• Title/Summary/Keyword: PAVM

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A Case of Multiple Pulmonary Arteriovenous Malformation in Pregnancy (임신중에 발견된 다발성 폐 동정맥 기형 1예)

  • Lee, Byung-Ho;Cho, Young-Seon;Choi, Cheon-Woong;Yoo, Jee-Hong;Kang, Hong-Mo
    • Tuberculosis and Respiratory Diseases
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    • v.52 no.5
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    • pp.545-549
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    • 2002
  • A pulmonary arteriovenous fistula is an uncommon malformation. In pregnancy altered hemodynamics and hormones cause changes in a PAVM(pulmonary arteriovenous malformation) that predispose them to deterioration. Therefore, a PAVM can cause serious and life-threatening complications in pregnancy. Death often results from a cerebral abscess and a rupture of the malformation with a massive hemorrhage. Recently, we experienced a case of a multiple PAVM in pregnant 38 year old woman, which could not be observed in the old chest PA, 1 year ago. The PAVM was confirmed by CT and was angiography and treated by percutaneous embolization. The patient is suspected to have HHT (Hereditary hemorrhagic telangiectasia).

Pulmonary Arteriovenous Fistula presented by Brain Abscess - A case report - (뇌농양으로 발견된 폐동정맥루 - 1례 보고 -)

  • Kang, Shin-Kwang;Kim, Si-wook;Won, Tae-Hee;Ku, Kwan-Woo;Park, Sang-Soon;Yu, Jae-Hyun;Na, Myung-Hoon;Lim, Seung-Pyung;Lee, Young
    • Journal of Chest Surgery
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    • v.34 no.12
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    • pp.952-955
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    • 2001
  • Pulmonary arteriovenous malformations(PAVM) are uncommon diseases. Brain abscesse could be a rare and devastating comlplication of PAVM. Central nervous complaints may be the first manifestations of PAVM. We report a case of PAVM presented by brain abscess which was treated by craniotomy.

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Transcatheter Embolotherapy of Giant Pulmonary Arteriovenous Malformation Using Amplatzer® Vascular Plug (Amplatzer® 혈관폐색장치를 이용한 거대 폐동정맥기형 색전술 1예)

  • Jung, Ki Hwan;Lee, Seung Hwa;Shin, Chol;Kim, Je Hyeong
    • Tuberculosis and Respiratory Diseases
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    • v.67 no.1
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    • pp.52-58
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    • 2009
  • Pulmonary arteriovenous malformation (PAVM) is a rare pulmonary vascular anomaly due to an abnormal communication between the pulmonary artery and vein. The most common presenting symptom is a dyspnea on exertion related to this right-to-left shunt. If left untreated, PAVM has been known to result in serious complications. Incomplete pulmonary capillary network can be the cause of cerebral abscesses and other noninfectious neurological complications, such as stroke and transient ischemic attacks due to paradoxic embolism Transcatheter embolotherapy, using coils or balloons, has replaced surgical resection as the treatment of choice for PAVM. However, the risk of device embolization has limited the use of coil embolotherapy, while the size of PAVM is huge. Recently, Amplatzer$^{(R)}$ Vascular Plug has been proposed as an alternative endovascular occlusion device for arteriovenous malformation. We report a case of 81-year-old male patient with a giant PAVM, which was successfully treated by transcatheter embolotherapy using the Amplatzer$^{(R)}$ Vascular Plug.

Transcatheter Embolization of Giant Pulmonary Arteriovenous Malformation with an Amplatzer Vascular Plug II

  • Kong, Joon Hyuk;Oh, Tae Yun;Kim, Jung Tae;Baek, Kang Seok;Chang, Woon-Ha
    • Journal of Chest Surgery
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    • v.45 no.5
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    • pp.326-329
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    • 2012
  • Pulmonary arteriovenous malformation (PAVM) is a rare anomalous direct communication between the pulmonary artery and vein with a considerable risk of serious complications such as cerebral thromboembolism or abscess and pulmonary hemorrhage. Although the past, surgical resection such as lobectomy was mostly used to treat PAVM, the recent development of endovascular treatment has made it a primary consideration to perform transcatheter embolization using coils or detachable balloons. We report a case of successful transcatheter embolization of giant PAVM with the second generation Amplatzer vascular plug II as a new self-expanding device.

Buffer Cache Management for Low Power Consumption (저전력을 위한 버퍼 캐쉬 관리 기법)

  • Lee, Min;Seo, Eui-Seong;Lee, Joon-Won
    • Journal of KIISE:Computer Systems and Theory
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    • v.35 no.6
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    • pp.293-303
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    • 2008
  • As the computing environment moves to the wireless and handheld system, the power efficiency is getting more important. That is the case especially in the embedded hand-held system and the power consumed by the memory system takes the second largest portion in overall. To save energy consumed in the memory system we can utilize low power mode of SDRAM. In the case of RDRAM, nap mode consumes less than 5% of the power consumed in active or standby mode. However hardware controller itself can't use this facility efficiently unless the operating system cooperates. In this paper we focus on how to minimize the number of active units of SDRAM. The operating system allocates its physical pages so that only a few units of SDRAM need to be activated and the unnecessary SDRAM can be put into nap mode. This work can be considered as a generalized and system-wide version of PAVM(Power-Aware Virtual Memory) research. We take all the physical memory into account, especially buffer cache, which takes an half of total memory usage on average. Because of the portion of buffer cache and its importance, PAVM approach cannot be robust without taking the buffer cache into account. In this paper, we analyze the RAM usage and propose power-aware page allocation policy. Especially the pages mapped into the process' address space and the buffer cache pages are considered. The relationship and interactions of these two kinds of pages are analyzed and exploited for energy saving.

A Case of Hereditary Hemorrhagic Telangiectasia Diagnosed through Spontaneous Hemothorax (자발성 혈흉으로 내원하여 진단된 유전출혈모세혈관확장증 1예)

  • Kim, Chong-Whan;Park, Il-Hwan;Kwon, Woo-Cheol;Kim, Young-Joo;Jung, Soon-Hee;Lee, Shun-Nyung;Lee, Seok-Jeong;Lee, Ji-Ho;Jung, Sae-Hyun;Jung, Ye-Ryung;Kim, Sang-Ha
    • Tuberculosis and Respiratory Diseases
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    • v.72 no.1
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    • pp.50-54
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    • 2012
  • Hereditary hemorrhagic telangiectasia (HHT, Osler-Weber-Rendu disease) is a rare autosomal dominant disease characterized by heterogenous multisystemic dysplasia of the vascular tissue. Prevalence of HHT is 1 in 5,000~8,000. HHT commonly presents with recurrent epistaxis, but may have more serious consequences if visceral vascular beds are involved. Approximately 30~50% of HHT cases also present with pulmonary arteriovenous malformation (PAVM). Spontaneous hemothorax is less common, and PAVM is one of the causes leading to hemothorax. Our case involved an 18-year-old female who had suddenly developed right chest pain. The reason for chest pain was due to right spontaneous hemothorax accompanied by PAVM in the right middle lobe. The patient was additionally diagnosed with HHT upon examination of her family history, specifically through her mother's symptom that included recurrent epistaxis and mucosal telangiectasia.

Power Aware Suffer Cache (저전력 버퍼 캐시)

  • Lee, Min;Seo, Eui-Seong;Lee, Joon-Won
    • Proceedings of the Korean Information Science Society Conference
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    • 2005.07a
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    • pp.766-768
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    • 2005
  • 컴퓨팅 환경이 무선과 휴대용 시스템으로 변화하면서, 전력효율이 점점 중요해지고 있다. 특히 내장형 시스템일 경우에 더욱 그러한데 이중 메모리에서 소모되는 전력이 전체 전력소모의 두 번째 큰 요소가 되고 있다. 메모리 시스템에서의 전력소모를 줄이기 위해서 DRAM의 저전력 모드인 냅모드(nap mode)를 활용할 수 있다. 냅모드는 액티브 모드(active mode)일 때의 $28\%$의 전력만을 소모한다. 하지만 하드웨어 컨트롤러는 운영체제가 협조하지 않으면 이 기능을 효율적으로 활용하지 못한다. 이 논문에서는 DRAM의 액티브 유닛(active unit)의 수를 최소화하는 방법에 초점을 맞춘다. 운영체제는 참조되지 않는 메모리를 냅모드에 놓음으로써 최소한의 유닛들만을 액티브 모드에 놓아 프로그램이 수행될 수 있도록 피지컬(physical) 페이지들을 할당한다. 이것은 PAVM(Power Aware Virtual Memory) 연구의 일반화된 시스템 전반에 대한 연구라고 할 수 있다. 우리는 모든 피지컬 메모리를 고려하고 있으며, 특히 평균적으로 전체 메모리의 절반을 사용하는 버퍼 캐시를 고려하고 있다. 버퍼 캐시의 용량과 그 중요성 때문에 PAVM 방식은 버퍼 캐시를 고려하지 않고는 완전한 해법이 되지 못한다. 이 논문에서 우리는 메모리의 사용처를 분석하고 저전력 페이지 할당 정책을 제안한다. 특히 프로세스의 주소공간에 매핑(mapping)된 페이지들과 버퍼 캐시가 고려된다. 이 두 종류의 페이지들간의 상호작용과 그 관계를 분석하고 저전력을 위해 이러한 관계를 이용한다.

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A Case of Video-Assisted Thoracoscopic Pneumonectomy for Unilateral Diffuse Pulmonary Arteriovenous Malformation (비디오흉강경을 이용하여 폐절제술로 치료한 편측 미만성 폐동정맥루 1례)

  • Jung, Jong Yul;Lim, Jong Keun;Chun, Sung Wan;Suh, Won Na;Kim, Dae Jun;Lee, Kwang Hun;Park, Moo Suk;Kim, Se Kyu;Chang, Joon;Kim, Sung Kyu;Kim, Young Sam
    • Tuberculosis and Respiratory Diseases
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    • v.61 no.6
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    • pp.585-590
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    • 2006
  • Pulmonary arteriovenous malformations (PAVMs) are abnormal direct communications between the pulmonary arteries and veins. PAVMs may occur as either an isolated abnormality or in association with hereditary hemorrhagic telangiectasia, also called Osler-Weber-Rendu disease. The topic of PAVM has recently been extensively reviewed, but little is known about the clinical characteristics and course of patients having a diffuse pattern of the disease. Herein, is reported a case of unilateral diffuse PAVM in an 18 year old female patient, who underwent a right pneumonectomy, under a video-assisted thoracic surgery (VATS) approach, as the diffuse small pulmonary arteriovenous malformation involved the whole right lung.

A Case of Multiple Pulmonary Arteriovenous Malformation Treated with Coil Embolization (코일 색전술로 치료된 다발성 폐동정맥기형 1 예)

  • Ahn, Heok-Soo;Lee, Heung-Bum;Lee, Yang-Chul;Rhee, Yang-Keun
    • Tuberculosis and Respiratory Diseases
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    • v.45 no.4
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    • pp.896-901
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    • 1998
  • Pulmonary arteriovenous malformation(PAVM) is an uncommon congenital anomaly. As pulmonary arteriovenous malformation is a direct communication between the branches of pulmonary artery and vein which originated from the malformation of capillary development, major disturbances in gas exchange can result. This malformation results in the several symptoms such as dyspnea, hemopyssis, cyanosis, and severe neurologic complaints. However, the most of patients are usually asymptomatic. Selective pulmonary angiography is well known the helpful diagnostic method. Recently, therapeutic embolization has been advocated as the treatment of choice for pulmonary arteriovenous malformations. We report a case of multiple pulmonary arteriovenous malformation, which was detected on the simple chest X-ray and successfully treated with coil embolization in a 19-year-old asymptomatic woman.

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