• Journal of Chest Surgery
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• 제11권3호
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• pp.333-341
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• 1978

A 8 year old male was admitted to the Department of Thoracic Surgery, Korea University Hospital on June 22, 1978. The chief complaints were cyanosis and exertional dyspnea since at birth. EKG shows BVH and dextrocardia, phonocardiogram revealed the accentuation of second heart sound in aortic area. Echocardiogram from the left ventricle to the base of the heart, there is a discontinuity between the ventricular septum and the anterior aortic margin with a large aortic root & aortic overriding. His cardiac catheterization data and cardiac angiogram shows situs inversus totalis, dextrocardia, right aortic arch, large ventricular septal defect etc., and finally diagnosed Truncus Arteriosus. Edwards type IV with retrograde aortogram and selective bronchial angiogram. This is the first operative case reported as Rastelli operation for Truncus Arteriosus type IV in the literatures in Korea. Authors have experienced I case of Truncus Arteriosus, Edward type IV and Rastelli operation with Dacron Arterial Conduit Graft under cardiopulmonary bypass on July 3, 1978. The procedures were as follows; 2] Cardiopulmonary bypass: Origin of bronchial arteries excised from descending aorta bilaterally; defects in aorta closed. 2] Horizontal incision made high in right ventricle. 2] Ventricular septal defect [Kirklin type I+II] closed with Teflon patch. 4] Bifurcated dacron arterial graft with pericardial monocusp sutured to the bilateral pulmonary arteries. [Diameter 9 mm: Length 7 cm]. 5] Proximal end of the conduit graft anastomosed to right ventricle. [Diameter 19 mm: Length 5 cm]..Total perfusion time was 220 min. The result of operation was poor due to anastomotic leakage and increased pulmonary vascular resistance resulting acute right heart failure. The patient was died on the operation table. Literatures were briefly reviewed.

• Journal of Yeungnam Medical Science
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• 제3권1호
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• pp.319-323
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• 1986

본 저자들은 Abdominal aorta와 iliac artery의 혈전성 패색에 의해 양측 하지의 동통, 창백 및 미약한 위축과 성불능이 있는 Leriche 증후군 1례를 Dacron graft를 사용하여 Aortobifemoral graft를 시술하여 좋은 결과를 얻었기에 문헌고찰과 함께 보고하는 바이다.

• Journal of Chest Surgery
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• 제11권1호
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• pp.69-74
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• 1978

Coarctation of the aorta is rare condition among the congenital cardiovascular defects in Korea. We experienced one case of coarctation of the aorta [postductal type], which was successfully corrected with Dacron graft. This 20 year old man was admitted to our hospital for evaluation of hypertension in the upper extremities and frequent occipital headache of 2 month duration. On physical examination, grade II systolic murmur was heard over the apex and mid back, but thrill was not palpable. Blood pressures were measured at both extremities, its values were 190/70mmHg. in the arms and 120/60mmHg in the legs. Routine chest roentgenogram showed the dilated left subclavian artery high on the left mediastinal border and associated with left ventricular prominence, but notchings of lower border of rib was not seen. Electrocardiogram also showed left ventricular hypertrophy. Final Pre-operative diagnosis was made by the aortic catheterization and aortography, which showed the typical configuration of postductal type of coarctation with poststenotic dilatation of aorta. Under the moderate hypothermia by surface cooling, coarcation was resected 3.5cm in length and then Dacron graft was inserted. After prosthetic correction, blood pressures were recorded 120/60mmHg in arms and 160/120mmHg in legs. The post-operative course was uneventful.

• Journal of Chest Surgery
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• 제24권3호
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• pp.280-286
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• 1991

Supravalvular aortic stenosis may be defined as an obstructive congenital deformity of the ascending aorta which originates just distal to the level of the origins of the coronary arteries It may be localized or diffuse. Enlargement of the aorta with a diamond-shaped patch of the noncoronary sinus of Valsalva was reported in 1961 by McGoon and associates But this reconstruction is asymmetric and the aortic obstruction may remain. In 1977, Dotty and associates reported the extended aortoplasty, the supravalvular ring was incised at two points in the noncoronary and in the right coronary sinuses of Valsalva closed with a tubular Dacron prosthesis of inverted Y-shape tailored to reconstruct the aorta We experienced three cases of the supravalvular aortic stenosis. The 11-year-old female and 4-year-old male with localized supravalvular aortic stenosis in William`s syndrome were operated with an inverted Y-shaped aortotomy toward the non-coronary sinus and the right coronary sinus and closed with "Hemashield`s collagen impregnated Dacron" tube graft, fashioned into "pantaloon" form patch. The 12-year-old male with localized supravalvular aortic stenosis and mitral insufficiency in William`s syndrome were operated with same procedure as two other patient above-mentioned for relief of supravalvular aortic stenosis and with mitral valve replacement. Postoperative course has been good.ourse has been good.

• Journal of Chest Surgery
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• 제28권6호
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• pp.557-564
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• 1995

Microvel knitted double velour vascular grafts coated with biodegradable algin were evaluated in the canine experimental model as a new biologically coated Dacron graft. Three series of implantations were conducted involving the insertion of 6 mm diameter grafts in the abdominal aortae of mongrel dogs. The first series used the regular Microvel vascular grafts coated with algin,whereas the second and third series used Hemashield [collagen-coated grafts and the regular Microvel grafts with preclotting,respectively as control groups. Each series involved the implantation of one prosthesis for each of 2 preselected periods,namely 3 months and 6 months. In addition,algin-impregnated grafts were implanted for 4 hours,72 hours,2 weeks,and 4 weeks. All grafts were patent when the animals were sacrificed at intervals ranging from 4 hours to 6 months. Histological examinations revealed no obvious or significant differences in the healing characteristics of the algin-coated grafts and the control grafts after 3 months and 6 months of implantation. Endothelial cell-like cells were present on the midsegments of all grafts explanted from animals sacrificed after 3 months and 6 months,except a suspicious finding in the 3 month-implantation animal of a preclotted graft. With special stains,the algin became invisible between the polyester filaments during the first 3 months of implantation. This study has demonstrated that the use of a biodegradable algin coating is a feasible approach as biological sealants for textile arterial prostheses.

• 한국염색가공학회지
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• 제3권3호
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• pp.1-5
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• 1991

Cationic azo dyes were synthesized by coupling aniline and its derivatives with 2,4-dimethyl imidazole as a coupler, and their photochromic behavior was investigated. The dyes exhibited little photochromism on wool, but to a considerable degree on Dacron T92(anionic modified polyester), the photochromism being prominent for the dye with electron-releasing substituent on diazo component. Little photochromism on wool can be attributed to a decreased mobility of dye by the various interactions between the dye and wool molecules, which interferes the cis-trans isomeriation of dye. On Dacron T92 there can not be any obstacle for the cis-trans isomerization of dye, hence reversible color change may occur. The electron-releasing substituent on diazo component may be helpful for the photochromism of dye by increasing the n-electron density of phenyl ring, which can stabilize the cis-form of the dye by the interaction with the positive charge of imidazole ring.

• 한국의류학회지
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• 제14권3호
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• pp.229-240
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• 1990

The purpose of this study was to investigate the effect of hydrophilicity of the fiber on the water vapor transport properties of the fabric by using double layered fabrics of natural and synthetic fibers such as cotton, wool, nylon, dacron, orlon and polypropylene. Wickability and absorption rate were measured to determine the absorbancy of the fabrics. Dynamic and steady state water vapor transport properties were measured by cobaltous chloride method and evaporation method, respectively. Absorption was in the order of orlon> cotton > wool > nylon > polypropylene > dacron. Dynamic surface wetness of synthetic fabrics were faster than that of natural fabrics. For the double layered fabrics, higher water vapor transport was resulted when the natural fabric was exposed to lower vapor pressure and synthetic fabric was exposed to higher vapor pressure than when the fabrics were layered the other way around. Opposite result was obtained for orlon, which suggested that when the fabric of high absorbancy is exposed to the environment and lower absorbancy is to the skin, higher water vapor transpont could be resulted.

• Journal of Chest Surgery
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• 제16권3호
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• pp.301-309
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• 1983

Twenty-three patients with aneurysm were operated between Jan. 1956 to July 1983 at the Department of Thoracic surgery, Seoul National University Hospital. There were 18 males and 5 females in this series. The age ranged from 14 to 68 years with the mean age of 41 years. The etiology of aortic aneurysms was atherosclerosis in 10, trauma in 2, annuloaortic ectasia in 4, syphilis in 1, and unknown etiology in six cases. Among the 4 patients with ascending aortic aneurysm, aortic valve replacement with aneurysmorrhaphy in three patients and Bentall operation in one patient were performed successfully. One patient with entire aortic arch aneurysm was received Dacron graft replacement with anastomosis of brachiocephalic arteries separately under cardiopulmonary bypass. There was no complication. Among 6 patients involving the descending thoracic aorta, three patients were managed by prosthetic bypass graft and aneurysm resection, and another three patients were also managed by prosthetic graft replacement. There were three hospital deaths. There were two thoracoabdominal aortic aneurysm. One patient in shock state due to preoperative rupture died from cardiac arrest during operative procedure. In another patient who had extensive involvement from the midportion of descending thoracic aorta to the terminal abdominal aorta, the aneurysm was successfully repaired with Dacron graft. In this instance celiac axis, superior and inferior mesenteric arteries and right renal artery were anastomosed separately. Eight of the 10 abdominal aortic aneurysms was replaced with prosthetic graft. One saccular aneurysm was treated by resection and primary closure. In another patient, cardiac arrest occurred during operation before definitive procedure. There was one another hospital death in the patient with preoperative rupture.

• Journal of Chest Surgery
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• 제29권11호
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• pp.1207-1211
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• 1996

본 가톨릭대학교 의과대학 흉부외과학 교실에선 최근 10년간 10예의 발살바동 동맥류 파열환자를 경험하였다. 8명은 선천성이었으며 2명은 세균성 심내막염에 의한 후천성이었다. 동반된 심질환으로는 대동맥판막폐쇄부전증 4예, 심방중격결손증 2예, 심실중격결손증 1례, 승모판막폐쇄부전증 1례 그리고 삼첨판막폐쇄부전증 1례가 있었다. 전례에서 동맥류가 우관상동에서 발생하였으며, 8명의 환자에서 우심실으로 2명의 환자에서 우심방으로 파열하였다. 저자들은 대동맥절개와 동맥류가 파열된 심방 또는 심실절개를 통한 수술을 선호하였으며, 8명의 환자에서 Dacron 첩포를 사용하여 봉합하였고 2명의 환자에서는 단순봉합하였다. 전 환자에서 양호한 결과를 보였으며, 술후 사망예는 없었다.

• Journal of Chest Surgery
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• 제14권1호
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• pp.63-66
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• 1981

True aneurysm of the carotid artery is relatively rare in comparison with the total number of aneurysms of the arterial system. The threat of rupture and embolization from mural thrombi are indications for treatment even though no symptoms may be present. Resection of the aneurysm and restoration of arterial continuity is the treatment of choice. A case of aneurysm of the Lt. common carotid artery of a 21 year-old male patient is presented. The confirmatory diagnosis was made by left carotid angiogram, and the aneurysmectomy & reconstruction with woven dacron vascular prosthesis was done, while cerebral circulation was maintained by internal shunt.