• Title/Summary/Keyword: Repair technique

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General Considerations of Ruptured Abdominal Aortic Aneurysm: Ruptured Abdominal Aortic Aneurysm

  • Lee, Chung Won;Bae, Miju;Chung, Sung Woon
    • Journal of Chest Surgery
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    • v.48 no.1
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    • pp.1-6
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    • 2015
  • Although development of surgical technique and critical care, ruptured abdominal aortic aneurysm still carries a high mortality. In order to obtain good results, various efforts have been attempted. This paper reviews initial management of ruptured abdominal aortic aneurysm and discuss the key point open surgical repair and endovascular aneurysm repair.

Numerical Analysis of Interfacial Fracture Behavior in Repaired Structures. (구조 보강재와 피보강재 접합경계면의 역학적 특성에 관한 해석적 연구)

  • 박진완;신승교;임윤묵;김문겸
    • Proceedings of the Korea Concrete Institute Conference
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    • 1999.10a
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    • pp.471-474
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    • 1999
  • An interface always appears when a repair is applied to an aged infrastructure system for repair. These repaired structures have the high chance to fail along the interface because of the stress concentration/discontinuity along the interface. So, mechanical properties of the interface have much influence on the behavior of repaired structure systems. In this paper, numerical tool that can predict effectively the interfacial fracture behavior is developed using axial deformation link elements, and this numerical technique is applied to the interfacial failure behavior. The results coincide with the ultimate strength and failure profile on the interfacial behavior of carbon fiber sheets for strengthening with epoxy adhesion. Thus, the mechanical behavior of the interface up to failure can be predicted using numerical technique with the proposed axial deformation link elements.

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Repair of the Coarctation of the Aorta Using the Subclavian Artery as a Flap and Preservation of Arterial Blood Flow to the Left Arm (상지혈류를 보전한 쇄골하동맥피판 대동맥성형술)

  • 허동명
    • Journal of Chest Surgery
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    • v.24 no.6
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    • pp.625-630
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    • 1991
  • From April 1990 through June 1990, three patients underwent subclavian flap aortoplasty for relief of the coarctation of the aorta. The age of the patients were 13 days, 7 months and 39 months and their weights were 3.3kg, 6.5kg, and 11kg, respectively. Two patients had persistence of the ductus arteriosus and all patients had associated intracardiac anomalies. We used the technique devised by Mendonca, namely, repair of the coarctation of the aorta using the subclavian artery as a flap and preservation of the arterial blood flow to the left arm. In one patient with long narrowing of isthmus, significant residual pressure gradient was remained by this technique and we added patch aortoplasty. There were no hospital deaths and follow-up over a one year period shows all patients in good condition.

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One Stage Eepair of Interruption of Aortic Arch with VSD in Neonate (신생아에서 심실중격결손증을 동반한 대동맥궁 결손증의 일단계 완전 교정술 -3례 치험-)

  • 전희재
    • Journal of Chest Surgery
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    • v.28 no.6
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    • pp.610-618
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    • 1995
  • Three neonates with interrupted aortic arch with VSD underwent one stage repair using revised technique of cardiopulmonary bypass with short period of circulatory arrest. A left posterolateral thoracotomy was made to permit mobilization of the descending aorta and placement of polytetrafluoroethylene[PTFE graft for distal aortic perfusion. Then the patient was placed in the supine position and a median sternotomy was performed to permit the proximal dissection, VSD repair, and direct anastomosis between the ascending aorta and descending aorta. This technique has advantages to facilitate direct anastomosis between the ascending aorta and the descending aorta, to lessen circulatory arrest time, and to prevent dangerous laceration and post-operative narrowing of the thin small ascending aorta at cannulation site. There was no operative mortality but postoperative stenosis developed in one case which was relieved with balloon aortoplasty.

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Iatrogenic Tracheal Posterior Wall Perforation Repaired with Bronchoscope-Guided Knotless Sutures Through Tracheostomy

  • Jung, Yong Chae;Sung, Kiick;Cho, Jong Ho
    • Journal of Chest Surgery
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    • v.51 no.4
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    • pp.277-279
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    • 2018
  • A 68-year-old man presented with a posterior tracheal wall injury caused by percutaneous dilatational tracheostomy. The wound was immediately covered with an absorbable polyglycolic acid sheet. Ten days after the injury, the perforation was closed with knotless sutures using a Castroviejo needle-holder through the tracheostomy. The successful repair in this case indicates the feasibility of the knotless suture technique for perforations. The technique is described in detail in this report. The patient was weaned from the mechanical ventilator on postoperative day 25. In cases of posterior tracheal posterior wall perforation, every effort should be made to repair the perforation through an existing opening.

Successful Repair of Type I Endoleak Using the Frozen Elephant Trunk Technique

  • Kim, Seon Hee;Song, Seunghwan;Kim, Sang-pil;Lee, Chung Won;Son, Joohyung
    • Journal of Chest Surgery
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    • v.49 no.4
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    • pp.298-301
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    • 2016
  • Thoracic endovascular aortic repair (TEVAR) has emerged as an effective therapy for a variety of thoracic aortic pathologies. However, various types of endoleak remain a major concern, and its treatment is often challenging. We report a case of type I endoleak occurring 19 months after zone II hybrid TEVAR. The endoleak was successfully repaired by the frozen elephant trunk technique, without removal of a previous stent graft, combined with ascending aorta and total arch replacement.

Traumatic Lumbar Hernia: Report of a Case (외상성 허리 탈장: 증례 보고)

  • Lee, Gil Jae;Chung, Min;Yu, Byung Chul
    • Journal of Trauma and Injury
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    • v.26 no.3
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    • pp.222-225
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    • 2013
  • The occurrence of traumatic hernia is rare. However, traumatic lumbar hernias are the most frequently occurring traumatic hernias. Superior lumbar hernias occur more frequently than inferior lumbar hernias, but for anatomical reasons, among traumatic lumbar hernias, inferior lumbar hernias occur more frequently than superior lumbar hernias. Repair of a lumbar hernia is very difficult. Mesh fixation to the bony part and general weakness of surrounding tissue make repair of a lumbar hernia tricky. A traumatic lumbar hernia was repaired using transfascial fixation around the defect to secure the mesh. This technique is another choice for a lumbar hernia technique.

Experimental investigation of retrofitted shear walls reinforced with welded wire mesh fabric

  • Yuksel, Suleyman B.
    • Structural Engineering and Mechanics
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    • v.70 no.2
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    • pp.133-141
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    • 2019
  • The aim of the present paper is to present the cyclic behavior of strengthened reinforced concrete shear wall test specimen, which was reinforced with cold drawn welded wire mesh fabric. Two reinforced concrete shear wall specimens have been tested in the present study. The walls were tested under reversed cyclic loading with loading applied near the tip of the walls. The control wall is tested in its original state to serve as a baseline for the evaluation of the repair and strengthening techniques. The two test specimens include a control wall and a repaired wall. The control wall test specimen was designed and detailed to simulate non-ductile reinforced concrete shear walls that do not meet the modern seismic provisions. The response of the original wall was associated with the brittle failure. The control shear wall was repaired by addition of the reinforcements and the concrete and then it was reloaded. The effectiveness of the repair technique was investigated. Test results indicate that there can be a near full restoration of the walls' strength. The data from this test, augmenting other data available in the literature, will be useful in calibrating improved analytical methods as they are developed.