• Title/Summary/Keyword: cardiopulmonary

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Syphilitic Ascending Aortic Aneurysm - A Case Report - (매독성 상행 대동맥류 수술치)

  • Lee, Sin-Yeong;Gang, Jeong-Ho;Ji, Haeng-Ok
    • Journal of Chest Surgery
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    • v.20 no.1
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    • pp.182-186
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    • 1987
  • The incidence of syphilitic aortic aneurysm was decreased now a day. We experienced a case of huge syphilitic ascending aortic aneurysm from just above portion of aortic annulus to about 1 cm below innominate artery without aortic insufficiency. Surgical correction was done by replacement of ascending aorta with woven Dacron graft under cardiopulmonary bypass. Postoperative course was uneventful and discharged 15 days after surgery with good condition.

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Surgical Treatment of Giant LA Myxoma (거대 좌심방 점액종 수술치험)

  • 송기호
    • Journal of Chest Surgery
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    • v.25 no.9
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    • pp.930-935
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    • 1992
  • Cardiac myxoma is the most common benign tumor of the heart, accounting for about half of primary cardiac tumors. It has clinical importance because the excision of the intracardiac myxoma is curative and long term survival is excellant, Their average size is about 5~6cm in diameter in most reported cases. We have experienced a giant atrial myxoma, arised from the interatrial septum of the left atrial side, and resected under the cardiopulmonary bypass.

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Surgical Treatment of Atrioventricular Node Reentrant Tachycardia; 2 Cases Report ` (방실결절 회귀성 빈맥의 수술적 치료)

  • 윤정섭
    • Journal of Chest Surgery
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    • v.26 no.5
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    • pp.403-408
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    • 1993
  • The atrioventricular node reentrant tachycardia[AVNRT] is a common type of supraventricular tachycardias. Recently we experienced two cases of AVNRT. One is AVNRT with severe aortic regurgitation[grade IV] and the other is AVNRT with patent ductus arteriosus. Dissection of perinodal tissue has been successfully carried out in the beating heart under the normothermic cardiopulmonary bypass, and aortic valve replacement and ligation of patent ductus arteriosus were also performed, respectively. Postoperatively, permanent atrioventricular block was not occured and AVNRT was not developed during the follow up. We propose that the surgical dissection of perinodal tissue is a simple and effective treatment for the patient with refractory AVNRT.

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Postcardiotomy Biventricular Assist Device in Adult Heart Disease. (개심술후 시행한 양심실보조장치의 성공치험 수술례)

  • 이재원;유양기;정성호;김건일;송명근
    • Journal of Chest Surgery
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    • v.34 no.5
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    • pp.403-406
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    • 2001
  • 본 증례는 66세(51.8kg)된 남자에서 수술전 심한 좌심실 기능 부전과 승모판 및 삼첨판 폐쇄부전이 있어 개심술 시행후 심한 저심박출증 발생으로 인공심폐기 이탈에서 실패하고 양심실 보조장치(Centrifugal Biopump)를 사용한 후 이로부터 성공적인 이탈과 퇴원이 보고하는 바이다.

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TAPVC (성인 전폐정맥 연결이상 [TAPVR] 교정 1례 보고)

  • 유회성
    • Journal of Chest Surgery
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    • v.11 no.2
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    • pp.123-128
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    • 1978
  • This 18 year old girl with total anomalous venous connection, which was corrected surgically for the first time in Korea, is presented here. This patient has mild cyanosis, ejection systolic murmur with splitting of $S_2$ ,identical $O_2$ saturation of bleed samples from right and left chambers of the heart. The type was supracardiac TAPVC. On conventional cardiopulmonary by pass was used, and an right sided approach was employed. Post-op. course was smooth except for transient arrhythmia, low blood pressure and jaundice. She left hospital in a good general conditions.

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Aortopulmonary septal defect with anomalous origin of the RPA from aorta and PDA (개방성 동맥관과 우폐동맥 이상기시를 동반한 대동맥 폐동맥 중격결손증 1례 보)

  • 남구현
    • Journal of Chest Surgery
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    • v.17 no.3
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    • pp.398-401
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    • 1984
  • Aortopulmonary septal defect is rare congenital heart disease. An 8-year-old girl was diagnosed as a ventricular septal defect with patent ductus arteriosus at Department of Thoracic and Cardiovascular Surgery of Chungnam National University Hospital. On operation, the defect was confirmed as an aortopulmonary septal defect [Type I], anomalous origin of right pulmonary artery from aorta [Type Ill] and patent ductus arteriosus. The defect was repaired anatomically with cardiopulmonary bypass. But she was not survived because of uncontrollable bleeding from aorta.

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Right Atrial Free Wall Rupture due to Blunt Cardiac Trauma - A Case Report - (외상성 우심방 파열 1례 보)

  • 김요한
    • Journal of Chest Surgery
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    • v.20 no.2
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    • pp.427-431
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    • 1987
  • A case is presented of a steering wheel Injury to the chest which developed right atrial free wall rupture and cardiac tamponade without rib fractures or hemo-pneumothorax. A 30 year old man who sustained, blunt chest trauma by steering wheel injury to his chest developed right atrial rupture and cardiac tamponade. Pericardiocentesis was performed and cardiac tamponade was confirmed. After a median sternotomy, large right atrial free wall laceration [about 8cm] was noted. He was placed on cardiopulmonary bypass. The laceration wound of right atrium was closed with a 2 rows of continuous suture. Recovery was uneventful. The patient has returned to his previous level of activity.

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Surgical treatment of total anomalous pulmonary venous drainage - Report of 2 cases - (총폐정맥 환류 이상증 -치험 2예-)

  • 강정수
    • Journal of Chest Surgery
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    • v.23 no.5
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    • pp.944-952
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    • 1990
  • In 1989, We experienced 2 cases of T.A.P.V.D. corrected successfully under cardiopulmonary bypass. The first case was 27 years old male with mild dyspnea on exertion and easy fatigability. All clinical symptoms, physical examinations, laboratory findings, echocardiogram, cardiac catheterization and angiogram revealed supracardiac type T.A.P.V.D. drained through left innominate vein. Operation was done by manner of modified Schumacker procedure. The other case was 6 years old male with cardiac type drained to right atrium through coronary sinus. Two patients were well in postoperative 15 and 8 months.

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Surgical Treatment of Boerhaave Syndrome Using Mesentery (장간막을 이용한 Boerhaave 증후군의 치료)

  • 김형준
    • Journal of Chest Surgery
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    • v.23 no.5
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    • pp.1040-1046
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    • 1990
  • Despite the improved diagnostic and treatment modalities recently introduced for a variety of esophageal disorders, a perforation or leak from the esophagus remains a sources of morbidity and mortality regardless of the cause of leak. After the perforation of esophagus, the contamination of mediastinum and pleural cavity with food, bacteria and corrosive gastric juice leads to sepsis and cardiopulmonary dysfunction. The early diagnosis and early treatment are very important, and the delayed treatment leads to high risk of morbidity and mortality. We experienced one case of esophageal perforation, after forced vomiting in 48 years old male patient. We used omentum on the treatment of ruptured esophagus, and it was successfully managed.

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