• 한국임상수의학회지
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• 제14권1호
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• pp.6-10
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• 1997

An 8-year old castrated domestic long-hair cat was presented with a two week history of abdominal distension. Physical examination revealed a non-painful, fluctuant, palpable mass in the right craniodorsal abdomen, and unilaterally muffled heart sounds on the right thorax. Routine clinico-pathological values were unremarkable apart from mild azotemia with a concurrent urine specific gravity of 1.031, which reflect a degree of renal dysfunction. Radiographic and ultrasound examinations of the thorax revealed the cardiac enlargement to be due to the congenital peritoneo-pericardial diaphragmatic hernia with liver occupying the right half of the pericardial sac. There was also a mild gypertrophy of the heart. Radiography and ultrasonography of the abdomen showed the mass to be composed of a large fluid filled cystic structures surrounding the right and left kidneys, and the kidneys themselves were of increased echogenecity. A diagnosis of perinephric pseudocysts was made. The patient responded well to the surgical procedures. Perinephric pseudocysts and peritoneo-pericardial diaphragmatic hernia in the cat are rare, and a case is described and the literature is reviewed in this report.

• Journal of Chest Surgery
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• 제36권4호
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• pp.277-279
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• 2003

15세 남아가 경도의 운동 시 호흡곤란, 우연히 발견된 심잡음을 주소로 내원하였다. 심초음파 소견에서 주로 심실중격을 침범한 종양에 의한 좌심실유출로 협착을 보였고, 심도자에서 측정한 좌심실유출로 평균 압력차는 20 mmHg였다. 체외순환하에 대동맥절개를 통해 종양의 부분절제를 시행하였고, 병리검사 결과 심근이형종으로 진단되었다. 병변은 중증비대를 보이는 성숙한 심근세포와 주변부 섬유화가 주를 이루었다. 술 후 5년간의 외래추적관찰에서 부정맥 발생이나 종양 재발의 증거는 관찰되지 않았다.

• 한국임상수의학회지
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• 제34권3호
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• pp.218-221
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• 2017

A 14-year-old castrated Shih Tzu weighing 5.4 kg presented with painful penile erection and dysuria that had been ongoing for 2 days. Treatment with salbutamol and gabapentin was initiated, but after 24 hours, the dog had not responded, so it was decided to proceed with penile amputation. The patient went into cardiac arrest during the surgery and died, despite attempted cardiopulmonary resuscitation. During the surgery, the penis was found to have an enlarged, tortuous, purple blood vessel located dorso-caudally to the bulbus glandis. A hemi-circular fibrous mass was found inside the vessel on histopathological examination; this mass may have induced the ischemic priapism by occluding the vein. This report describes a rare case of ischemic priapism in dogs.

• Journal of Chest Surgery
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• 제48권1호
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• pp.95-97
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• 2015

We report the case of a 69-year-old woman who was diagnosed with intracardiac schwannoma without symptoms. Preoperative echocardiography and cardiac magnetic resonance imaging showed a mass attached to the interatrial septum. The initial diagnosis was a myxoma or a bronchogenic cyst. The tumor was successfully excised under cardiopulmonary bypass. However, the pathology of the excised tumor was consistent with schwannoma. We suggest that cardiovascular surgeons consider schwannoma to be a possible differential diagnosis for a mass close to the interatrial septum.

• Journal of Chest Surgery
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• 제41권3호
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• pp.369-372
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• 2008

심장에 발생하는 원발성 악성 림프종은 매우 드물다. 68세 남자 환자가 점점 심해지는 호흡곤란으로 본원 흉부외과에 입원하였다. 심장 초음파, 흉부컴퓨터단층촬영 후, 우심방과 우심실에 걸쳐 있는 거대 종양을 발견하였다. 뇌경색 등의 위험과 혈역학적 불안정으로 응급수술을 결정하였다. 우측 심장에 있는 거대 종양을 심방 중격의 일부와 전외측 우심방 벽을 함께 포함하여 제거하고, 우형 심내막 패치로 재건하였다. 최종 조직검사상 원발성 악성 림프종으로 진단되었으며, 환자와 보호자가 경제적 이유 등으로 항암치료를 거부하고 귀가 퇴원을 하였다.

• Tuberculosis and Respiratory Diseases
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• 제77권1호
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• pp.28-33
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• 2014

We report a case of invasive pulmonary aspergillosis invading the mediastinum and the left atrium. A 70-year-old woman was hospitalized for dyspnea. She had been well controlled for her diabetes mellitus and hypertension. The chest X-ray disclosed mediastinal widening, and the computed tomography scan of the chest showed that there was a large mediastinal mass and this lesion extended into the left atrium and right bronchus. The cardiac echocardiography showed that a huge mediastinal cystic mass compressed in the right atrium and a hyperechoic polypoid lesion in the left. The pathology from the bronchoscopic biopsy observed abundant fungal hyphae which was stained with periodic acid-Schiff and Gomori's methenamine silver. Despite the treatment with antifungal agents, she died from cardiac tamponade after three months. Invasive pulmonary aspergillosis, which involves the mediastinum and the heart, is very rare in immunocompetent patients.

• Journal of Cardiovascular Imaging
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• 제31권2호
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• pp.98-104
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• 2023

BACKGROUND: We aimed to investigate left ventricular (LV) global longitudinal strain (GLS) in end-stage renal disease patients and its change after kidney transplantation (KT). METHODS: We retrospectively reviewed patients who underwent KT between 2007 and 2018 at two tertiary centers. We analyzed 488 patients (median age, 53 years; 58% male) who had obtained echocardiography both before and within 3 years after KT. Conventional echocardiography and LV GLS assessed by two-dimensional speckle-tracking echocardiography were comprehensively analyzed. Patients were classified into three groups according to the absolute value of pre-KT LV GLS (|LV GLS|). We compared longitudinal changes of cardiac structure and function according to pre-KT |LV GLS|. RESULTS: Correlation between pre-KT LV EF and |LV GLS| were statistically significant, but the constant was not high (r = 0.292, p < 0.001). |LV GLS| was widely distributed at corresponding LV EF, especially when the LV EF was > 50%. Patients with severely impaired pre-KT |LV GLS| had significantly larger LV dimension, LV mass index, left atrial volume index, and E/e' and lower LV EF, compared to mildly and moderately reduced pre-KT |LV GLS|. After KT, the LV EF, LV mass index, and |LV GLS| were significantly improved in three groups. Patients with severely impaired pre-KT |LV GLS| showed the most prominent improvement of LV EF and |LV GLS| after KT, compared to other groups. CONCLUSIONS: Improvements in LV structure and function after KT were observed in patients throughout the full spectrum of pre-KT |LV GLS|.

• 대한핵의학회지
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• 제15권2호
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• pp.75-79
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• 1981

A Case of main pulmonary artery aneurysm in a 9-year-old boy with patent ductus arteriosus is presented. In this case presented with a huge mass density on the chest X-ray, radionuclide cardiac angiography showed a vascular lesion, which was confirmed as an aneurysm of the main pulmonary artery at roentgenologic angiogram. The aneurysm appeared following an episode of bacterial endocarditis and pulmonary hypertension. A successful aneurysmectomy with multiple ligation of ductus arteriosus was performed.

• Journal of Chest Surgery
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• 제38권4호
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• pp.316-318
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• 2005

유두상 섬유탄력종은 원발성 종양 중 두 번째로 많이 호발하는 양성종양으로 주로 심장판막에 발생한다. 본원에서는 심계항진과 호흡곤란을 주소로 내원한 51세 여자환자를 검사하던 중 우연히 대동맥 판막에 위치한 유두상 섬유탄력종이 발견되었다. 수술시 대동맥 판막의 손상 없이 대동맥 판막에 부착된 종양만 제거하는 것이 가능하였다.

• Journal of Chest Surgery
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• 제39권11호
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• pp.858-860
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• 2006

유두상 섬유탄력종은 원발성 종양 중 두 번째로 많이 호발하는 양성종양으로 주로 심장판막에 발생한다. 본원에서는 흉통과 호흡곤란을 주소로 내원한 61세 여자 환자에서 발견된 대동맥 판막에 위치한 유두상 섬유탄력종을 경험하였다. 대동맥 판막의 손상 없이, 개심술 하에서 대동맥 판막에 부착된 종양을 제거한 치험을 문헌고찰과 함께 보고하는 바이다.