• Title/Summary/Keyword: Aneurysm, blood vessel

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Surgical Treatment for Celiac Trunk Aneurysm -2 case report - (복강동맥류의 수술치험 2예)

  • 이길수;방정희;우종수;이재익;김시호;조원준;조광조
    • Journal of Chest Surgery
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    • v.36 no.9
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    • pp.695-698
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    • 2003
  • Celiac artery aneurysms are rare, their incidence being reported as only 4% of all visceral artery aneurysms. Atherosclerosis and medial degenerative changes are recognized main pathogenesis. They are usually asymptomatic and diagnosed incidentally, but the mortality rate of ruptured celiac artery aneurysm is approximately 80%. So one should give an aggressive surgical aid to the patients. We report 2 cases of celiac artery aneurysm which were successfully treated by elective aneurysmorrhaphy and anerysmectomy with aortoceliac bypass graft.

Analysis for the Flow and Wall Shear Stress with the Diameter Ratios of an Abdominal Aortic Aneurysm in a Pulsatile Flow (맥동 유동에서 복부 대동맥류의 직경비에 따른 유동 및 벽면전단응력 해석)

  • 모정하
    • Journal of Biomedical Engineering Research
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    • v.23 no.3
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    • pp.181-187
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    • 2002
  • The objective of the present study was to two-dimensionally investigate the characteristics of flow and wall shear stress under pulsatile flow in the aneurysm which is a local dilatation of the blood vessel for pulsatile flow. The numerical simulation using the commercial software were carried out for the diameter ratios(ratio of maximum diameter of aneurysm to the diameter of blood vessel) ranging from 1.5 to 2.5 and Womersley number, 15.47. It was shown that a recirculating flow at the bulge was developed and disappeared for one Period and the strength of vortex increased with the diameter ratio Especially. at time of 3.19s. the very weak recirculating flow was developed at the left upper sites of the aneurysm. The maximum values of the wall shear stress increased in Proportion to the diameter ratio. However. the Position of a maximum wall shear stress was the distal end of the aneurysm(z = 35mm) regardless of the diameter ratios.

Evolution of Low Wall-Shear Stress Area in Anterior Communicating Artery Aneurysm (전교통동맥류 내부 유동 전산해석을 통한 낮은 벽면 전단 응력 영역 발달 분석)

  • Guk, Yoonhyeok;Kwon, Taeho;Moon, Seongdeuk;Kim, Dongmin;Hwang, Jinyul;Bae, Youngoh
    • Journal of the Korean Society of Visualization
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    • v.20 no.2
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    • pp.45-54
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    • 2022
  • We analyzed the low wall-shear stress area in the intracranial aneurysm that occurred at an anterior communicating artery with a special emphasis on vortical structures close to the wall. We reconstructed the aneurysm model from patient CTA data. We assumed blood as an incompressible Newtonian fluid and treated the blood vessel as a solid wall. The pulsatile boundary condition was applied at the inlet of the anterior cerebral artery. From the instantaneous flow field, we computed the histogram of the wall-shear stress over the aneurysm wall and found the low wall-shear stress event (< 0.4 Pa). This extreme event was due to the low wall-shear stress area that occurred at the daughter sac. We found that the merging of two vortices induced the low wall-shear stress area; one arises from the morphological characteristics of the daughter sac, and the other is formed by a jet flow into the aneurysm sac. The latter approaches the daughter sac, which ultimately leads to the strong ejection event near the daughter sac.

Giant Atherosclerotic Aneurysm of Common Femoral Artery (총대퇴동맥의 동맥경화성 거대 동맥류 -1례 보고-)

  • 장인석;김성호
    • Journal of Chest Surgery
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    • v.29 no.10
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    • pp.1157-1159
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    • 1996
  • Atherosclerotic giant aneurysm of the common femoral artery is rare. Because the patients who lose timing of the operation face amputation or death, the surgical treatment must be performed at the proper time. A 72-old man was admitted to the hospital because of a 20-days history of pulsatile growing mass on his left groin. After the diagnosis of giant aneurysm of the common femoral artery by computerized tomography and digital subtraction angiography, an emergent operation was performed. Both deep and superficial femoral arteries were successfully reconstructed with Gore-tex grafts after aneurysmectomy. The pathology of the aneurysm was proved to be atherosclerosis.

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The Analysis of Cerebral Aneurysm's Prone position Using Computed Tomography Equipment (전산화단층촬영장치를 이용한 뇌동맥류의 호발부위 분석)

  • Lee, Seon-Tae;Lim, Jong-Soo;Park, Jeong-Kyu
    • Journal of Digital Contents Society
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    • v.12 no.3
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    • pp.271-277
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    • 2011
  • This research studied 249 patients who has an aneurysm and went through computerized CT angiography at S University Hospital in Northern Kyung-sang area from October 1st 2008 to September 30th 2010, and the results are the following. Among total 249 of research objects, 159 women (63.9%) showed higher distribution than 90 men (36.1%) The order of the distribution of aneurysm classified by blood vessel is the following. Posterior communicating artery 34.9% as the highest, internal carotid artery 21.7%, middle cerebral artery of 15.7%, anterior communicating artery 14.5%, posterior cerebral artery and posterior cerebral artery channel 3.6% each, anterior cerebral artery and vertebral artery 2.4% each, and posterior inferior cerebellar artery 1.2%. As a result of analysis of distribution of aneurysm classified by gender, there was no case of posterior cerebral artery and posterior cerebral artery channel among men, and there was no case of posterior inferior cerebellar artery among women. Distribution of aneurysm classified by vessel according to gender showed no statistic significance. (p<0.05). And distribution of aneurysm classified by vessel according to the age, showed no statistic significance. (p>0.05), After applying post analysis to understand the group with age difference, the significance was the highest among the group of 61-70, (4.21), and the group of the age under 30 was the lowest. (2.0) There was statistic significance on the distribution of aneurysm classified by vessel according to the season. (p<0.05). After applying post-analysis in order to understand the groups with difference between seasons, it was found that fall was the highest (4.55) and spring was the lowest. (2.50)

Surface Rendering in Abdominal Aortic Aneurysm by Deformable Model (복부대동맥의 3차원 표면모델링을 위한 가변형 능동모델의 적용)

  • Choi, Seok-Yoon;Kim, Chang-Soo
    • The Journal of the Korea Contents Association
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    • v.9 no.6
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    • pp.266-274
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    • 2009
  • An abdominal aortic aneurysm occurs most commonly in older individuals (between 65 and 75), and more in men and smokers. The most important complication of an abdominal aortic aneurysm is rupture, which is most often a fatal event. An abdominal aortic aneurysm weakens the walls of the blood vessel, leaving it vulnerable to bursting open, or rupturing, and spilling large amounts of blood into the abdominal cavity. surface modeling is very useful to surgery for quantitative analysis of abdominal aortic aneurysm. the 3D representation and surface modeling an abdominal aortic aneurysm structure taken from Multi Detector Computed Tomography. The construction of the 3D model is generally carried out by staking the contours obtained from 2D segmentation of each CT slice, so the quality of the 3D model strongly defends on the precision of segmentation process. In this work we present deformable model algorithm. deformable model is an energy-minimizing spline guided by external constraint force. External force which we call Gradient Vector Flow, is computed as a diffusion of a gradient vectors of gray level or binary edge map derived from the image. Finally, we have used snakes successfully for abdominal aortic aneurysm segmentation the performance of snake was visually and quantitatively validated by experts.

Detecting Regions of Stenosis and Aneurysm in a 3D Blood Vessel Model (3차원 혈관 모델에서 협착 및 팽창 영역 탐색 방안)

  • Park, Sang-Jin;Kim, Jae-Sung;Park, Hyungjun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.1
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    • pp.113-120
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    • 2018
  • Angiography and CT angiography are used widely for the examination of vascular diseases, but the diagnosis of such diseases is made mostly by the subjective judgment of the inspector. This paper proposes a method for detecting the suspicious regions of stenosis and aneurysm in the inner surfaces of 3D blood vessel models reconstructed from medical images. Initially, the 3D curve-skeletons of the blood vessel models and the contours at the nodes of the curve-skeletons were generated. Next, the 3D curve-skeletons were divided into a set of branches and the areas of normal contours of nodes located in each branch were calculated. The nodes whose contours contain suspicious regions were detected by taking into account the average area, maximum and minimum areas, and the area difference between the adjacent normal contours. The diagnosis of stenosis and aneurysm can be supported by properly visualizing the suspicious regions detected. The suspicious regions of the disease were identified by implementing and testing it using several data sets of human blood vessels, highlighting the usefulness of the proposed method.

A novel low-profile flow sensor for monitoring of hemodynamics in cerebral aneurysm

  • Chen, Yanfei;Jankowitz, Brian T.;Cho, Sung Kwon;Yeo, Woon-Hong;Chun, Youngjae
    • Biomaterials and Biomechanics in Bioengineering
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    • v.2 no.2
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    • pp.71-84
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    • 2015
  • A low-profile flow sensor has been designed, fabricated, and characterized to demonstrate the feasibility for monitoring hemodynamics in cerebral aneurysm. The prototype device is composed of three micro-membranes ($500-{\mu}m$-thick polyurethane film with $6-{\mu}m$-thick layers of nitinol above and below). A novel super-hydrophilic surface treatment offers excellent hemocompatibility for the thin nitinol electrode. A computational study of the deformable mechanics optimizes the design of the flow sensor and the analysis of computational fluid dynamics estimates the flow and pressure profiles within the simulated aneurysm sac. Experimental studies demonstrate the feasibility of the device to monitor intra-aneurysmal hemodynamics in a blood vessel. The mechanical compression test shows the linear relationship between the applied force and the measured capacitance change. Analytical calculation of the resonant frequency shift due to the compression force agrees well with the experimental results. The results have the potential to address important unmet needs in wireless monitoring of intra-aneurysm hemodynamic quiescence.

Pulmonary Artery Aneurysm in Behcet's Disease (베체트 질환에 발생한 폐동맥류 -치험 1예-)

  • 박승일;원준호;이종국
    • Journal of Chest Surgery
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    • v.32 no.7
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    • pp.660-664
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    • 1999
  • Behcet's disease is classically described as featuring recurrent aphthous ulcers in the mouth and genital organs and as having relapsing iritis. Now it is being recognized as a mul tisystem disorder that involves of the skin, gastrointestinal system, cardiovascular system, lung and the central nervous system as well as the joints, blood vessels and urologic systems. Large vessel diseases are unusual but aneurysm may occur in which the pulmonary circulation may give rise to the massive and often fatal hemoptysis. A 29 year-old man who complained of having dyspnea and hemoptysis during six months visited our hospital. He received right bilobectomy for a mass located in the right lower lobe. He underwent right bilobectomy. The final pathologic diagnosis was a pulmonary artery aneurysm which origina ted from the pulmonary artery.

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Surgical Treatment of Primary True Aneurysm on the Dorsalis Pedis Vein - A case report - (발등 정맥에 발생한 원발성 진성 동맥류의 수술 치험 - 1예 보고 -)

  • Lee, Woo-Surng;Kim, Yo-Han;Chee, Hyun-Keun;Lee, Song-Am;Jung, Ho-Sung;Choi, Young-Chill;Shin, Hyun-Joon
    • Journal of Chest Surgery
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    • v.43 no.3
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    • pp.316-319
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    • 2010
  • An aneurysm is a focal, localized dilatation of a blood vessel. This term is most commonly applied to dilatation of arteries. However, dilatation can occur in any part of the vascular system. Primary true aneurysm of the superficial venous system that contains all the vascular layers is known to be very rare. We report here on surgically treating a case of primary true aneurysm on the dorsalis pedis vein and we briefly review the related literature.