• Journal of Chest Surgery
• /
• v.53 no.6
• /
• pp.408-410
• /
• 2020

Iatrogenic vascular injuries may occur during venipuncture, arterial cannulation, or catheterization procedures. Brachial arteriovenous fistula (AVF) resulting from antecubital vascular access is rare and develops slowly. We report the case of an 18-year-old man who had developed iatrogenic brachial AVF. He had a history of several venipunctures in the left arm at the age of 10 months. Doppler ultrasonography and computed tomographic angiography were used to establish a diagnosis of brachial AVF, and surgical correction of the AVF was performed. As our case indicates, delayed surgery can be considered as a treatment option and may be associated with a decreased risk of vascular complications in the management of iatrogenic brachial AVF in infants.

• Journal of Chest Surgery
• /
• v.44 no.3
• /
• pp.260-265
• /
• 2011

Tracheobronchial ruptures (TBR) rarely complicate surgical procedures under general anesthesia. Seemingly uneventful intubations can result in injury to the trachea, which often manifests as hemoptysis and subcutaneous emphysema. We present 2 patients with postintubation TBR who were treated surgically and discuss considerations in the management of this potentially lethal injury.

• Journal of Chest Surgery
• /
• v.41 no.1
• /
• pp.120-123
• /
• 2008

A 60-year-old man with a history of gunshot vascular injury on the right inguinal area, and this happened in the military service 40 years ago, was admitted to our hospital with claudication and dyspnea on exertion. The patient was diagnosed with a chronic traumatic femoral arteriovenous fistula. The patient underwent a successful operation for arteriovenous fistula closure with bovine pericardium and for femoropopliteal bypass with using a right greater saphenous vein graft. The patient is well at 14 months after the operation.

• Transactions of the Korean Society of Automotive Engineers
• /
• v.7 no.8
• /
• pp.208-215
• /
• 1999

Using the orthogonal arrays and the occupant analysis software based on the multi-body dynamics , two interactive design algorithms are proposed to improve the initial design of the occupant protection systems. Algorithm 1 sequentially moves the narrow design space within the upper and the lower design limit. Algorithm 2 sequentially reduces the relatively wide design space. Each design algorithm is composed of two levels . The first level is to improve the characteristics of the crash performance considering the noise factors. In order to obtain the robust design, the second level reduces the variations the noise factors. In order to obtain the robust design, the second level reduces the variations due to the tolerance of the design variable. To utilize the algorithm 1, HIC(Head Injury Criterion) , 3 msec criterion value of the chest acceleration and the femur load decreased by 27.4%, 10.4% and 55.8%, respectively. To utilizer the algorithm 2 , the results decreased by 38.0%, 10.5% and 3.0% , respectively.

• Journal of Auto-vehicle Safety Association
• /
• v.8 no.3
• /
• pp.5-9
• /
• 2016

The objective of this study was to find the factors affecting the results of full frontal barrier impact test for the NCAP (New Car Assessment Program). To find the factors, the frontal NCAP test results of the NHTSA (National Highway Traffic Safety Administration) were utilized. The three tested vehicle were same model year. It was observed the second peak value of barrier force affected the occupant injury risk. As the second peak value of the barrier force increases, the injury risk of the driver side occupant increases as well.

• 연구논문집
• /
• s.24
• /
• pp.97-106
• /
• 1994

Steering system is typically one of the vehicle parts that may injure an unrestrained driver in a frontal collision. Therefore, the engineers of vehicle safety parts researched the allowable injury criteria such as HIC(head injury criterion). chest acceleration and knee impact force. From their research, they recognized that development of energy absorbing steering system was necessary to protect the driver. Energy absorbing parts of steering system consist of shear capsule, ball sleeve and shaft assembly. We performed the modelling and dynamic analysis of the energy absorbing steering column with the unrestrained driver model. The conclusions of this study are as follows. 1) The variation of column angle has an important effects on the dynamic responses of steering system and driver behavior. 2) The energy absorbing steering system satisfies the safety criterion of FMVSS 203, 208, but not the safety criterion of FMVSS 204.

• Journal of Chest Surgery
• /
• v.29 no.12
• /
• pp.1398-1400
• /
• 1996

The cardiac anatomic position immediately beneath the sternum leaves it vulnerable to injury when this bone is fractured. Cardiac rupture, however, is uncommon but survival following this injury is rare. We report the case of one patient who survived right ventricle perforation resulting from sternal fracture. The patient developed signs of pericardial tamponade and was brought to the operating theatre immediately for surgery through the emergency anterolateral thoracotomy Perforation of th right ventricle was repaired by direct closure without cardiopulmonary bypass. We believe that patients with cardiac rupture who reach the hospital alive can often be saved by prompt diagnosis and surgery.

• Journal of Chest Surgery
• /
• v.52 no.5
• /
• pp.372-375
• /
• 2019

A 55-year-old man was admitted to the trauma center after a car accident. Cardiac tamponade, traumatic aortic injury, and hemoperitoneum were diagnosed by ultrasonography. The trauma surgeon, cardiac surgeon, and interventional radiologist discussed the prioritization of interventions. Multi-detector computed tomography was carried out first to determine the severity and extent of the injuries, followed by exploratory sternotomy to repair a left auricle rupture. A damage control laparotomy was then performed to control mesenteric bleeding. Lastly, a descending thoracic aorta injury was treated by endovascular stenting. These procedures were performed in the hybrid-angio room. The patient was discharged on postoperative day 135, without complications.

• Journal of Trauma and Injury
• /
• v.32 no.2
• /
• pp.122-125
• /
• 2019

A 73-year-old man, who, in an inebriated state, had slipped in a flowerbed and was wounded on the left flank, was transferred to Trauma Center, Gil Medical Center, Gachon University College of Medicine. Based on the chest and abdominopelvic computed tomography, he was diagnosed with multiple rib fractures and hemopneumothorax on the left hemithorax and was found to have a bony fragment in the spleen. He had not presented peritonitis and exsanguinous symptoms during the observation period. Seven days later, computed tomography of the abdomen showed suspected diaphragmatic injury and a retained foreign body in the spleen. On exploration by video assisted thoracoc surgery (VATS), a herniated omentum through the lacerated site of the diaphragm was observed. After omentectomy using Endo Gia, the foreign body in the spleen was observed through the lacerated site of the diaphragm. Traumatic diaphragm rupture with a foreign body, in the spleen, was successfully managed by video assisted thoracic surgery via the lacerated site of the diaphragm.

• Journal of Trauma and Injury
• /
• v.33 no.4
• /
• pp.264-268
• /
• 2020

A 55-year-old man underwent emergent sternotomy due to cardiac tamponade occurring just after an accidental fall from a 10-m height. Tricuspid valve regurgitation was found on echocardiography while he was on mechanical ventilation after the operation. The patient was weaned successfully from mechanical ventilation after tricuspid valve repair under cardiopulmonary bypass. Traumatic tricuspid valve regurgitation is a rare blunt chest injury and its symptoms occur late. Tricuspid regurgitation should be considered as a reason for failure to wean from mechanical ventilation after blunt cardiac trauma.