• Title/Summary/Keyword: Abdominal aorta

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The Distribution of the Renal Artery in the Canine Kidney (견신동맥(犬腎動脈)의 분포상태(分布狀態))

  • Kim, Yong Keun;Kim, Chong Sup;Kim, Moo Kwang
    • Korean Journal of Veterinary Research
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    • v.13 no.2
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    • pp.103-109
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    • 1973
  • By employing the vinylite and neoprene latex corrosion technique, the ramification and arrangement of A. renalis were observed in fifty adult dogs (100 kidneys). Obtained results were as follows: 1. In the dog a single renal artery arosed on each side from abdominal aorta in 99% and double renal arteries in 1%, a single bifurcated into the ramus dorsalis and ramps ventralis from which 2-6 segmental arteries originated. 2. The dorsal ventral planes of the kidney were divided separately into 3-6 vascular segments by the segmental artery into the parenchyma. Of them four segments were mostly frequent (in 73% of right kidney and 72% of left). 3. The ramifying method of the segmental artery from the ramus dorsalis et ventralis was divided 3 types and 12 kinds. 4. In 30 of 100 kidneys, either dorsal or ventral plane of a kidney was supplied from interlobar or segmental arteries belonging to the opposite ramps. In 29 of them, the dorsal plane was supplied from the ventral ramus. 5. Six right and 11 left kidneys had a common segment in the Extremitas cranialis of the kidney.

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Type A Aortic Dissection with Aortocaval Fistula -Report of 1 case- (대동맥-상대정맥루를 동반한 A형 대동맥 해리증 수술 치험 -1례보고-)

  • 김흥수;양승인;정성운;김종원;이형렬
    • Journal of Chest Surgery
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    • v.35 no.8
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    • pp.599-604
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    • 2002
  • Acute or chronic aortic dissection may lead to the rupture, which is the major cause of death. A dissecting aneurysm of ascending aorta(Stanford type A dissection) can rupture into the superior vena cava producing a aortocaval fistula, which is rare, but has been reported mostly in the cases of abdominal aortic aneurysm. We report a case of 67-year-old man with type A chronic dissection and aortocaval fistula, presenting symptoms of superior vena syndrome. The preoperative diagnosis was composed of radiologic examinations, including computed tomography, magnetic resonance imaging angiography and aortography. The dissecting aneurysm was resected and replaced, and the aortocaval fistula was repaired under deep hypothermic circulatory arrest. The details are described here.

Aortoenteric Fistula -one case report- (대동맥장루 -1예 보고-)

  • Kim, Hyuck;Jung, Tae-Yol;Ban, Dong-Gyu;Chung, Won-Sang;Kim, Young-Hak;Kang, Jung-HO;Jee, Heng-Ok;Lee, Chul-Bum;Kwon, Oh-Jung;Kim, Kyung-Soo
    • Journal of Chest Surgery
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    • v.34 no.2
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    • pp.176-179
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    • 2001
  • 이차성 대동맥장루는 아주 드물며 대동맥-장골동맥의 재건수술의 중대한 합병증으로 발생할 수 있다. 이 질환은 진성 대동맥장루와 paraprosthetic enteric fistula 로 분류할 수 있다. 이러한 합병증의 예방, 진단 및 치료는 추구해야할 문제로 되어 있다. 염증성 가성동맥류로 복부대동맥 및 장골동맥을 인조혈관으로 치환한 후 41개월에 내시경으로 Paraprosthetic enteric Fistula로 진단되어 수술을 시행한 39세 남자환자를 치험하였기에 보고한다.

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Hybrid Endovascular Operation for Aorto-Iliac Artery Aneurysm - A case report - (대-장골동맥류의 하이브리드(Hybrid) 치료 - 1예 보고 -)

  • Lee, Jae Wook;Won, Yong-Soon;Shin, Hwa-Kyun;Her, Keun;Kim, Dong-Hyun
    • Journal of Chest Surgery
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    • v.42 no.1
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    • pp.111-114
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    • 2009
  • Aorto-iliac artery aneurysms are very rare and the natural course of this disease is not well known. However, the risk of rupture is high and the mortality rate after rupture is extremely high. Preserving the pelvic circulation is important for the treatment of aorto-iliac artery aneurysms. We report here on a case of a patient suffering with aorto-iliac artery aneurysms, and these were treated by a hybrid endovascular operation that combined an open bypass of both iliac vessels with endovascular repair.

Endothelial Cell Seeding Onto the Extracellular Matrix of Fibroblasts for the Developement of Small Diameter Polyurethane Vessel (소구경 폴리우레탄 인공혈관의 개발을 위한 세포외기질위의 혈관내피세포 배양)

  • 박동국;이윤신
    • Journal of Biomedical Engineering Research
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    • v.16 no.1
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    • pp.1-8
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    • 1995
  • A variety of experiments of endothelial cell seeding onto artificial vessels have been performed. To improve endothelialization, one or two components of the extracellular matrix (ECM) have been used as an underlying matrix. In this study, the whole ECM excreted from fibroblasts was used as an underlying matrix. Fetal human fibroblasts were cultured on a polyurethane (PU) sheet. After a conflu; ence was attained, the cytoskeleton and the nuclei of the fibroblast were destroyed using Triton-X. Mitomycin, or irradiation. Omental microvascular endothelial cells from adult human were seeded onto various substrates. After 12 days in culture, the cells were counted. It was observed that the ECM treated by irradiation had the highest cell number. In addition, the cells on this substrate exhibited the most typical endothelial cell morphology. For preliminary animal experiments the PU vessels (inner diameter, 1.5mm) coated with ECM were implanted in the infrarena] abdominal aorta of rat. After the vessels had been implanted for 5 weeks, it was found that the surface of the PU vessels was completely covered with endothelia] cells. In conclusion, we can state that the fibroblast-derived whole ECM makes a better underlying substrate for the endothelialization of small diameter artificial vessels.

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Leriche Syndrome -A case report- (Leriche 증후군 1예)

  • Lee, Won-Jong;Kim, Hong-Jin;Shim, Min-Chul;Song, Sun-Kyo;Kwun, Koing-Bo
    • Journal of Yeungnam Medical Science
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    • v.3 no.1
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    • pp.319-323
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    • 1986
  • Leriche syndrome is a chronic disorder mostly in male and is a specific symptom complex due to thrombotic obliteration of the aortic bifurcation as result of a atherosclerotic change. The symptoms include 1) extreme liability to fatigu of both lower limbs; 2) symmetric atrophy of both lower limbs; 3) pallor of the legs and feets; 4) inability to maintain stable erection. There are several methods for surgical management of this disorder; 1) thromboendarterectomy with or without sympathectomy; 2) aortoiliac bypass graft; 3) aortofemoral bypass graft. Here we report a case of Leriche syndrome which was successfully managed with arotobifemoral bypass graft with Dacron and reviewed literatures on it briefly.

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Stent-graft Insertion in High Risk Patients with Aortic Dissection Including Intimal Tear of the Aortic Isthmus (대동맥 협부의 내막파열을 가진 고위험군 대동맥박리환자에서 시행한 스텐트 그라프트 삽입)

  • Do, Young-Woo;Kim, Gun-Jik;Cho, Joon-Young;Lee, Jong-Tae
    • Journal of Chest Surgery
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    • v.43 no.4
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    • pp.424-427
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    • 2010
  • Recently, stent-graft insertion has been widely used along with surgery for treatment of thoracic and abdominal aortic aneurysm. However, use of stent-graft insertion is controversial in descending aortic dissection. We report here on our experience of a patient who received a stent-graft for descending aortic dissection that nearly ruptured. Based on CT findings at three months follow up, results were satisfactory.

Massive Thromboembolism Owing to the Left Ventricular Thrombus Associated with the Hypereosinophilic Syndrome

  • Kim, Ji Seong;Park, Samina;Kim, Hyung-Kwan;Jeon, Yun-Seok;Min, Seung-Kee;Hwang, Ho Young
    • Journal of Chest Surgery
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    • v.47 no.5
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    • pp.478-482
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    • 2014
  • A 39-year-old man presented with cough, chest discomfort, and weight loss. On the basis of the patient history and laboratory findings, he was diagnosed with the hypereosinophilic syndrome. Transthoracic echocardiography revealed a large thrombus in the left ventricle. Medical treatment with anticoagulation and immunosuppression was commenced immediately. Fourteen days after the initial diagnosis, the patient presented with acute pain in his right leg. Computed tomographic angiogram showed embolic occlusion of the infrarenal abdominal aorta and bilateral iliac (including common, external, and internal iliac) arteries. Emergent thromboembolectomy and left ventricular thrombectomy were performed. The postoperative course was uneventful, and the patient has undergone follow-up for 2 months without any evidence of recurrence of thromboembolism.

Concurrent Patent Ductus Arteriosus and Congenital Extrahepatic Portosystemic Shunt with Suspected Portal Vein Aplasia in a Dog

  • Chae, Soo-young;Cho, Yu-gyeong;Lee, Young-won;Choi, Ho-jung
    • Journal of Veterinary Clinics
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    • v.34 no.4
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    • pp.283-286
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    • 2017
  • A 4-month-old, female Maltese dog was referred with continuous heart murmur. Patent ductus arteriosus was diagnosed via radiography and echocardiography. The patient was untreated because of client's refusal. After 13 months, the dog was referred again with seizure and salivation. Laboratory examination revealed increased liver enzymes, hyperammonemia and decreased total cholesterol and total protein. Microhepatica was identified on abdominal radiography. CT angiography showed a shunt vessel that originated from the portal trunk to the prehepatic caudal vena cava and patent ductus arteriosus connecting proximal descending aorta with the main pulmonary artery. No portal vasculature toward liver is observed after shunt vessel. The patient was diagnosed as concurrent patent ductus arteriosus and congenital extrahepatic portosystemic shunt with suspected portal vein aplasia. In human, cardiac malformations are frequently observed in patients with congenital extrahepatic portosystemic shunt with portal vein aplasia. This report described concurrent patent ductus arteriosus and congenital extrahepatic portosystemic shunt with suspected portal vein aplasia in a dog.

Development and Evaluation of a Novel Electro-mechanical Implantable Ventricular Assist System (전기-기계식 이식형 좌심실 보조 시스템의 개발 및 평가)

  • 조한상;김원곤;이원용;곽승민;김삼성;김재기;김준택;류문호;류은숙
    • Journal of Biomedical Engineering Research
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    • v.22 no.4
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    • pp.349-358
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    • 2001
  • A novel electro-mechanical implantable ventricular assist system is developed as a bridge to transplantation or recovery for patients with end-stage heart failure. The developed system is composed of an implanted blood pump, an external monitoring system which stores data, and a wearable system including a portable external driver and a portable power supply system. The blood pump is designed to be implanted into the left upper abdominal space and provides blood flow from the left ventricular apex to the aorta. The pulsatile blood flow is generated by a double cylindrical cam. There was mo excessive heat emission from the blood pump into the temperature-controlled chamber in the heat test and no stagnated flow within the blood sac by the observation in the flow visualization test. Animal experiments were performed using sheep and calves. The maximum assist flow rate reached 7.85L/min in the animal experiment. The evaluation results showed that the developed system was feasible for the implantable ventricular assist system. The long-term in vitro durability test and mid-term in vivo experiments are in progress and mow the modified next model is under development.

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