• Title/Summary/Keyword: cases report

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Surgical Treatment of Atrial Septal Defect: Secundum Type (심방중격결손증의 외과적 요법)

  • 안광필;이영균
    • Journal of Chest Surgery
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    • v.8 no.2
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    • pp.81-88
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    • 1975
  • Up to October 31, 1975, 34 cases of atrial septal defect, secundum type, operated in this department, were presented. This is 23.2% of all congenital heart diseases, operated utilizing cardiopulmonary bypass, in this department during this period [34 out of 146]. Out of 34 cases, 32 cases are pure ostium secundum type and one case is sinus venosus and another one is ostium secundum type with partial anomalous pulmonary venous drainage. Six cases of endocardial cushion defect and 3 cases of trilogy of Fallot are excluded in this report. All 34 cases are repaired under direct vision utilizing extracorporeal circulation. Among 34 cases of atrial septal defect, 16 cases are male, and 18 cases are female. Their ages range between 3 to 48 years, but over 59% of the cases are below the ages of 20 years. Thirty-two cases are repaired by direct sutures while 2 cases are repaired with Teflon patches. The average perfusion time is 30 minutes; the shortest 12 and the longest 81 minutes. The number of the defect is single in 31 cases, double in 2 cases, triple in one case. But the associated defect except the main defect are so small as can be closed by simple direct suture. The size of the defect is average $12cm^2$; the smallest 0.7 and the largest $25cm^2$. The surgical mortality is 2 cases [5.6%] and other cases are found to be excellent in the follow up studies.

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Open Mitral Commissurotomy: A Report of 21 Cases (개방성 승모판막 절개술에 관한 연구)

  • 이영균
    • Journal of Chest Surgery
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    • v.6 no.1
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    • pp.69-88
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    • 1973
  • Twenty-one cases of open mitral commissurotomy were done between October 1963 and March 1973. 1] Preoperative embolism consists of 7 cerebral and 2 peripheral cases. Two operative cerebral embolism cases were noted. 2] There were two cases of restenosis, one associated valvular disease, three mitral insufficiency cases, and six cases of pulmonary hypertension. 3] Out of 21 cases, 13 cases of atrial fibrillation were found and two cases of atrial fibrillation were found postoperatively among 8 cases of preoperatively normal sinus rhythm. 4] During operation 10 cases of valvular calcification and 6 cases of left atrial thrombus were noted. 5] Complete blood count, electrolyte and acid base balance showed normal range of data. 6] Four helix reservoir whole blood total body perfusion and 17 cases of .hemodilution perfusion utilizing Rygg-Kyvsgaard bag oxygenator with sigma motor were performed. 7] EACA 125 mg/kg intravenous administration before cardiopulmonary bypass resulted in markedly diminished postoperative bleeding. 8] Post-perfusion urine amount was in satisfactory range. 9] There were 2 operative mortality due to coronary embolism and three cases of hospital death, 2 due to severe hepatic failure and one due to cerebral embolism. 10] Sixteen survival cases showed marked clinical improvements and almost all of them returned to their occupation satisfactorily after operation.

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Nodular Fasciitis of the Thigh Mimicking Soft Tissue Sarcoma - Two Cases Report - (연부조직 육종으로 오인된 대퇴부의 결절성 근막염 - 2예 보고 -)

  • Jeon, Ho-Seung;Jeon, Seung-Ju;Kang, Yu-Mi;Moon, Chan-Sam;Ha, Seung-Joo
    • The Journal of the Korean bone and joint tumor society
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    • v.13 no.2
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    • pp.135-141
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    • 2007
  • Nodular faciitis is generally considered to be benign proliferation of fibroblasts and myoblasts, and it measures dimension up to 3cm. The characteristics such as rapid growth, abundant cellularity, and mitotic activity occasionally cause these lesions to mimic sarcoma. The authors experienced two cases of nodular fasciitis of the thigh, which were unusually large with dimension of more than 5cm. All of these two cases mimicked sarcoma and one of two cases, which initially mimicked sarcoma clinically and histologically in our hospital, was finally diagnosed as nodular fasciitis after requesting external consultation to several experienced pathologists. All of two cases had no evidence of recurrence at 2 years postoperatively. The lesions of unusually large dimension such as in our cases must be included in the differential diagnosis of soft tissue sarcoma. So we report two cases of nodular fasciitis of the thigh with a review of the current literature.

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Surgical Treatment of Esophageal Achalasia -Report of 4 Cases- (Achalasia 의 외과적 치료)

  • 김주현
    • Journal of Chest Surgery
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    • v.12 no.1
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    • pp.67-74
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    • 1979
  • Esophagocardiomyotomy [modified Heller procedure] is a widely accepted operation for relief of dysphagia in patient with esophageal achalasia. But patients with advanced achalasia were more likely to get poorer results from a modified Heller myotomy because of the dependent pouch that creates an angulation at the junction of thick-walled dilated esophagus with the thin wailed aganglionic segment and hinders complete emptying. Thorbjarnarson[1975] proposed the method including truncal vagectomy and pyloroplasty. Vagectomy and pyloroplasty should lesson the severity of acid-peptic esophagitis, if reflux should occur postoperatively. Here we presented 4 cases esophageal achalasia treated by modified Heller operation of 3 cases and one case of Thorbjarnarson method. All postoperative results are good.

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Plasma Cell Granuloma of the Lung - Report of 2 Cases - (형질세포 육아종 2례 보고)

  • 형질세
    • Journal of Chest Surgery
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    • v.18 no.3
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    • pp.487-491
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    • 1985
  • Two cases of plasma cell granuloma of the lung, whose incidence is 0.7% in the tumor of the lung and bronchus, are managed at department of thoracic and cardiovascular surgery, College of Medicine, Choong Nam national University Hospital from March, 1983 to July, 1984. The plasma cell granuloma of the lung, which is usually asymptomatic, is most commonly detected in routine chest films. The prognosis of the plasma cell granuloma is good after surgical resection. One case [female] was undertaken right pneumonectomy, the other, left lower lobectomy. Both cases had uneventful postoperative courses and are well being now.

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Surgical treatment of postpneumonectomy empyema associated with bronchopleural fistula; A report of Three cases (기관지늑막루를 동반한 농흉의 외과적 치료-3 치험례-)

  • Kim, Yong-Jin;Kim, Hyeon-Sun;Seo, Gyeong-Pil
    • Journal of Chest Surgery
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    • v.15 no.3
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    • pp.295-298
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    • 1982
  • Persistent bronchopleural fistula still presents a troublesome therapeutic challenge and demands an aggressive approach when conventional measures fail. Empyema associated bronchopleural fistula developed after resectional surgery and their primary diseases were lung abscess in one case, bronchiectasis in two cases. Three cases of postpneumonectomy empyema associated bronchopleural fistula were treated surgically with a pedicled intercostal muscle grafting and concomittent thoracoplasty. After the procedure, patients had no recurrent symptoms or signs of bronchopleural fistula and discharged from hospital with improved condition.

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