• Title/Summary/Keyword: Retrograde

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Outcomes of endoscopic retrograde cholangiopancreatography in patients with situs inversus viscerum

  • Long Le;Nicholas McDonald;Anders Westanmo;Mohammad Bilal;Dharma Sunjaya
    • Clinical Endoscopy
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    • v.56 no.6
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    • pp.790-794
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    • 2023
  • Background/Aims: Situs inversus viscerum (SIV) is a congenital condition defined by left-to-right transposition of all visceral organs. This anatomical variant has caused technical challenges in endoscopic retrograde cholangiopancreatography (ERCP). Data on ERCP in patients with SIV are limited to case reports of unknown clinical and technical success rates. This study aimed to evaluate the clinical and technical success rates of ERCP in patients with SIV. Methods: Data from patients with SIV who underwent ERCP were retrospectively reviewed. The data were collected by querying the nationwide Veterans Affairs Health System database for patients diagnosed with SIV who underwent ERCP. Patient demographics and procedural characteristics were collected. Results: Eight patients with SIV who underwent ERCP were included. Choledocholithiasis was the most common indication for ERCP (62.5%). The technical success rate was 63%. Subsequent ERCP with interventional radiology-assisted rendezvous has increased the technical success rate to 100%. Clinical success was achieved in 63% of cases. Among cases of subsequent rendezvous ERCP after conventional ERCP failure, clinical success was achieved in 100%. Conclusions: The clinical and technical success rates of ERCP in patients with SIV were both 63%. In patients with SIV in whom ERCP fails, interventional radiology-assisted rendezvous ERCP can be considered.

Isolated Right Pulmonary Artery Hypoplasia with Retrograde Blood Flow in a 68-Year Old Man

  • Chang, You-Jin;Ra, Seung-Won;Chae, Eun-Jin;Seo, Joon-Beom;Kim, Won-Young;Na, Shin;Kim, Joo-Hee;Park, Tai-Sun;Park, Soo-Kyung;Park, Seong-Joon;Lee, Tae-Hoon;Ahn, Young-Chel;Lee, Sang-Do
    • Tuberculosis and Respiratory Diseases
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    • v.71 no.2
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    • pp.126-133
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    • 2011
  • Unilateral pulmonary artery hypoplasia (UPAH) is a rare disease in adults and is frequently accompanied by a congenital cardiac anomaly at a young age. The diagnosis is usually based on computed tomography (CT), angiography, and magnetic resonance imaging (MRI). However, no reports are available on retrograde flow in patients with UPAH. We describe a 68-year-old man with isolated UPAH and retrograde blood flow. He was admitted for dyspnea on exertion for the past 23 years. His diagnosis was delayed, as his symptoms and signs mimicked his underlying pulmonary diseases, such as emphysema and previous tuberculous pleurisy sequelae. A discrepancy was detected between the results of a ventilation-perfusion scan and the CT image. This was resolved by MRI, which showed retrograde blood flow from the right to the left pulmonary artery. Using MRI, we diagnosed this patient with isolated pulmonary artery hypoplasia and retrograde flow.

Clinical Results of Different Myocardial Protection Techniques in Aortic Stenosis

  • Lee, Jung Hee;Jeong, Dong Seop;Sung, Kiick;Kim, Wook Sung;Lee, Young Tak;Park, Pyo Won
    • Journal of Chest Surgery
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    • v.48 no.3
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    • pp.164-173
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    • 2015
  • Background: Hypertrophied myocardium is especially vulnerable to ischemic injury. This study aimed to compare the early and late clinical outcomes of three different methods of myocardial protection in patients with aortic stenosis. Methods: This retrospective study included 225 consecutive patients (mean age, 65{\pm}10 years; 123 males) with severe aortic stenosis who underwent aortic valve replacement. Patients were excluded if they had coronary artery disease, an ejection fraction <50%, more than mild aortic regurgitation, or endocarditis. The patients were divided into three groups: group A, which was treated with antegrade and retrograde cold blood cardioplegia; group B, which was treated with antegrade crystalloid cardioplegia using histidine-tryptophan-ketoglutarate (HTK) solution; and group C, treated with retrograde cold blood cardioplegia. Results: Group A contained 70 patients (31.1%), group B contained 74 patients (32.9%), and group C contained 81 patients (36%). The three groups showed significant differences with regard to the proportion of patients with a New York Heart Association functional classification ${\geq}III$ (p=0.035), N-terminal pro-brain natriuretic peptide levels (p=0.042), ejection fraction (p=0.035), left ventricular dimensions (p<0.001), left ventricular mass index (p<0.001), and right ventricular systolic pressure (p <0.001). Differences in cardiopulmonary bypass time (p=0.532) and aortic cross-clamp time (p=0.48) among the three groups were not statistically significant. During postoperative recovery, no significant differences were found regarding the use of inotropes (p=0.328), mechanical support (n=0), arrhythmias (atrial fibrillation, p=0.347; non-sustained ventricular tachycardia, p=0.1), and ventilator support time (p=0.162). No operative mortality occurred. Similarly, no significant differences were found in long-term outcomes. Conclusion: Although the three groups showed some significant differences with regard to patient characteristics, both antegrade crystalloid cardioplegia with HTK solution and retrograde cold blood cardioplegia led to early and late clinical results similar to those achieved with combined antegrade and retrograde cold blood cardioplegia.

On the Occurrences of Pyrrhotite from the Yeonhwa 1 Mine, Korea

  • Chung, Jae-Il;Lee, Young-Up
    • Journal of the Korean earth science society
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    • v.24 no.1
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    • pp.36-45
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    • 2003
  • This study is made for examining the characteristics of the lead-zinc deposition from the mineralogy of pyrrhotite at the Yeonhwa 1 Mine, Korea. The pyrrhotite of the Yeonhwa 1 mine is divided two species; the pynhotites I and II. The pyrrhotite I that represents the product in Stage II mineralization is characterized by hexagonal pyrrhotite occurring as the mechanical mixtures of hexagonal and monoclinic phases with various proportion. These mixtures might be formed from 'primary' hexagonal pyrrhotite by the subsequent retrograde reaction and/or by the influence of later mineralization in Stage III. Whereas the pyrrhotite II crystallized out in later Mineralization Stage III (hydrothermal stage) is always monoclinic variant with ferromagnetic properties; no two phase mixtures have been recognized.

Latchup Immunity Simulation of CMOS Well for Ion Implantation Process Simulation Conditions (CMOS Well의 Ion Implantation 공정조건에 따른 Latchup 면역성 모의실험)

  • Kim, J.K.;Yi, J.W.;Kim, Y.H.;Kim, T.H.;Sung, Y.K.
    • Proceedings of the KIEE Conference
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    • 1996.07c
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    • pp.1553-1555
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    • 1996
  • This paper deals with latchup effect in CMOS retrograde well, focusing on their dependence on I/I energy conditions, so we derived some latchup characteristics from simulation for different I/I conditions on implantation energies which were used in process simulation. From these results, we could understand the dependency of CMOS retrograde well latchup on I/I energy condition.

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