• Title/Summary/Keyword: Conduit

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Double Outlet Left Ventricle - One Case Report - (양대동맥 좌심실기시증치험 1례)

  • 성후식
    • Journal of Chest Surgery
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    • v.20 no.4
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    • pp.798-802
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    • 1987
  • Origin of both great vessels from morphological left ventricle [DOLV] is a rare cardiac anomaly which embryologic possibility has been explained by differential conal development concept and differential canal absorption concept. Recently we had surgical experience of DOLV in 4 month-age infant weighing 5.7Kg. The chief complaints on admission were cyanosis and anoxic spell during severe crying, and right heart catheterization and right ventriculogram were performed but incorrect diagnosis was made. The operative procedures were ligation of patent ductus arteriosus, patch closure of subaortic VSD aligning aorta and pulmonary artery with left ventricle, suture closure of proximal pulmonary artery and valve and the use of extracardiac valved conduit [Carpentier-Edward l4mm] from right ventricle to distal pulmonary artery. Postoperative course was uneventful and discharged in the good condition.

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Emergency Quadrido-Bentall Procedure for Aortic Rupture in a Patient with Behcet's Disease

  • Park, Sung Jun;Lee, Jeong-woo;Kim, Joon Bum
    • Journal of Chest Surgery
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    • v.48 no.5
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    • pp.364-367
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    • 2015
  • Cardiovascular involvement in cases of Behcet's disease is a rare but life-threatening condition, and prosthetic valve detachment is a frequent and serious complication attributable to Behcet's disease following the surgical repair of aortic regurgitation. We report the case of a patient with Behcet's disease presenting with contained aortic rupture around the aortic root. The patient had previously undergone aortic valve surgery three times due to recurrent prosthetic valve detachment. An emergency operation was performed, consisting of aortic root replacement (ARR) using a composite valved conduit and the replacement of the hemiarch. ARR may be an appropriate surgical option for patients with Behcet's disease in order to prevent recurrence of the disease.

Pulmonary Root Translocation with the Lecompte Maneuver: For Transposition of the Great Arteries with Ventricular Septal Defect and Pulmonary Stenosis

  • Yoon, Dong Woog;Kim, Tae Ho;Shim, Man-shik;Jun, Tae-Gook;Jang, Jae Seok
    • Journal of Chest Surgery
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    • v.48 no.5
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    • pp.351-354
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    • 2015
  • A five-month-old boy who had undergone previously transcatheter balloon atrioseptostomy at 3 days of age for complete transposition of the great arteries with ventricular septal defect and pulmonary stenosis underwent pulmonary root translocation with the Lecompte maneuver. This operation has the advantages of maintaining pulmonary valve function, preserving the capacity for growth, and avoiding problems inherent to the right ventricular to pulmonary artery conduit. This patient progressed well for 9 months postoperatively and we report this case of pulmonary root translocation with the Lecompte maneuver.

Pseudoaneurysm of Surgically Reconstructed Right Ventricular Outflow Tract Complicated by Superior Vena Cava Syndrome

  • Lee, Youngok;Lee, Jong Tae;Cho, Joon Yong;Kim, Gun Jik
    • Journal of Chest Surgery
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    • v.47 no.6
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    • pp.541-544
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    • 2014
  • Pseudoaneurysm of the right ventricular outflow tract (RVOT) has been reported as a rare complication of RVOT reconstruction performed using conduit replacement or patch repair. Rarely, it may present alongside symptoms secondary to the compression of adjoining mediastinal structures. We report the case of a patient who developed a symptomatic RVOT pseudoaneurysm one month after a total correction of tetralogy of Fallot. In the present case, superior vena cava syndrome was caused by compression of the superior vena cava, which was a very unusual presentation.

A Study of Manhole Bursting due to Surcharged Flow in Large Sewer System (대규모 간선에 있어서 써차지 흐름에 동반되는 맨홀뚜껑 비산현상에 관한 연구)

  • Choi, Sung-Mo
    • Journal of the Korean Society of Hazard Mitigation
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    • v.4 no.2 s.13
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    • pp.53-59
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    • 2004
  • The mechanism of manhole bursting which occurs at excess rainfall events Is studied by using both the physical model and the numerical model (SWMM ; Storm Water Management Model). The result of numerical simulation to steep pressure rising agrees well with that of the physical model at the sewer system under surcharged flow. A cause of manhole bursting is an expansion and spout of the condensed all at manhole that results from the surcharged flow and press wave propagation caused by gate operation or closure of conduit at pumping station.

Development of Monitoring and Control System of Utility-Pipe Conduit(Power Tunnel) using PLC (전력선 통신을 이용한 지하공동구 종합감시제어 시스템 개발)

  • Ju Seong-Ho;Lee Tae-Young;Park Byung-Seok;Lim Yong-Hoon;You Dong-Hee
    • Proceedings of the KIPE Conference
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    • 2004.07b
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    • pp.728-732
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    • 2004
  • 기존의 지하 공동구 감시 시스템은 광케이블, 누설 동축케이블(LCX), 각종 제어케이블을 사용하여 통신 선로를 구축하기 때문에 시설비가 대단히 고가이며, 여러 가지 통신선로의 이용에 따른 유지보수가 어렵고 시공기간이 길어 시설 확대에 어려움이 있었다. 따라서 통신케이블의 설치 없이 기존에 설치된 공동구의 전등용 저압 전력선을 통신선로로 그대로 이용할 수 있는 전력선 통신 기술을 적용하여 유지보수가 용이한 저비용의 지하 공동구 감시제어시스템을 개발하는 것이 바람직하다. 본 논문에서는 공동구에서의 전력선 통신의 특성을 조사, 시험시스템 설계${\cdot}$제작, 현장실증시험을 통한 성능시험 및 분석을 수행하여 전력선 통신을 적용한 안정적인 공동구 감시제어 시스템을 제안하고자 한다.

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Aorto-coronary Bypass for Unstable Angina - one case report - (불안정형 협심증의 관상동맥 우회수술치험 1)

  • 김형묵
    • Journal of Chest Surgery
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    • v.20 no.2
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    • pp.393-398
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    • 1987
  • Unstable angina pectoris is often premonitory to an acute myocardial infarction. Surgical revascularization in this syndrome is of great potential benefit and relatively low mortality. A patient with unstable angina pectoris is reported. A 65-year-old man complained of dyspnea and pain in the left anterior chest. The pain was brought on by mild exercise, occurred at rest and sleeping time. The pain worsened over a month period and more aggravated in intensity and duration. Physical examination showed no abnormalities except hypertension and laboratory data were within normal limits. His anginal pain was not relived by nitroglycerin ingestion. Preoperative coronary angiograms revealed significant obstruction [>90%] of left anterior descending coronary artery. Aorto-left anterior descending coronary bypass with autogenous saphenous vein used as conduit was performed. The postoperative course was uneventful and he was discharged on 16th postoperative day in a healthy condition.

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Total Correction of Double-Outlet Right Ventricle [DORV]: Report of 45 cases (양대동맥 우심실기시증의 전교정술 - 45예 보고 -)

  • 서울의대
    • Journal of Chest Surgery
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    • v.23 no.6
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    • pp.1174-1179
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    • 1990
  • Forty-five patients with double-outlet right ventricle[DORV] underwent complete intracardiac repair between July, 1983 and June, 1989. Patients with complete atrioventricular canal, atrioventricular discordance and uni-ventricular heart were excluded. The 32 male and 13 female patients ranged in age from 3 months to 15 years[mean 4 years]. Thirty-two patients had pulmonary stenosis. The early mortality was 11.ltd[5 /45] None of 27 died after a completely intraventricular repair. The mortality was 20%[1/5] for repair using transannular patch, 20% [1/5] for REV operation, 33.3%[1/3] for repair including extracardiac valved conduit, and 50% [1/2] for Jatene operation, respectively. Two modified Fontan procedures were performed without mortality. One died after Senning operation. Causes of early deaths included high residual right ventricular pressure[one patient] small left atrial and left ventricular volume[one patient], persisting severe pulmonary hypertension [one patient] and low cardiac output of unknown cause [two patients]. Complete heart block developed in one patient. Two late deaths occurred among the 40 operative survivors [5.0Po] from persisting severe pulmonary hypertension and bleeding at reoperation. Our results indicate that significant defects can be repaired with low mortality and morbidity.

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Surgical Repair of Type II Truncus Arteriosus Without a Extra-cardiac Conduct -A Case Report- (제2형 동맥간의 심장외 도관을 사용하지 않는 완전교정술 -1례 보고-)

  • 조은희
    • Journal of Chest Surgery
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    • v.28 no.6
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    • pp.619-622
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    • 1995
  • We report a successful surgical correction of type II truncus arteriosus without using a extra-cardiac conduit in an 2 month-old infant. The truncal root is transected, and the confluence of branch pulmonary arteries is brought anterior to the aorta by using Lecompte`s maneuver. The aorta is then reconstructed directly with an end-to-end anastomosis. The right ventricular outflow tract is reconstructed by anastomosing the posterior wall of the confluence directly to the upper part of the vertical right ventriculotomy. A monocusp ventricular outflow patch is then placed anteriorly to complete reconstruction of the right ventricular outflow tract. The patient had an uncomplicated postoperative course and was discharged on the 9th postoperative day.

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Analysis Stability of Cable-In-Conduit-Conductor with NbTi Superconducting Strands of Various Cu/SC Ratios Used in PF6 of KSTAR

  • Qiuliang Wang;Kim, Myungkyu;Yoon, Cheon-Seong;Lee, Sangil;Kim, Keeman
    • Proceedings of the Korea Institute of Applied Superconductivity and Cryogenics Conference
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    • 2001.02a
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    • pp.53-56
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    • 2001
  • The stability of PF 6-7 has been studied according to the transient analysis code TOKSCPF and quench analysis code QSAIT. We compare the stability and temperature rise with various Cu/SC ratios of 2.8 and 3.5 under the KSTAR normal operating conditions. It shows that the Cu/SC ratio has an influence on the quench propagation and stability margin. In transient operating condition, the Cu/SC ratio weakly influences on the temperature rise in PF magnet.

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