• Journal of Chest Surgery
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• 제30권7호
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• pp.686-692
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• 1997

저자들은 1994년 2월부터 1995년 8월사이에 본 교실에서 흉부대동맥류로 외과적 치료를 받았던 15 례의 임상성적을 분석하여 수술수기 및 수술결과를 향상시키는 계기로 삼고저 한다. 남자가 9례, 여자 가 6례였으며 평균연령은 55.07$\pm$11.76세였다. 원인질환은 대동맥박리증이 9례, 죽상경화증이 4례, 외 상이 2례이었다. 9례에서 상행 대동맥 및 대동맥궁의 부분 및 완전 치환술을 시행하였으며 3례에서 하행 대동맥 및 흉복부 대동맥치 환술을 시행하였고, 1례에서는 전체 대동백치환술을 시행하였으며, 외 상성 대동맥류 2례에서는 단단문합하였는데 대동맥 박리증 환자에서는 Wheat씨 방법으로 봉합부위를 보강한 후 치환하였다. 9례에서는 정중흉골절개술을, 4례에서는 후외측 흉벽절개술을, 2례에서는 후외 측 흉부절개후 흉복부절개술을 시행하였다. 상행 대동맥 및 대동맥궁을 치환하였던 9례에서는 상대정맥을 통한 역행성 뇌관류를 평균 56.67$\pm$29.25분 동안 시행하였고 하행 대동맥 및 흉복부 대동맥을 치환하였던 3례에서도 고도의 저체온화를 시행하였는데 술후 항구적인 뇌나 척추 신경장애가 발생한 례는 없었다. 술후 외상성 복담즙에 의한 복막염, 다장기 기능부전, 악성고혈압에 의한 잔여 박리성 동 맥류파열로 3례(20%, 3/15)가 사망하였다. 술후 합병증으로는 출혈에 의한 재수술이 4례, 일시적인 의식장애 3례, 늑막삼출 등의 폐 합병증이 3례, 심낭압진 1례 있었다. 타의료기관에서 관찰중인 1례를 제외한 11례를 추적관찰중인데 사망하거나 만기 합병증을 보인 례는 없었다.

• Journal of Chest Surgery
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• 제23권4호
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• pp.782-784
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• 1990

We present a case of ruptured abdominal aortic aneurysm caused by blunt injury. The patient was 23-year-old soldier injured by a motor vehicle accident. Injuries sustained a contused abdominal aorta. At the time of aortic repair, the involved segment formed huge pseudoaneurysm, and which had intimal tear. Aorto-iliac graft replacement was carried out with a woven-dacron Y-graft prosthesis, which restored satisfactory circulation to both lower limbs. The postoperative course was uneventful.

• Journal of Chest Surgery
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• 제27권4호
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• pp.318-324
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• 1994

Cross-clamping of the descending thoracic aorta results in proximal hypertension,increase in left ventricular afterload,and impairment of distal organ perfusion. Bypass of the descending thoracic aorta is frequently advocated as an adjunct for repair of traumatic tears and degenerative aneurysms. Many methods of bypass have been proposed to provide distal perfusion and reduce left ventricular afterload during cross-clamping of the thoracic aorta. At Seoul National University Hospital, 7 patients were treated for the thoracic or thoracoabdominal aortic aneurysm using left atrium-femoral artery bypass with Bio-medicus centrifugal pump between October,1989, and January,1993. There were atherosclerotic thoracic aneurysm in 3 cases, thoracoabdominal aortic aneurysm due to chronic aortic dissection in 3 cases,aortic rupture due to trauma in 1 case. Total of 7 patients were operated by graft replacement with reimplantation of important branches. None of these cases developed severe complications and hospital death. We believe that the Bio-Medicus centrifugal pump is a simple and safe means of perfusing the lower body, kidneys, and spinal cord without necessitating heparinization.

• Journal of Chest Surgery
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• 제20권4호
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• pp.847-850
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• 1987

Traumatic arteriovenous fistula is relatively uncommon. The proper designation for what is called a false aneurysm is pulsating hematoma, which occurs when there is a small laceration of the wall of a large artery will continuing leakage of blood from the artery into surrounding tissues. The extent of growth of the pulsating hematoma depends on the strength of the surrounding fascial tissues. We experienced one case of arteriovenous fistula with hematoma, due to operative injuries, and operated successfully, and report the case.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제27권6호
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• pp.551-555
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• 2001

False aneurysms(Pseudoaneurysms) and arteriovenous fistulas have only rarely been reported in the facial region. In this region the false aneurysm arises most frequently in the superficial temporal and facial artery, but other branches of the external carotid are sometimes involved, including the maxillary and lingual artery. False aneurysms can be occurred by blunt trauma that either laceration or rupture the full thickness of the arterial wall. The diagnosis of a false arterial aneurysm can be often made solely on the basis of physical examination. Angiography is helpful for conformation, for delineating the lesion and its vascular supply, and for ruling out the presence of associated vascular lesions such as arteriovenous fistulas. Ultrasonography may also be useful in delineating lesions that are not easily accessible for physical examination. Treatment of false aneurysms is excision, ligation, and arterial embolization. This is a case of false aneurysm of the lingual artery after facial trauma caused by traffic accident. The lesion was successfully treated by embolization and ligation of the lingual and facial branches of the external carotid artery.

• Archives of Reconstructive Microsurgery
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• 제8권2호
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• pp.170-175
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• 1999

Objective : Extracranial-intracranial(EC-IC) microvascular anastomosis was performed in 18 patients with hemodynamic cerebral ischemia and traumatic cerebral aneurysm, the aim of this retrospective study was to assess its value in neurosurgical field. Method : Of 18 cases, 17 case were hemodynamic cerebral ischemia and one was traumatic cerebral aneurysm. There were 14 superficial temporal artery(STA)-to-middle cerebral artery(MCA) anastomosis, 3 saphenous vein graft bypass(2 external carotid artery(ECA)-to-MCA, 1main trunk of the STA-to-MCA) and 1 radial artery bypass(ECA-to-MCA). Results : Bypass patency was confirmed by postoperative angiography in all cases except for two cases, postoperative cerebral blood flow of ischemic brain showed significant increased in all cases with good patency through bypass. Conclusion : Revascularization by EC-IC microvascular anastomosis to the ischemic brain eliminated ischemia and was associated with excellent good outcome and good patency rates.

• Journal of Chest Surgery
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• 제42권3호
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• pp.384-387
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• 2009

요골 동맥의 동맥류는 매우 드문 질환으로 주로 동맥 도관 삽입과 같은 외상으로 인하여 야기된다. 대부분의 외상으로 인한 동맥류는 가성 동맥류로 대부분은 손목 부위에서 발생한다. 극히 적은 수의진성 동맥류가 요골 동맥에서 보고되고 있으며, 이들 중 대부분은 외인성으로 알려지고 있다. 오른손 잡이인 38세의 여자 환자에서 오른손 손바닥의 무지 융기 부위에 원위부 요를 동맥의 진성 동맥류가 발견되었는데, 이는 과도한 박수치기와 반복적인 가위질과 같은 직업적 손상으로 야기된 것으로 추정되었다. 그녀는 동맥류에 대한 성공적인 수술적 치료를 받았다.

• Journal of Chest Surgery
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• 제13권4호
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• pp.385-393
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• 1980

From 1959 to 1980, for about 21 yrs, the authors have experienced of 69 cases of arterial diseases, and analyzed the diseases. They are Aneurysm 16 Iatrogenic thrombosis after angio & cardiac Cath. 20 Coarctation 3 Primary arteritis 9 Traumatic injury 9 Occlusive disease 12 But PDA (107 cases) & Buerger's disease are excluded in this study.

• Journal of Chest Surgery
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• 제41권3호
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• pp.373-376
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• 2008

외상성 흉부 대동맥 파열에 의한 가성대동맥류에 대한 일반적인 치료 방법은 수술이다. 그러나 환자의 전신상태가 개흉술을 통한 수술 또는 체외순환보조를 통한 수술을 시행 받기 어려운 경우에는 다른 치료 방법을 선택해야 한다. 저자들은 두부, 복부, 골반의 광범위한 다발성 손상이 동반되어 수술적 치료를 시행하기 어려웠던 대동맥파열에 의한 가성대동맥류 환자에 대하여 중재적 시술을 통해 스텐트-그라프트를 삽입하여 치료한 1예를 문헌 고찰과 함께 보고하는 바이다.

• 한방안이비인후피부과학회지
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• 제17권3호
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• pp.167-173
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• 2004

Strabismus is a misalignment of the eyes. It is divided into paralytic strabismus and non-paralytic strabismus. There are so many causes in paralytic strabismus, and the oculomotor nerve palsy is one of them. Many studies reported the etiology and clinical features of oculomotor nerve palsy. Common causes of oculomotor nerve palsy are idiopathic, vascula.; disease, aneurysm, head trauma, neoplasm and miscellaneous. Recently the proportion of traumatic cause has been increased, but the treatment is difficult as it used to be. In this case report, one case of traumatic oculomotor nerve palsy with zygomatic arch Fx and clavicle Fx were treated by herbal medicine and acupuncture. After Treatment, symptoms- ptosis, deviation of Lt. eye to downward & outward in primary position, diplopia, limited adduction & elevation & depression, dilated pupil without pupil reflex- were improved. There are so many hypothesises but no definite guide lines are established about the oriental medical treatment of oculomotor nerve palsy, so we expect the establishment of definite guide lines by further clinical studies.