• Title/Summary/Keyword: Ruptured

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Ventricular Septal Defect with Tricuspid Regurgitation due to Blunt Chest Trauma -A Case of Report- (흉부 둔상에 의한 삼첨판 역류를 동반한 심실 중격 결손증)

  • 이장훈;류한영
    • Journal of Chest Surgery
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    • v.29 no.5
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    • pp.559-563
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    • 1996
  • We have experienced a patient, 16 year-old male, with ventricular septal defect with tricuspid recur- gitation due to blunt chest trauma. He suffered from congestive heart failure after the trauma. Echocardiogram and cardiac catheterization revealed left to right shunt at the ventricular level (muscu- far portion of interventricular septum) and tricuspid regurgitation. At the time of the operation, marked systolic thrill was palpable over the rlght ventricle near the apex and a chorda tendina was seen sharply ruptured just near the medial papillary muscle. We repaired the ventricular septal defect with a Dacron patch and chordal reconstruction with autologous pericardium. The postoperative course was uneventful and the patient was discharged in good condition.

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Traumatic Epidermal Inclusion Cyst under Anterolateral Thigh Free Flap on Great Toe

  • Lee, Jun Ho;Choi, Hwan Jun
    • Archives of Reconstructive Microsurgery
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    • v.24 no.1
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    • pp.37-39
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    • 2015
  • Epidermal inclusion cyst is a common mass in life. It is covered with a stratified squamous epithelium, thus, there is a granular cell layer adjacent to the keratin-containing cyst lumen. It can be caused by mechanical force, trauma, or a spontaneous event. It can rupture spontaneously or be ruptured by external mechanical forces. Epidermal inclusion cysts that exhibit inflammation or recur should be removed by simple excision. In this case, the patient showed an epidermal inclusion cyst under an anterolateral thigh free flap, which can cause the palpable mass to go unnoticed. First we thought he had neuroma formation after a surgical procedure on his foot. However it was an epidermal inclusion cyst, which was diagnosed by a special pathologist. It is a curious and rare case.

Surgical Treatment of Abdominal Aortic Aneurysm (복부 대동맥류의 외과적 치료)

  • 김동원
    • Journal of Chest Surgery
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    • v.28 no.1
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    • pp.31-36
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    • 1995
  • Between January 1984 to June 1994, fourteen patients from 37 to 80 years of age [mean 66.42 11.71 years of age have undergone surgical treatment of abdominal aortic aneurysm in Kyung Hee Univ. Hospital. There were 11 males and 3 female patients. All but one were infra-renal type. The etiology of the aneurysm consisted of twelve atherosclerotic, one inflammatory and one traumatic abdominal aortic aneurysm.Two patients were operated on for ruptured abdominal aortic aneurysm. We performed dacron graft interposition in all patients and one patient was also performed aorto-renal end to side anastomosis. Two patients died of postoperative complications which was a pulmonary insufficiency in one, acute renal failure in another patient.Remaining twelve patients were discharged with good condition and followed up from 2 months to 87 months.[mean $34.58{\pm}29.79$ months.

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Finite Element Analysis of Powdering of Hot-dip Galvannenled Steel using Damage Model (합금화 용융아연 도금강판의 가공시 손상모델을 이용한 도금층 파우더링에 관한 유한요소 해석)

  • Kim, D.W.;Kim, S.I.;Jang, Y.C.;Lee, Y.
    • Proceedings of the Korean Society for Technology of Plasticity Conference
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    • 2007.10a
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    • pp.215-222
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    • 2007
  • Coating of Hot-dip galvannealed steel consists of various Fe-Zn intermetallic compounds. Since the coating is hard and there for is very brittle, the surface of steel sheet is easy to be ruptured during second manufacturing processing. This is called as powdering. In addition, forming equipment might be polluted with debris by powdering. Therefore, various research have been carried out to prohibit powdering fur improving the quality of GA steel. This paper carried out finite element analysis combined with damage model which simulate the failure of local layer of hot-dip galvannealed steel surface during v-bending test. Since the mechanical property of intermetallic compound was unknown exactly, we used the properties calculated from measurements. The specimen was divided into substrate, coating layer and interface layer. Local failure at coating layer or interface layer was simulated when elemental strain reached a prescribed strain.

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Extracellular Zinc Modulates Cloned T-type Calcium Channels

  • Lee, Jung-Ha;Park, Byong-Gon;Park, Jin-Yong;Lee, Joong-Woo;Jeong, Seong-Woo
    • Proceedings of the Korean Biophysical Society Conference
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    • 2002.06b
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    • pp.36-36
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    • 2002
  • In the present study, we investigated effects of extracellular zinc (Zn$\^$2+/) on T-type Ca$\^$2+/ channel isoforms (${\alpha}$lG, ${\alpha}$lH, and ${\alpha}$lI) stably expressed in HEK 293 cells. Ca$\^$2+/ currents were measured using 10 mM Ca$\^$2+/ as a charge carrier under whole cell-ruptured patch configuration. Zn$\^$2+/ blocked the ${\alpha}$lH currents with a 100- and 200-fold higher potency (IC$\sub$50/ = 2.5 ${\mu}$M) when compared with those for blockade of the ${\alpha}$1G and ${\alpha}$1I currents, respectively.(omitted)

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Analysis of Local Wall Thinning around the Extraction Steam Entrance for the 6th Feedwater Heater Shell in the Nuclear Power Plants (원전 6단 급수가열기 추기증기 입구노즐 주변의 동체 국부 감육 원인 분석)

  • Song, Seok-Yoon;Kim, Hyung-Nam
    • The KSFM Journal of Fluid Machinery
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    • v.12 no.4
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    • pp.54-62
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    • 2009
  • The feedwater heaters are Critical components in a nuclear power plant. As the operation years of heaters go by, the maintenance costs required for continuous operation increase. When the carbon steel components in nuclear make contact with running fluid, the wall thinning caused by FAC (flow accelerated corrosion) can be generated. Local wall thinning is inevitable at the area around wet steam entrance to be attacked due to the long term operation. Sometimes the shell with thinned wall is eventually ruptured. To identify the relationship between the local wall thinning and fluid behavior of the feedwater heater, the practical data of a plant, which were based on ultrasonic thickness measurement tests, were analyzed and CFD(Computed Fluid Dynamics) analyses were performed.

Reconstruction of Chronic Achilles Tendon Rupture Using Interposed Scar Tissue (A Report of Two Cases) (진구성 아킬레스건 파열에 대한 파열 단 사이의 반흔 조직을 이용한 재건술 (2예 보고))

  • Cho, Hyun-Jong;Yeo, Je-Hyoung;Lee, Keun-Bae
    • Journal of Korean Foot and Ankle Society
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    • v.17 no.4
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    • pp.316-320
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    • 2013
  • It has been reported that the gap between the tendon stumps in chronic Achilles tendon rupture is filled with interposed scar tissue. If it was available to use the interposed scar tissue for reconstruction or augmentation of Achilles rupture, possible damage of normal tissues could be avoided. Our results show that direct repair method using interposed scar tissue for chronic Achilles tendon rupture can successfully relieve pain and restore function of the ruptured Achilles tendon in carefully selected patients.

ROSA/LSTF test and RELAP5 code analyses on PWR steam generator tube rupture accident with recovery actions

  • Takeda, Takeshi
    • Nuclear Engineering and Technology
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    • v.50 no.6
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    • pp.981-988
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    • 2018
  • An experiment was performed for the OECD/NEA ROSA-2 Project with the large-scale test facility (LSTF), which simulated a steam generator tube rupture (SGTR) accident due to a double-ended guillotine break of one of steam generator (SG) U-tubes with operator recovery actions in a pressurized water reactor. The relief valve of broken SG opened three times after the start of intact SG secondary-side depressurization as the recovery action. Multi-dimensional phenomena specific to the SGTR accident appeared such as significant thermal stratification in a cold leg in broken loop especially during the operation of high-pressure injection (HPI) system. The RELAP5/MOD3.3 code overpredicted the broken SG secondary-side pressure after the start of the intact SG secondary-side depressurization, and failed to calculate the cold leg fluid temperature in broken loop. The combination of the number of the ruptured SG tubes and the HPI system operation difference was found to significantly affect the primary and SG secondary-side pressures through sensitivity analyses with the RELAP5 code.

Surgical Treatment of the Sinus Valsalva Aneurysm Rupture - 5 cases reviews - (Sinus Valsalva Rupture 에 대한 외과적 치료)

  • 이재진
    • Journal of Chest Surgery
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    • v.22 no.5
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    • pp.748-752
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    • 1989
  • We experienced 6 patients with the sinus Valsalva aneurysm rupture during last 12 years [Jan. 1977-Sep. 1989]. Of them. 5 cases were reviewed. They consist of 3 males and 2 females, and the age ranged from 12 years to 40 years with the mean age of 25 years. 4 patients showed congestive heart failure symptoms. The diagnosis was made by 2D-Echo and cine-angiogram. In 4 patients. sinus Valsalva aneurysm ruptured from the Rt. coronary sinus to the Rt. ventricle, and in one from non-coronary sinus to the Rt. atrium. In 2 cases, resection of the aneurysm and simple stitch closure was made. Resection of the aneurysm k patch closure and AVR in one, closure of the fistula, AVR and patch closure of the associated VSD in one, and closure of the fistula, AVR k TVR in one were made in another 3 cases. There was no postoperative mortality case.

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Tracheobronchial Rupture following Blunt Chest Trauma -1 case report- (외상성 기관지 파열 -1례 보고-)

  • 김용한
    • Journal of Chest Surgery
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    • v.23 no.3
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    • pp.588-593
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    • 1990
  • The rupture of tracheobronchial tree caused by non penetrating blunt trauma is being increased in incidence though it is still rarely occurred on now Because this type of injury is uncommon, a high index of suspicion should be maintained in all crush injuries involving the chest. Early diagnosis and primary repair not only restore normal lung function but also avoid the difficulties and complications associated with delayed diagnosis and repair. We experienced a case of tracheobronchial rupture caused by non penetrating blunt chest trauma without rib fracture. The patient was a 16 year old male who was a high school student. He was compressed on anterior chest by hand ball goal post being failed down on the morning of admission day. After this accident, he was suffered from progressively developing dyspnea and subcutaneous emphysema on face, neck and anterior chest. The diagnosis, tracheal rupture, was made by chest CT and bronchoscopy. After right thoracotomy, the ruptured site was directly closed by using interrupted suture. Post-operative course was uneventful. Thus we report this case of traumatic tracheal rupture with review of literature.

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