• 대한핵의학회지
• /
• 제23권1호
• /
• pp.89-93
• /
• 1989

Single pass radionuclide cardiac angiography was performed in 67-year old woman due to dyspnea and chest discomfort. The study showed markedly dilated ascending aorta and collateral ciculations from left sudclavian vein, and confirmed aortic aneurysm with partial obstruction of superior vena cava.

• Journal of Chest Surgery
• /
• 제21권5호
• /
• pp.899-904
• /
• 1988

In Behcet syndrome, cardiac involvements are rare and have been reported pericarditis, myocarditis, right heart endocardial fibrosis, right ventricle mural thrombus with pulmonary embolism, active endocarditis, granulomatous endocarditis, conduction disturbance, acute aortic insufficiency, mitral valve prolapse. Our three patients underwent AVR because of aortic insufficiency and ascending aorta enlargement combined with Behcet syndrome. Two patients had mitral regurgitation too. So one underwent MAP and the other underwent MVR concomitantly. One who underwent AVR have been well for 50 months. Another who underwent AVR+MAP and redo AVR due to aortic paravalvular leakage was died of congestive heart failure. The other who underwent AVR+MVR and repeated AVR three times because of aortic paravalvular leakage is in condition of aortic paravalvular leakage. Paravalvular leakage is considered to recur due to progressive dilatation and fragility of aortic root that is the result of pathologic change of Behcet syndrome in it. If Open heart surgery is needed in Behcet`s syndrome during inflammatory reaction is active, postoperative complications such as paravalvular leakage or suture line rupture may be prevented with pre- and postoperative anti-inflammatory management.

• Journal of Chest Surgery
• /
• 제26권4호
• /
• pp.308-311
• /
• 1993

Aberrant right subclavian arteries were experienced in two young children. This is a rare aortic arch anomaly that usually does not produce symptoms. Symtomatic patients require surgical interventions.We describe two young children who had aberrant right subclavian artery with symptoms of difficulty in swallowing and respiratory problems. Diagnosis was made by esophagography, aortography and 3-Dimension chest CT. Operation had been advocated through right thoracotomy without difficulty for ligation, division and anastomosis to the ascending aorta. Dysphagia lusoria was immediately relieved and postoperative course was uneventful. We consider that the right thoracotomy is the choice of operative approach and noninvasive diagnosis by 3-Dimension chest CT is easily made for infant with aberrant right subclavian artery.

• Journal of Chest Surgery
• /
• 제37권9호
• /
• pp.793-795
• /
• 2004

생후 30일 된 형성부전성 좌심증후군 환자에 대하여 무명 동맥과 관상동맥의 국소 순환 하에 완전순환 정지 없이 심박동을 유지한 상태에서 Norwood수술을 시행하였다. 환자는 4개월 후 이차 수술전까지 특별한 문제없이 성장하였고 이차 수술 후 폰탄 수술을 기다리고 있다. 상행 대동맥 근위부 직경이 5 mm 이상 정도로 캐뉼라 삽관이 가능한 경우 완전 순환 정지 없이 Norwood 술식이 가능하며 이를 통하여 좋은 결과를 얻었기에 보고하는 바이다.

• Journal of Chest Surgery
• /
• 제18권2호
• /
• pp.193-204
• /
• 1985

During the period from February to March, 1984, we employed a partial left heart bypass [left atrium to ascending aorta] in 2 patients who could not weaned from cardiopulmonary bypass with inotropic agents and cardiac pacing after coronary bypass surgery. These two patients showed significant improvement in ventricular function 18 to 47 hours after inserting the left heart bypass and were able to wean from the left heart bypass under using inotropic agents. Two patients died of multiple organ failures 11 days and 15 days postoperatively. These results indicate that early institution of left heart bypass in ventricular failure patients after open heart surgery can provide satisfactory long-term result.

• Journal of Chest Surgery
• /
• 제18권2호
• /
• pp.314-319
• /
• 1985

Nineteen patients with various types of cyanotic congenital heart disease underwent systemic-pulmonary artery shunts with a microporous polytetrafluoroethylene [PTFE] graft between September, 1983, and April, 1985. Age ranged from 3 months to 18 years, and seven of them were less than 12 months old. There were seventeen Great Ormond Street type of modified Blalock-Taussig shunts, and two central polytetrafluoroethylene shunt [ascending aorta-right pulmonary artery]. There was one postoperative death [1/19=5.3%] in a 10 Kg child born with pulmonary atresia and ventricular septal defect associated with patent ductus arteriosus. He had another anomaly of imperforated anus. Relief from cyanosis was achieved in other eighteen patients with variable degree. Eighteen survivors have been followed up from 1 month to 19 months. Clinical status, auscultation, oxygen partial pressure of arterial blood, and hemoglobin have been used to establish shunt patency in all survivors. By above criteria, all survivors have good patent shunt.

• Journal of Chest Surgery
• /
• 제25권3호
• /
• pp.330-334
• /
• 1992

Takayasu`s arteritis is a non-specific arteritis involving the aorta and its major branches. Because of the complexity in the feature of vessel involvement, it represents various clinical presentations according to the sites of involvement. In general, the medical and the surgical treatment of this progressive disease are known to be unsatisfactory but the surgical treatment can provide symptomatic relief and prolong life in selected cases. Recently we experienced one case of Takayasu`s arteritis involving the aortic arch and its major branches. A 45 year-old male patient admitted with the complaints of dizziness, headache, visual disturbance and coldness of upper extremities. Ascending aortogram revealed total occlusion of innominate artery and near total occlusion of left common carotid artery at the site of origin of both vessels. Under the clinical diagnosis of Takayasu`s arteritis, aorto-bicarotid-right subclavian bypass was performed. Postoperative course was uneventful and most of symptoms were relieved except mild residual visual disturbance.

• Journal of Chest Surgery
• /
• 제53권6호
• /
• pp.403-407
• /
• 2020

To validate the technique of the single Heartstring aortotomy for multiple off-pump venous bypass grafts (described in 2015), the results of a 38-month follow-up study of 18 patients, including high-risk patients, are presented. No early deaths or cardiac or cerebral complications occurred. During the follow-up period, 2 patients died of non-cardiac causes, and 3 developed coronary ischemia. Ischemia occurred due to late graft occlusion in 2 patients, both of whom had normal postoperative courses and correct graft flow. The presence of acute symptoms 24 months after surgery in these patients indicated that technical graft failure was unlikely. This safe technique combines the advantages of simple and reproducible revascularization, the off-pump approach, and minimal aortic manipulation.

• Journal of Chest Surgery
• /
• 제10권1호
• /
• pp.113-117
• /
• 1977

The tetralogy of Fallot is one of the most frequent and serious congenital cardiac malformation accompanied cyanosis. For relief of cyanosis, the Waterston operation is a successful, palliative procedure in infant & young child under age of five with obstructive lesions of the right: side of the heart who require a systemic-pulmonary arterial shunt for survival. A patient, aged 3 and weighing 13 kg., who had been cyanotic since one month after birth,. was admitted to the University of Severance Hospital under a diagnosis of tetralogy of Fallot, The side to side anastomosis between the right pulmonary artery & the ascending aorta was performed in March 1976. The anastomotic channel was made only 4 ram. in diameter, thereafter massive unilateral pulmonary congestion on the side of the anastomosis developed shortly after operation. And the. patient died of congestive heart failure within a hour. And so the purpose of this report is describe the immediate & late effect of systemic-pulmonary shunt for T.O.F. with review of literatures.

• Journal of Chest Surgery
• /
• 제26권3호
• /
• pp.245-248
• /
• 1993

Recently we experienced a case of Takayasu`s arteritis involving the major aortic branches. A 30 year-old female patient admitted with the complaints of dizziness, visual disturbance, headache and tingling sensation of upper extremities. Aortogram revealed nearly complete obstruction of the origin site of both common carotid arteries and right vertebral artery, and irregular luminal narrowing of the origin site of innominate artery and left subclavian artery, but opacification of right subclavian artery and left vertebral artery. Successful surgical treatment was accomplished with a bypass from the ascending aorta to the left common carotid artery using a tube graft. The left subclavian artery and right axillary artery were revascularized distal to the stenosis with tube grafts that extended from the aortic graft. Postoperative complications were atelectasis, lymph leakage and left phrenic nerve palsy. She discharged uneventually at postoperative 22 days and most of symptoms were relieved.