19.9%가 더 증수되었고 500kg 시용구에서는 15.5%가 증수되어 시용량에 관계없이 맥반석은 벼의 수량증가에 효과적이었다.

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Aortic Valvuloplasty in Pediatric Age (소아연령군에서의 대동맥판막성형술)

  • 임홍국;박천수;황호영;김웅한;이정렬;노준량;김용진
    • Journal of Chest Surgery
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    • v.37 no.8
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    • pp.652-659
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    • 2004
  • Background: In this study, we retrospectively analyzed the outcomes of aortic valvuloplasty in pediatric age. Material and Method: Between January 1993 and March 2004, 35 patients underwent aortic valvuloplasty for aortic stenosis (AS) or aortic regurgitation (AR). The mean age was 81.1$\pm$61.5 (1∼223) months. The mean follow up was 50.8$\pm$30.2 (3∼121) months. Nine patients had AS, 21 had AR, and 6 had AS and AR. Valve morphology was tricuspid in 24 patients, bicuspid in 9, quadricuspid in 1, and unicuspid in 1. The mean peak pressure gradients of AS were 72.0$\pm$33.0 mmHg, and the mean grades of AR were 3.1$\pm$0.9. Result: There was one late mortality without early mortality. After operation, AS improved with mean peak pressure gradients of 23.5$\pm$21.0 mmHg (p < 0.05), and AR improved with mean grades of 1.9$\pm$0.8 (p < 0.05). At mean follow up of 35.0$\pm$23.0 months, AS maintained with mean peak pressure gradients of 31.5$\pm$24.0 mmHg, but AR progressed with mean grades of 2.8$\pm$1.3 (p < 0.05). Reoperation was required in 6 patients 38.3$\pm$21.8 months after the original operation. The actuarial figures for freedom from reoperation at 2, 5 and 8 years were 96.9$\pm$3.1%, 79.5$\pm$5.5%, and 56.8$\pm$11.4%, respectively. Age at operation, presence of AS, preoperative severity of AS or AR, and morphology of aortic valve were not significant risk factors for reoperation, and improvement of AS or AR. Conclusion: Aortic valvuloplasty showed good immediate postoperative valve function. Aortic valvuloplasty offers children many years with tolerable valve function and allows to postpone aortic valve replacement or Ross procedure in pediatric patients.

Recent Early Operative Outcomes of Comprehensive Aortic Root & Valve Reconstruction (CARVAR) Procedure (종합적 대동맥 근부 및 판막 재건술의 최근 초기 수술성적)

  • Lee, Sung-Jun;Shin, Je-Kyoun;Kim, Dong-Chan;Kim, Jin-Sik;Kim, Jun-Seok;Chee, Hyun-Keun;Song, Meong-Gun
    • Journal of Chest Surgery
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    • v.42 no.6
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    • pp.696-703
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    • 2009
  • Background: A Comprehensive Aortic Root and Valve Reconstruction (CARVAR) procedure is comprised of aortic root wall reconstruction and corrections of the leaflets for treating various aortic valve diseases. We evaluated our recent early clinical experience with the CARVAR procedure. Material and Method: From October 2007 to September 2008, 114 cases (66 males) of CARVAR procedures were performed, The mean patient age was 53 years (range: 14~84) The patients were divided into 4 groups: 1) the AAR group: aortic regurgitation with aortic root wall deformity such as annulo-aortic ectasia or ascending aortic aneurysm (n=18), 2) the IAR group: isolated AR with leaflet abnormality (n=42), 3) the IAS group: isolated aortic stenosis (n=51) and 4) the PAVR group: previous aortic valve replacement (n=3). Sinotubular junction (STJ) reduction was done in all the patients, leaflet correction was done in 10 of the AAR group patients and in all the patients of the other groups, annulus reduction was done in 14 of the MR group patients and in 6 of the IAR group patients. Aortic dissection was excluded from this analysis. Result: There was no mortality or follow-up death. The diameter of the aortic sinus decreased from $54.6{\pm}8.4$ mm to $38.3{\pm}3.8$ mm in the AAR group, the mean AR grade decreased from 3.2 to 0.2 in the IAR group, the mean aortic valve pressure gradient decreased from $47.1{\pm}24.4$ mmHg to $15.1{\pm}11.7$ mmHg in the IAS group and the mean AR grade decreased to 0 in the PAVR group. Balloon type coronary perfusion cannula-related coronary ostial stenosis developed in 4 patients and this was treated with OPCAB in three patients and with PTCA in one patient. Two patients developed postoperative infectious endocarditis. All the patients were discharged and followed up in a stable condition. Conclusion: The CARVAR procedure showed excellent short term results, but a good further follow up result is required to apply this procedure to most kinds of aortic valve diseases.

One-stage Repair of Interrupted Aortic Arch with Ventricular Septal Defect and Valvular Aortic Stenosis - A case report- (심실 중격 결손과 대동맥 판 협착을 가진 대동맥 궁 단절의 일차 완전 교정술 -1예 보고-)

  • Cho, Joon-Yong;Jeong, Young-Kyun;Lee, Jong-Tae;Kim, Kyu-Tae;Chang, Bong-Hyun
    • Journal of Chest Surgery
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    • v.38 no.12 s.257
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    • pp.856-859
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    • 2005
  • A male neonate was referred to our hospital with facial cyanosis and tachypnea at 19 days of age. Two-dimensional echocardiography showed type B interrupted aortic arch, posterior malalignment ventricular septal defect and valvular aortic stenosis. A new surgical repair was done with biventricular repair and neo-aortic arch reconstruction. Left ventricular outflow track (LVOT) was consisted of aortic valve and pulmonic valve. Right ventricular outflow (RVOT) track was reconstructed with extracardiac conduit. Postoperative two-dimensional echocardiography showed no stenosis and turbulency flow on LVOT and RVOT.

The Effects of Acebutolol and Carbamazepine on the Ouabain-Induced Arrhythmias in Rabbits (가토의 ouabain 유발 부정맥에 미치는 acebuolol 및 carbamazepine의 영향)

  • Kim, Won-Joon;Ha, Jeoung-Hee
    • The Korean Journal of Pharmacology
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    • v.23 no.1
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    • pp.9-14
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    • 1987
  • The effects of acebutolol and carbamazepine on ouabain-induced arrhythmias were investigated in rabbits. Ouabain produced ventricular arrhythmias which persisted for 7-8 min at the mean dose of $69{\pm}1.3\;{\mu}g/kg$. Ouabain arrhythmias were converted to normal sinus rhythm by administration of acebutolol or carbamazepine singly but lower dosages increased the recovery time. And then, ouabain arrhythmias were effectively converted to normal sinus rhythm and prevented by combined administration of carbamazepine and acebutolol. Each of the combined doses was ineffective when given singly. From the above results, it may be concluded that carbamazepine and acebutolol inhibited the ouabain-induced arrhythmias depending on the level of dosage and showed synergistic interaction.

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