• Journal of Chest Surgery
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• 제17권3호
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• pp.381-388
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• 1984

Cor triatriatum is rare congenital cardiac anomaly first described by Church in 1868. The anomaly consists of an abnormal partitioning of the left atrium by a fibromuscular membrane that divides the atrium into an upper chamber, which receives the pulmonary veins, and a lower chamber, which contains the atrial appendage and the mitral valve. The upper and lower chambers communicate through a stenotic fenestration in the membrane, which has the hemodynamic consequence of pulmonary venous obstruction. Recently we experienced cot triatriatum associated with partial anomalous pulmonary drainage to right atrium. The upper chamber was connected to right atrium through a sinus venous type of ASD and received left superior and both inferior pulmonary vein, whereas the lower chamber so called true left atrium communicated with right atrium through foramen ovale type of ASD, left atrial appendage and mitral orifice. And the anomalous membrane has no fenestrations which permit blood flow. The operation was made right atrial approach under the CPB. We excised completely the anomalous septum and reconstructed atrial septal defect with pericardial patch to drain the right upper pulmonary vein to the left atrium. The postoperative course has been good during follow up.

• Journal of Chest Surgery
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• 제41권5호
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• pp.643-646
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• 2008

선천성 심낭내 좌심방이류는 매우 드문 질환이다. 대부분의 경우 증상이 없으며 일반적으로 성인 환자에서 우연히 진단된다. 상심실성부정맥과 치명적인 혈전색전증의 발생이 문제되며, 무증상의 환자에서도 이를 예방하기 위해 진단 즉시 수술이 추천된다. 저자들은 45세 남자 환자에서 뇌졸증을 병발한 선천성 심낭내 좌심방이류의 수술적 제거를 치험하였기에 보고하는 바이다.

• 식물분류학회지
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• 제36권3호
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• pp.209-216
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• 2006

다도해해상국립공원에 속한 거문도에서 천남성속, 두루미천남성절, 무늬천남성아절에 해당되는 1 신아종인 거문천남성(Arisaema thunbergii subsp. geomundoense S.C. Ko)을 기재 및 도해하였다. 화수부속체 기부의 비후부의 색깔이 진한 자색 또는 적자색인 것이 기본종인 무늬천남성(A. thunbergii supsp. thunbergii)과 다르고, 비후부에 주름이 있는 것이 일본에 자생하고 있는 비후부가 평활한 A. thunbergii supsp. urashima와 다르다.

• Journal of Chest Surgery
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• 제2권1호
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• pp.65-72
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• 1969

Superior Vena Cava Syndrome: Dacron and Nylon graft between the left innominate vein and the right atrial appendage. Two cases with typical superior vena cave syndrome treated by by-pass graft between the left innominate vein and the right atrial apepndage were presented. One of them was a 58 year old farmer who suffered from marked swelling of the neck and upper half of body, the other was a 50 years old government employee who had acutely progressive symptoms of superior vena cave obstruction. Both of cases revealed that [1] cubitel venous pressure was markedly increased. [2] tumors were noted in the posterior mediastinum by laminography. [3] preoperative cavogram showed the occlusion of superior vena cava and marked collaterals. Dacron and Nylon graft were inserted between the left innominate vein and the right atrial appendage. Postoperatively, the symptoms were relieved markedly, showing edema free face and decreased cubital venous pressure. Postoperative cavogram showed patent graft. Histologically the first case was diagnosed as squamous cell carcinoma and the second as undifferentiated carcinoma, originated probably from bronchus. Total doses of 3150 r X-ray irradiation and 5000 mg of 5-FU were administered in each cases. The first case expired 11 months postoperatively without recurrence of superior vena cave obstruction symptom and the second case is living now without obstruction signs, 4 months after by-pass operation.

• 대한조선학회논문집
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• 제51권3호
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• pp.184-192
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• 2014

The resistance of a high speed monohull can be dramatically increased at the high speed range due to the severe stern trim, spray formation and hull bottom pressure irregularity etc. In order to avoid these demerits associated with this resistance increase, various appendages such as the stern wedge, vertical wedge, stern flap, spray strip etc. have been studied. Each of appendage can control the trim angle and/or improve the resistance performance. If these appendages are combined for finding the maximal resistance reduction, there are enormous combination selections. This paper presents the DOE(Design of experiment) using an orthogonal array in order to decrease the model tests finding the optimum appendage combination. And we evaluate that the method introduced in this paper makes the optimal combination of appendages efficient and time-saving by applying to high speed semi-planing monohull. Here, the maximum speed and the least fuel expense are adopted as the decision criteria.

• 대한두개안면성형외과학회지
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• 제22권2호
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• pp.126-130
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• 2021

Sebaceous neoplasms are rare adnexal tumors that can present a challenge to clinicians. Only four cases of sebaceous carcinoma with sebaceoma have been reported in the literature. Herein, we describe the case of a sebaceous carcinoma originating from a sebaceoma in a solitary nodule of the posterior neck. Immunohistochemically, the tumor cells were strongly positive for epithelial membrane antigen and p53. It is possible that adnexal carcinomas may arise from malignant transformation of their benign counterparts as well as de novo. Malignant transformation was likely in this case because the lesion was composed of distinct benign and malignant components, and the benign component showed the typical histopathological features of sebaceoma. This case underscores the fact that partial and superficial biopsies sometimes may not provide the correct diagnosis. If a surgeon suspects malignancy based on a clinical examination, then it is mandatory to perform a deep biopsy.

• Wind and Structures
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• 제28권2호
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• pp.99-110
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• 2019

Vortex-Induced-Vibration (VIV) is one kind of the wind-induced vibrations, which may occur in the construction and operation period of bridges. This phenomenon can bring negative effects to the traffic safety or can cause bridge fatigue damage and should be eliminated or controlled within safe amplitudes.In the current VIV studies, one available mitigation countermeasure, the horizontal flow-isolating plate, shows satisfactory performance particularly in PI shaped bridge deck type. Details of the wind tunnel test are firstly presented to give an overall description of this appendage and its control effect. Then, the computational-fluid-dynamics(CFD) method is introduced to investigate the control mechanism, using two-dimensional Large-Eddy-Simulation to reproduce the VIV process. The Reynolds number of the cases involved in this paper ranges from $1{\times}10^5$ to $3{\times}10^5$, using the width of bridge deck as reference length. A field-filter technique and detailed analysis on wall pressure are used to give an intuitive demonstration of the changes brought by the horizontal flow-isolating plate. Results show that this aerodynamic appendage is equally effective in suppressing vertical and torsional VIV, indicating inspiring application prospect in similar PI shaped bridge decks.

• 해양환경안전학회지
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• 제24권5호
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• pp.583-590
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• 2018

본 논문의 주 목적은 전산유체역학(CFD)을 바탕으로 어선에 부착된 빌지킬의 치수 파라미터에 대한 저항성능 맵(MAP)을 작성하는 것이다. 치수 파라미터 스터디에는 빌지킬의 길이 3가지와 폭 3가지를 선정하여 9가지로 구성하였다. 현존선에 부착된 빌지킬의 길이는 배 길이 대비 약 90 %이고, 폭은 배 폭 대비 약 5 %이다. 수행항목은 빌지킬 길이는 배 길이 대비 63 %, 77 %, 90 % 그리고 빌지킬 폭은 5 %, 7 %, 9 %로 구성하였다. CFD 를 이용하여 9가지 빌지킬에 대하여 실선의 유효마력을 추정하였다. 현존선을 기준으로 길이가 제일 짧고 폭이 제일 긴 빌지킬의 경우 0.3 % 감소된 결과를 보여주었다. 길이와 폭 모두가 가장 긴 빌지킬의 경우 1.7 % 증가된 결과를 보여주었다. 길이와 폭 모두가 가장 짧은 빌지킬의 경우 2.3 % 감소된 결과를 보여주었다. 이 맵은 저항성능 관점에서 해당 어선의 이동 및 조업 패턴에 따른 최적의 부가물 치수 선정에 활용 가능하다.

• 대한영상의학회지
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• 제81권2호
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• pp.272-289
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• 2020

전산화단층촬영(이하 CT) 영상 기술의 발전으로 박동하는 심장에 대한 섬세한 영상의학적 평가가 가능해졌다. 심초음파 및 MRI에 비해 심장 CT의 강점은 대부분의 의료기관에 보급되어 있고 고품질 이미지의 빠른 생산이 가능하며 해부학적 묘사가 뛰어나다는 것이다. 좌심방과 좌심방이에서 생기는 대부분의 변이 혹은 병리적 상태들은 CT 상의 소견만으로도 추정 진단을 내릴 수 있다. 또한 CT 영상은 성공적인 카테터 기반 시술 또는 수술에 중요한 해부학적 정보들을 제공한다. 특히 좌심방과 좌심방이는 심방세동 환자들의 치료 및 관리에 중요한데, 이는 다양한 카테터 기반 시술들이 두 구조물의 기계적 혹은 전기적 차단을 목표로 하기 때문이다. 따라서 임상적으로 의미 있는 판독을 위해서는 병리적 상태의 CT 소견 기술과 함께 좌심방 및 좌심방이의 모양, 크기 및 주변 구조물과의 상대적 위치 관계 등에 대한 포괄적인 검토를 해야 한다.

• Korean Journal of Radiology
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• 제24권7호
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• pp.647-659
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• 2023

Objective: The study was conducted to investigate the effect of correct occlusion of the left atrial appendage (LAA) on intracardiac blood flow and thrombus formation in patients with atrial fibrillation (AF) using four-dimensional (4D) flow magnetic resonance imaging (MRI) and three-dimensional (3D)-printed phantoms. Materials and Methods: Three life-sized 3D-printed left atrium (LA) phantoms, including a pre-occlusion (i.e., before the occlusion procedure) model and correctly and incorrectly occluded post-procedural models, were constructed based on cardiac computed tomography images from an 86-year-old male with long-standing persistent AF. A custom-made closed-loop flow circuit was set up, and pulsatile simulated pulmonary venous flow was delivered by a pump. 4D flow MRI was performed using a 3T scanner, and the images were analyzed using MATLAB-based software (R2020b; Mathworks). Flow metrics associated with blood stasis and thrombogenicity, such as the volume of stasis defined by the velocity threshold ($\left|\vec{V}\right|$ < 3 cm/s), surface-and-time-averaged wall shear stress (WSS), and endothelial cell activation potential (ECAP), were analyzed and compared among the three LA phantom models. Results: Different spatial distributions, orientations, and magnitudes of LA flow were directly visualized within the three LA phantoms using 4D flow MRI. The time-averaged volume and its ratio to the corresponding entire volume of LA flow stasis were consistently reduced in the correctly occluded model (70.82 mL and 39.0%, respectively), followed by the incorrectly occluded (73.17 mL and 39.0%, respectively) and pre-occlusion (79.11 mL and 39.7%, respectively) models. The surfaceand-time-averaged WSS and ECAP were also lowest in the correctly occluded model (0.048 Pa and 4.004 Pa^-1, respectively), followed by the incorrectly occluded (0.059 Pa and 4.792 Pa^-1, respectively) and pre-occlusion (0.072 Pa and 5.861 Pa^-1, respectively) models. Conclusion: These findings suggest that a correctly occluded LAA leads to the greatest reduction in LA flow stasis and thrombogenicity, presenting a tentative procedural goal to maximize clinical benefits in patients with AF.