• 제목/요약/키워드: dissection

검색결과 1,488건 처리시간 0.027초

Type B Aortic Dissection with Visceral Artery Involvement Following Blunt Trauma: A Case Report

  • Han, Ahram;Lee, Min A;Park, Youngeun;Kang, Jin Mo;Kim, Jung Ho;Lee, Jungnam
    • Journal of Trauma and Injury
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    • 제30권4호
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    • pp.206-211
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    • 2017
  • Aortic dissection caused by blunt trauma is a rare injury that can be complicated by malperfusion syndrome resulting from obstruction of branch vessels of the aorta. Here, we present a case of traumatic type B aortic dissection with right renal and small bowel ischemia, successfully managed by endovascular fenestration.

대망편을 이용한 급성대동맥 박리증 수술 후 발생한 종격동염의 치료 (Management of Acute Mediastinitis Following Repair of Acute Aortic Dissection with Omental Flap Transfer)

  • 백완기;이영탁
    • Journal of Chest Surgery
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    • 제31권7호
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    • pp.722-724
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    • 1998
  • 대동맥수술 후 발생하는 종격동염은 혈관이식편의 감염이 필연적으로 동반되므로 그 치료가 용이하지 않은 것으로 알려져 있다. 저자들은 최근 급성 대동맥 박리증으로 상행대동맥 및 대동맥궁 일부를 인공혈관으로 대체 후 발생한 급성 종격동염 환자 1례에서, 감염된 인공혈관을 제거하지 않고 대망편의 이동을 통하여 치료하여 만족스러운 결과를 얻었기에 문헌고찰과 함께 보고하고자 한다.

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Vertebral Artery Dissection : Natural History, Clinical Features and Therapeutic Considerations

  • Park, Kwan-Woong;Park, Jong-Sun;Hwang, Sun-Chul;Im, Soo-Bin;Shin, Won-Han;Kim, Bum-Tae
    • Journal of Korean Neurosurgical Society
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    • 제44권3호
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    • pp.109-115
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    • 2008
  • When a tear occurs in one of the major cervicocerebral arteries and allows blood to enter the wall of the artery and split its layers, the result is either stenosis or aneurysmal dilatation of the vessel. Vertebral artery dissection (VAD) is an infrequent occurrence but is a leading cause of stroke in young and otherwise healthy patients. This article discusses recent developments in understanding of the epidemiology and pathogenesis of VAD and the various clinical manifestations, methods of diagnosis, and approaches to treatment.

DISSECTION TECHNIQUE FOR EFFICIENT JOIN OPERATION ON SEMI-STRUCTURED DOCUMENT STREAM

  • Seo, Dong-Hyeok;Lee, Dong-Gyu;Ryu, Keun-Ho
    • 대한원격탐사학회:학술대회논문집
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    • 대한원격탐사학회 2007년도 Proceedings of ISRS 2007
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    • pp.11-13
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    • 2007
  • There has been much interest in stream query processing. Various index techniques and advanced join techniques have been proposed to efficiently process data stream queries. Previous proposals support rapid and advanced response to the data stream queries. However, the amount of data stream is increasing and the data stream query processing needs more speedup than before. In this paper, we proposed novel query processing techniques for large number of incoming documents stream. We proposed Dissection Technique for efficient query processing in the data stream environment. We focused on the dissection technique in join query processing. Our technique shows efficient operation performance comparing with the other proposal in the data stream. Proposed technique is applied to the sensor network system and XML database.

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분리성 대동맥판막하 협착의 수술 (Surgery for Discrete Subaortic Stenosis)

  • 이상호
    • Journal of Chest Surgery
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    • 제21권2호
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    • pp.414-421
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    • 1988
  • Concerning the operative technique for the relief of discrete subvalvular aortic stenosis, emphasis by some authors has been placed on the superiority of blunt dissection in the enucleation of the entire, obstructing structure such as membranous or fibrous ring stenosis compared with the conventional resection by sharp dissection technique. Here report a case operated applying the technique of blunt dissection, analogous to endarterectomy, which resulted in good clinical improvement. The technique is such that the tissue causing obstruction is peeled off the ventricular septum along the plane of cleavage using a dissector, starting under the commissure between right and left coronary cusps. As for the origin of stenosis this case imply a possibility of different mechanism of etiology evidenced by that the tissue removed consisted of elastic fibers only.

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단일 관상동맥 기형이 동반된 급성 대동맥박리의 수술치험 (Aortic Dissection with Aberrant Origin of Single Coronary Artery -Report of 1 case-)

  • 김웅한;안현
    • Journal of Chest Surgery
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    • 제27권12호
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    • pp.1036-1041
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    • 1994
  • Emergency operation was performed in a patient with severe aortic insufficiency caused by type A acute aortic dissection with aberrant high take-off origin of single coronary artery. The single coronary artery was found to arise from an unusual position high in the ascending aorta. Dissection was begun in the aortic root and involved the single coronary ostium. Valve competance was restored by resuspension of the commissures. the false lumen was obliterated with strips of Teflon felt and surgical glue. The aortic tissues were firmly reinforced and sutured. The proximal aortic stump was anatomically reconstructed, and fortunately the aortic valve was preserved and coronary reimplantation avoided. The patient was discharged at postoperative 13 days without specific complications. Postoperative course during the 18 months follow-up was uneventful.

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예방적 경부청소술의 임상적 의의에 관한 연구 (A Clinical Study of the Elective Neck Dissection)

  • 김면주;이광선;최종욱
    • 대한두경부종양학회지
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    • 제7권1호
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    • pp.10-16
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    • 1991
  • Elective neck dissection (END), provide proper information on nodal status and stage which are significant prognosticator in head and neck cancers with clinically $N_{(0)}$ neck. But there are many controversies for the extents, methods of surgery, moreover, whether normal lymph nodes, local defencer, have to be removed or not. The authors performed 47 END in 39 patients of head and neck squamous cell carcinoma from 1984 to 1989 and a retrospective study of the cases was conducted. Eighteen percent of nodal metastasis and five percent of extracapsular spread were found in END specimens. We concluded that END provide significant information for the management and evaluation of prognosis in head and neck cancer.

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Intramural esophageal dissection after endoscopy: A case report in a hypopharyngeal cancer patient treated with concurrent chemoradiotherapy

  • Park, Jae Hwi;Jeong, Sun Young;Song, Hyun Joo;Kim, Miok;Ko, Su Yeon
    • Journal of Medicine and Life Science
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    • 제17권1호
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    • pp.21-24
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    • 2020
  • Intramural esophageal dissection is a rare disorder characterized by a separation of the mucosa and/or submucosa from deeper muscular layers of the esophagus, with or without perforation. Iatrogenic instrumentation such as endoscopy is one of the major causes of IED. We report a case of IED after endoscopy in a patient with hypopharyngeal cancer treated with concurrent chemoradiotherapy, and suggest that a history of chemoradiotherapy can be a risk factor of IED on endoscopy. In this case, chest computed tomography scans show not only typical esophageal double lumen but also eccentric esophageal wall thickening and abnormally thin the other side esophageal wall, and this CT finding may also be important to diagnose IED.

Acute Aortic Dissection in Pregnancy with the Marfan Syndrome

  • Kim, Si Wook;Kim, Dohun;Hong, Jong-Myeon
    • Journal of Chest Surgery
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    • 제47권3호
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    • pp.291-293
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    • 2014
  • Acute aortic dissection (AAD) during pregnancy can be fatal to both the pregnant mother and the baby, particularly in patients with the Marfan syndrome. We report a case of the modified Bentall procedure in surgery for AAD in a 31-year-old pregnant woman at 24 weeks of gestation with the Marfan syndrome. The patient recovered well after the operation, but unfortunately, the fetus could not be saved.

A Visualization System of Brain MR image based on VTK

  • Du, Ruoyu;Lee, Hyo Jong
    • 한국정보처리학회:학술대회논문집
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    • 한국정보처리학회 2012년도 춘계학술발표대회
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    • pp.336-339
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    • 2012
  • VTK is a free but professional development platform for images three-dimensional (3D) reconstruction and processing. It is powerful, open-source, and users can customize their own needs by self-development of great flexibility. To give the doctors more and detailed information by simulate dissection to the 3-D brain MRI image after reconstruction. A Visualization System (VS) is proposed to achieve 3D brain reconstruction and virtual dissection functions. Based on the free VTK visualization development platform and Visual Studio 2010 IDE development tools, through C++ language, using real people's MRI brain dataset, we realized the images 3D reconstruction and also its applications and extensions correspondingly. The display effect of the reconstructed 3D image is well and intuitive. With the related operations such as measurement, virtual dissection and so on, the good results we desired could be achieved.