• Title/Summary/Keyword: appendage

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Surgical Correction of Anomalous Right Superior Vena Cava[RSVC] into the Left Artium as an Isolated Anomaly - Report of a case - (우측 상대정맥의 좌심방으로 이상환류의 수술치험)

  • 백희종
    • Journal of Chest Surgery
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    • v.25 no.12
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    • pp.1455-1460
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    • 1992
  • Anomalous drainage of the right superior vena cava into the left atrium is a very rare congenital cardiac anomaly. Recently a patient with this venous anomaly was surgically corrected and forms the basis of this report. Patient findings were as follows: The patient has no other symptom but cyanosis which prompted cardiac evaluation Chest PA and electrocariogram were usual. Cross-sectional echocardiogram showed normally connected heart without intracardiac defect, Inferior vena cava drained normally into right atrium and coronary sinus was not dilated. Contrast, given into the right atrium, appeared in the left atrium This rare venous anomaly was confirmed by surgery. Surgical correction consisted of division of superior vena cava above the junction of left atrium and reanastomosis into right atrial appendage. Postoperative digital subtracion angiography confirmed the successful repair. She has doing well for 6months since operation. Systemic venous anomalies without intracardiac defect are very rare. However this anomalies should be considered in the differential diagnosis of cyanosis. The successfully corrected case is reported and literature is reviewed.

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An Anomalous Left Upper Pulmonary Venous Connection Associated with ADS(Atrial Septal Defect) (심방중격결손에 동반한 좌상폐정맥연결이상 - 치험 1례 -)

  • 임용택;신용철;정승혁;김병렬
    • Journal of Chest Surgery
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    • v.32 no.10
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    • pp.939-942
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    • 1999
  • Partial anomalous pulmonary venous connection is frequently found in any ASD(atrial septal defect) patients. These patients are usually symptomatic, therefore, easily diagnosed as just simple ASD. We experienced a case of a 37-year-old female patient with ASD in which the left upper pulmonary vein was connected to SVC by the left inominate vein. The patient was diagnosed as simple ASD previously. During cardiac catheterization, we found a meaningful oxygen saturation step up between the SVC and its upper portion. Angiogram confirmed PAPVC. The surgical correction of anastomosis of PAPVC with left atrial appendage and direct closure of ASD were done. The patient was discharged 15 days later.

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A Case of CRPS Treated with Implantable Port System -A case report- (Implantable Port System을 이용한 복합부위통증증후군 치험 1예 -증례 보고-)

  • Shin, Sung-Shick;Kim, Tae-Sam;Yang, In-Sook
    • The Korean Journal of Pain
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    • v.10 no.2
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    • pp.274-277
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    • 1997
  • The complex regional pain syndrome(CRPS) exhibit symptoms such as: abnormal skin color, temperature change, abnormal pseudomotor activity, edema. If CRPS is not treated appropriately at acute stage, then the affected extremity may become a useless, painful appendage. Treatment of CRPS by sympathetic blockade may be achieved by repeated intravenous regional guanethidine blocks, repeated anesthetic sympathetic blocks, surgical sympathectomy or oral sympatholytic therapy. We treated 29-year-old male patient with CRPS of left upper extremity by continuous cervical epidural blockade. Due to wound infection and dislocation of the epidural catheter, we inserted an implantable port system to inject the mixture of local anesthetics and small amount of morphine. After 10 months of treatment, patient was cured of symptoms and signs of CRPS and was able to resume a normal life.

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Naupia Development of Nitocra spinipes Boeck, 1865 (Copepoda, Harpacticoida, Ameiridae) Reared in the Laboratory (요각류, Nitocra spinipes Boeck, 1865의 노우플리우스 유생 발생)

  • 최경화;김창현
    • Journal of Life Science
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    • v.11 no.5
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    • pp.470-475
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    • 2001
  • The larvae of Nitocra spinipes Boeck, 1865 were reared at 2$0^{\circ}C$ and 33.3$\textperthousand$ in the laboratory. These species passed through six nauplii stages and the first copepodid appeared in 8-10 days. Nauplii of N. spinipes is distinguished by characteristics of the appendage setation and caudal setae. The number of segments of antennal and mandibular exopodites in harpacticoida is discussed within familial level.

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Seismic Qualification Analysis for the Power Transformer with IEEE Std 693-1997 (IEEE Std 693-1997을 적용한 전력용 변압기 내진 해석)

  • Yang J.C.;Roh H.C.;Kim H.Y.;Park K.S.
    • The Transactions of the Korean Institute of Electrical Engineers C
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    • v.54 no.12
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    • pp.527-531
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    • 2005
  • Because of increasing demand for safety of the power transformer, the seismic qualification process in accordance with the standard of IEEE Std 693-1997 is essentially required by customer. Dynamic analysis method and static analysis method were used to qualify the seismic withstanding of the power transformer at high seismic level. Maximum stress was detected at the connection between the main structure and appendages, and maximum displacement was detected at the point of appendage's end tip. Load path and substructure system can be considered as important elements to prevent over stress and over displacement.

A Study on the Speed Effects of Afterbody Appendage for the Container Carrier (컨테이너 운반선의 선미부가물에 의한 속도성능 향상에 대한 연구)

  • Lim, Chae-Seong;Park, Dong-Woo
    • Special Issue of the Society of Naval Architects of Korea
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    • 2007.09a
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    • pp.32-42
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    • 2007
  • Container vessels are required to have a large KMT to load many containers which requires a wide transom stern form. The wide transom stern generates large stern waves particularly at the scantling draft. This means that reducing the stern wave leads to resistance reduction. Numerical analyses and Model tests for duck-tail of the stern part have been performed to reduce the resistance of the container vessel having the wide transom on the scantling draft and optimize the form of duck-tail with the change of the design parameter i.e. length and edge height. The optimized duck-tail increases the speed by 0.8 % at scantling draft.

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Total Correction of Mixed Type Total Anomalous Pulmonary Venous Return 1 Case (혼합형 총폐정맥환류이상 수술치험 1례)

  • 편승환;서정욱
    • Journal of Chest Surgery
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    • v.29 no.2
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    • pp.213-218
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    • 1996
  • Total anomalous pulmonary venous return (TAPVR) is very rare congenital heart disease. 25-year old male was admitted our hospital with dyspnea, headache and syncope as chief complaint. He was confirmed as mixed type TAPVR by echocardiography and cardiac catheterization. In this case, mixed type TAPVR was consisted with supracardiac type connection of left pulmonary vein and cardiac type of right pulmonary vein. Supracardiac type of left pulmonary common channel was anastomosed to the left auricular appendage during total cardiopulmonary bypass with fibrillating heart. Cardiac type of right pulmonary vein was operated during moderate hypothermia and aortic cross clamping. Coronary sinus septum was incised into ASD and closed with Gore-Tex patch so that right pulmonary blood flow directed to the left atrium. The patient's post-operative course was uneventful.

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Effect of Bundle Junction Face and Misalignment on the Pressure Drops Across a Randomly Loaded and Aligned 12 Bundles in Candu Fuel Channel

  • H. C. Suk;K. S. Sim;C. H. Chung;Lee, Y. O.
    • Nuclear Engineering and Technology
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    • v.28 no.3
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    • pp.280-289
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    • 1996
  • The pressure drop of twelve fuel bundle string in the CANDU-6 fuel channel is equal to the sum of the eleven junction pressure losses, the bundle string entrance and exit pressure losses, the skin friction pressure loss, and other appendage pressure losses, where the junction loss is dependent on the bundle end faces and angular alignments of the junctions. The results of the single junction pressure drop tests in a short rig show that the most probable pressure drop of the eleven junctions was analytically equal to the eleven times of average pressure drop of all the possible single junction pressure drops, and also that the largest and smallest junction pressure drops across the eleven junctions probably occurred only with BA and BB type junctions, respectively, where A and B denote the bundle end sides with an end-plates on which a company monogram is stamped and unstamped, respectively.

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Fontan`s operation for Tricuspid Atresia [IIb] (삼첨판폐쇄증 [IIb 형] 에 대한 Blalock-Taussig 단락후 Modified Fontan 수술: 1례 보고)

  • 유병하
    • Journal of Chest Surgery
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    • v.18 no.4
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    • pp.643-648
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    • 1985
  • Tricuspid atresia is the third most common cause of cyanotic heart disease, following T.O.F. and T.G.A. It is seen in about 30% of patients with congenital heart disease on postmortem examination. Recently, we experienced a case of tricuspid atresia, who had received Blalock-Taussig Shunt operation 10 years ago. The Patient was 15 year-old girl with the complaints of persistent cyanosis and exertional dyspnea. Cineangiography revealed Keith type lib tricuspid atresia, so, RA appendage was anastomosed to the right pulmonary artery and ASD was also closed using patch. Postoperative course was very difficult because of persistent right heart failure and weak respiratory power, but from postoperative 15th day, all cardiac and respiratory problems were resolved. We followed up this patient for about 1 year, and her condition is excellent up to now.

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