• Journal of Chest Surgery
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• v.20 no.4
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• pp.655-658
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• 1987

Aortic annulus size was measured by two-dimensional echocardiography [2DE] in 29 patients undergoing aortic valve replacement or double valve replacement in order to predict prosthetic aortic valve size. Fifteen patients had aortic stenoinsufficiency, eleven had aortic insufficiency, and three had aortic stenosis. 2DE measurements of aortic annulus diameter, as determined from the parasternal long-axis view, demonstrated a high correlation with actual prosthetic valve size implanted at surgery [r=0.85, p<0.05]. 2DE exactly predicted actual prosthetic valve size in 8 of 29 patients [27.6%], was within 1mm of prosthetic valve size in 11 of 29 patients [37.9%], was within 2mm of prosthetic valve size in 8 of 29 patients, and was within 3mm of prosthetic valve size in 2 patients.

• Journal of Chest Surgery
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• v.20 no.1
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• pp.60-64
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• 1987

We compared between prosthetic aortic valve size and aortic annulus size in supravalvular aortic cineangiogram in 30` RAO view postoperatively. Retrospectively, supraaortic cineangiogram of 27 patients among the patients underwent aortic valve replacement only or double valve replacement from April, 1986 to January, 1987 was examined and measured the aortic annulus size. In comparing the two values, the cases within 1mm is 22, and the cases within 2mm is 25, correlation coefficient yield r = 0.92. In two cases, the difference between two values is within 3mm We concluded that to prevent the complication from mismatching the prosthetic aortic valve size to patient`s annulus size [e.g. left ventricular failure, hemolysis, limited exercise tolerance], prediction of the prosthetic valve size preoperatively by use of cineangiogram is useful.

• Journal of Chest Surgery
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• v.21 no.6
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• pp.984-989
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• 1988

2-D echocardiographic examination of the aortic root diameter was known to be useful in the selection of the size of the prosthetic valve. Valve-patient mismatch was occasionally a serious problem after valve replacement, especially in aortic valve disease. Preoperative knowledge of the patient`s valve annulus size is therefore of great importance in the surgical management of these patients. So the relationship between preoperative 2-D echocardiographic diameter of the annulus size and replaced prosthetic valve were evaluated. 13 patients were analyzed in this study. 2-D echocardiographic measurements of aortic annulus diameter, as determined from the parasternal long axis view and apical four chamber view, demonstrated a high correlation with actual prosthetic valve size implanted at surgery[r=0.86, p< 0.001, SEE=1.08].

• Journal of Drive and Control
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• v.12 no.4
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• pp.48-53
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• 2015

This paper deals with the flow characteristics of a reed valve analyzed using computational dynamics(CFD) for optimal design. The seat sizes of the valve are modeled asØ6[mm] and Ø8[mm] to compare the flow characteristics. The inlet boundary condition is entered at 10[kPa], 15[kPa], 20[kPa], and 30[kPa] and the outlet boundary condition is set to the atmospheric pressure. The flow coefficient(C) and pressure loss coefficient(K) are calculated from the results of flow analysis. From the analysis results, it was confirmed that the flow coefficient of a reed valve having a seat size of Ø6[mm] is greater than that having a seat size of Ø8[mm], and the coefficient of pressure loss of a valve with a seat size of Ø6[mm] is lower than the Ø8[mm] size valve.

• Journal of Chest Surgery
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• v.25 no.12
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• pp.1556-1562
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• 1992

Forty two consecutive patients who had had valve replacement with St. Jude Medical prosthesis were studied on a view point of intravascular hemolysis. Patients were consisted of 14 mitral valve replacement, and 7 aortic valve replacement, and 21 double, mitral and aortic, valve replacement. Serum LDH, indirect bilirubin, GOT, hemoglobin levels and ret-iculocyte count were pursued in postopeative 1st day, 3rd day, 7th day, 14th day and 21th day. Postoperatively, all patients were not detected paravalvular leakage on the ech-ocardiographical study. The patients with double valve replacement revealed higher levels of LDH on postopeative 14th day[P<0 05] than those with single valve replacement. Among the patients with single valve replacement, the patients with aortic valve replacement revealed slightly higher levels of entire postopeative data, but considered insignificant. There was correlation between the severity of hemolysis and the size of replaced aortic valve. In the postoperative LDH levels, the patients with small sized-aortic valve[less than 21mm in diameter] replacement revealed higher levels of postoperative 3rd day, 7th day and 14th day than those with large size[more than 23mm in diameter]. The patients with high level LDH of greater than 800 WU /L on postoperative 7th day were 61.9%[26 of 42]. The high LDH frequency of DVR was 71.4%[15 of 21], MVR 50.0%[7 of 14] and AVR, 57.1%[4 of 7]. The level of LDH declined gradualiy thereafter through postoperative 3 weeks. In conclusion, intravascular hemolysis after prosthetic valve replacement was dependent on position of valve replacement and size of valve. And this study supports the conventional valve selection and usage in our hospital. The patients with subclinical hemolysis after valve replacement should be placed on a close observation.

• Journal of the Korean Society of Fisheries and Ocean Technology
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• v.23 no.1
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• pp.30-38
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• 1987

One of the important characteristics of a disk valve is the thrust force. This thrust force has close relationship to the clearance between valve and valve seat in the disk valve. When the clearance is very small, it is very important to analyze the thrust force. This paper deals with the variation of the thrust force by comparing the experimental ed results and theoretical results in accordance with d the valve clearance. In case of the theoretical problems, the pressure gradient of the radial flow in a narrowly spaced disks was calculated by Sui Lin and Pai-Mow Lee already. Therefore, the thrust force of the disk valve was computed by utilizing this pressure gradient in the radial flow. In the experiment, the hydraulic oil which has high viscosity was used. Making the comparative study of the calculated results and the experimental results, the characteristics of the thrust force in the disk valve were investigated. The results obtained are as follows: 1. When the disk valve clearance was comparatively small, the experimental values had fairly good agreement with the calculated values independently of inlet pressure and valve size. 2. When the disk valve size was constant in the wide range of the disk valve clearance, the lower the inlet pressure was, the better the agreement between the experimental values and the calculated values was. 3. In case of the small clearance, the thrust force was depended on the outer diameter of the disk valve. In opposite case the thrust force was constant as the disk valve size varied.

• Journal of Chest Surgery
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• v.56 no.6
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• pp.394-402
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• 2023

Background: The optimal choice of valve substitute for aortic valve replacement (AVR) in pediatric patients remains a matter of debate. This study investigated the outcomes following AVR using mechanical prostheses in children. Methods: Forty-four patients younger than 15 years who underwent mechanical AVR from March 1990 through March 2023 were included. The outcomes of interest were death or transplantation, hemorrhagic or thromboembolic events, and reoperation after mechanical AVR. Adverse events included any death, transplant, aortic valve reoperation, and major thromboembolic or hemorrhagic event. Results: The median age and weight at AVR were 139 months and 32 kg, respectively. The median follow-up duration was 56 months. The most commonly used valve size was 21 mm (14 [31.8%]). There were 2 in-hospital deaths, 1 in-hospital transplant, and 1 late death. The overall survival rates at 1 and 10 years post-AVR were 92.9% and 90.0%, respectively. Aortic valve reoperation was required in 4 patients at a median of 70 months post-AVR. No major hemorrhagic or thromboembolic events occurred. The 5- and 10-year adverse event-free survival rates were 81.8% and 72.2%, respectively. In univariable analysis, younger age, longer cardiopulmonary bypass time, and smaller valve size were associated with adverse events. The cut-off values for age and prosthetic valve size to minimize the risk of adverse events were 71 months and 20 mm, respectively. Conclusion: Mechanical AVR could be performed safely in children. Younger age, longer cardiopulmonary bypass time and smaller valve size were associated with adverse events. Thromboembolic or hemorrhagic complications might rarely occur.

• Journal of computational fluids engineering
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• v.19 no.1
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• pp.21-26
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• 2014

Butterfly valve is a valve that controls fluid flow depending on the size of the opening angle. In general, the size of the opening angle of the valve increases, the fluid flow has also increased sharply. However, sometimes, in a specific piping system, a particular operating condition is needed that the fluctuation of the fluid flow should not have large amount although the size of opening angle of the valve become larger. In butterfly value, the shape of a typical thin plate, it is impossible to control a minute fluid, but in thick plate type, it is possible. In this study, we got the fluid flow control characteristics and pressure drop through both a numerical method and an experimental method about thick plate type. The numerical result and experimental result of flow coefficient show a similar pattern. In addition, we could find that minute fluid flow control was possible in the area of small size of the opening angle.

• Korean Chemical Engineering Research
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• v.62 no.3
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• pp.214-224
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• 2024

Valves play an essential role in a chemical plant such as regulating fluid flow and pressure. Therefore, optimal selection of the valve size and type is essential task. Valve size and type have been selected based on theoretical formulas about calculating valve sizing coefficient (Cv). However, this approach has limitations such as requiring expert knowledge and consuming substantial time and costs. Herein, this study developed a model for predicting valve sizes and types using machine learning. We developed models using four algorithms: ANN, Random Forest, XGBoost, and Catboost and model performances were evaluated using NRMSE & R² score for size prediction and F1 score for type prediction. Additionally, a case study was conducted to explore the impact of phases on valve selection, using four datasets: total fluids, liquids, gases, and steam. As a result of the study, for valve size prediction, total fluid, liquid, and gas dataset demonstrated the best performance with Catboost (Based on R², total: 0.99216, liquid: 0.98602, gas: 0.99300. Based on NRMSE, total: 0.04072, liquid: 0.04886, gas: 0.03619) and steam dataset showed the best performance with RandomForest (R²: 0.99028, NRMSE: 0.03493). For valve type prediction, Catboost outperformed all datasets with the highest F1 scores (total: 0.95766, liquids: 0.96264, gases: 0.95770, steam: 1.0000). In Engineering Procurement Construction industry, the proposed fluid-specific machine learning-based model is expected to guide the selection of suitable valves based on given process conditions and facilitate faster decision-making.

• Journal of Chest Surgery
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• v.20 no.2
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• pp.223-229
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• 1987

Doppler echocardiography provides valuable information regarding prosthetic heart valve function rather than structure. There are three methods of expressing the severity of mitral valve obstruction: the transvalvular pressure gradient, effective valve area, and pressure half-time. Of these, the transvalvular pressure gradient [~p] can be determined by the measurement of maximum transvalvular blood flow velocity [V] according to the modified Bernoulli`s equation [gp=4V*]. Eleven patients, who underwent mitral valve replacement with Duromedics mechanical prostheses, and 17 normal persons were investigated. There were significantly higher calculated pressure gradients in prosthetic than normal mitral valves [9.*10*2.22mmHg-vs-3.26*0.99mmHg:p<0,01], and there was a inverse relationship between pressure gradient and prosthetic valve size [11.17*0.%mmHg in size 27mm and 29mm -v- 7.38*1.12mmHg in size 31mm and 33mm; r=0.85, p<0.01] The noninvasive Doppler technique should be useful in the diagnosis of prosthetic valve obstruction.