• Journal of Chest Surgery
• /
• v.46 no.2
• /
• pp.135-137
• /
• 2013

An atrial septal defect is the most common type of congenital heart disease among adults. Surgical repair or percutaneous closure of the defect is the treatment options. Even though percutaneous closure seems to be less risky than surgical repair, it may result in fatal complications like device embolism, cardiac perforation and tamponade. Herein we report a case of the embolism of a device into the pulmonary artery after one hour of percutaneous closure in which the embolized device was surgically removed and the defect was closed with a pericardial patch.

• Journal of Biomedical Engineering Research
• /
• v.17 no.2
• /
• pp.215-220
• /
• 1996

Impact force and strains induced by impact between the occluder and the struts have been measured with force sensor and strain gages. The maximum reaction force was about 25N, and the calculated impact force on the root of the struts amount about 9-17W. Impact force on the inlet strut is greater than that of the outlet strut, but the strain on the outlet strut is much higher than that of the inlet strut. These values might cause severe damage on the valve in the critical cases. The results of this study may be extended for the analysis of the endurance limit and optimal design of the struts and occluder.

• Proceedings of the KOSOMBE Conference
• /
• v.1996 no.05
• /
• pp.167-171
• /
• 1996

Impact force and strains induced by impact between the occluder and the struts have been measured with force senfor and strain gages. The maximum reaction force was about 25N, and the calculated impact force on the root of the struts amount about $9{\sim}17N$. Impact force on the inlet strut is greater than that of the outlet strut, but the strain on the outlet strut is much higher than that of the inlet strut. These values might cause severe damage on the valve in the critical cases. The results of this study may be extended for the analysis of the endurance limit and optimal design of the struts and occluder.

• Clinical and Experimental Pediatrics
• /
• v.56 no.4
• /
• pp.176-181
• /
• 2013

Purpose: Apical muscular ventricular septal defects (MVSDs), especially in small infants, can be difficult to manage using surgical and percutaneous closure. An intraoperative perventricular procedure is a good option for closing apical MVSDs in small children with or without associated cardiac anomalies. We evaluated the results of hybrid perventricular closure of apical MVSDs performed using an Amplatzer duct occluder (ADO). Methods: We retrospectively reviewed the medical records of 5 patients who underwent hybrid perventricular closure of MVSDs with ADOs, from March 2006 to May 2011. The median patient age at the time of the procedure was 12 months (range, 25 days to 25 months), and the median body weight was 9.1 kg (range, 4.3 to 15 kg). Two patients had multiple ventricular septal defects (VSDs; additional perimembranous VSD in 1 patient and multiple MVSDs in the other) and 3 patients had associated cardiac anomalies; complete transposition of the great arteries in 1 patient and an atrial septal defect in 2 patients. All the procedures were performed on beating hearts, exception in 1 case. The ADO selected for the aortic side was at least 1 to 2 mm larger than the largest VSD in the left ventricle side. Results: The procedure was successful in all patients and each device was well positioned. During the median follow-up of 2.4 years, a small residual VSD was noted in 2 patients who had multiple VSDs and no leakage was seen in the other 3 patients. Conclusion: Perventricular closure of MVSD with an ADO is a good option for patients with apical MVSD. However, careful manipulation is important, especially in the case of small infants.

• Journal of Korea Game Society
• /
• v.11 no.2
• /
• pp.105-114
• /
• 2011

In a game such as MMORPG, players often see occlusions between primary actors in a shot where shows a close quarter combat. This paper proposes an occlusion resolution technique(MOS) by grafting a medium shot technique and an over-shoulder shot technique to strengthen a confrontation structure. A medium shot technique sets 4 reference points at the up/down/left/right on the sphere of target. An over-shoulder shot technique is a technique of locating the reference points on the side variably. An occluder is replaced with 2 spheres. If a ray is emitted to a reference point from the camera point and intersects a sphere of occluder, it becomes a potential occlusion state. If so, we start to move the camera to the right or left of the occluder, keep moving it while new position of camera is in potential occlusion state, and stop its movement when the occlusion is resolved. Our experiments show that MOS technique consumes operational time of $13.7{\mu}s$ per shot on average, and that it resolves occlusions in 9.26% of ratio on average, and so doesn't have any effect on viewer's sight.

• Proceedings of the Korean Society of Veterinary Clinics Conference
• /
• 2009.04a
• /
• pp.220-220
• /
• 2009

• Journal of Veterinary Clinics
• /
• v.30 no.2
• /
• pp.87-94
• /
• 2013

This retrospective study reviewed the clinical and diagnostic features, therapeutic outcome and compilations of interventional ductal occlusion in 37 dogs with patent ductus arteriosus (PDA). Malteses and female dogs were over-presented. Bounding pulse and left basal continuous murmur were most common findings in physical examination, while the differential cyanosis was rarely observed. Left ventricular (LV) enlargement patterns and sinus tachycardia were common in the ECG. Typical radiographic findings included LV elongation and triple bumps indicating left atrial (LA), aortic and pulmonary dilation. Echocardiographic features were typical shunt flow at the ductus arteriosus and marked LV dilation with mild to moderate mitral regurgitation (MR). The 32 of 37 dogs were interventionally treated with either thromboemolic coils (TCE) or Amplatz canine ductal occluder (ACDO). Transient hemoglobinuria caused by incomplete closure was occurred in 2 dogs treated with TCE, although the hemoglobinuria was disappeared within a week of intervention. The dislodgement of occlusion device was occurred in 2 dogs with TCE and 1 dog with ACDO. However there were no significant complications associated with this dislodgement, since those were dislodged at the lower pulmonary vasculature. We also found that no serious complications and no further medical intervention in 29 dogs having long-term follow-ups.

• Journal of Chest Surgery
• /
• v.26 no.11
• /
• pp.890-893
• /
• 1993

The first successful percutaneous transcatheter occlusion technique for patent ductus arteriosus achived by Rashkind in 1977.Transcatheter occlusion with the Rashikind double umbrella device is now widely accepted as treatment for patent ductus arterisus. The reported complications include embolization of the device, psudocoarctation left pulmonary artery stenosis, residual shunts, and mechanical hemolysis. We report two cases of severe hemolysis after occlusion of PDA with Rashkind occluder.

• Journal of the Korea Computer Graphics Society
• /
• v.17 no.2
• /
• pp.11-16
• /
• 2011

In computer graphics, shadows play a very important role as a hint of inter-object distance as well as themselves in terms of realism. To represent shadows, some traditional methods such as shadow mapping and shadow volume have been frequently used for the purpose. However, the rendering results are not natural since they assume the point light. On the contrary, an area light can render soft-shadows, but its computation is too burdensome due to integral over the whole light source surface. Many alternatives have been introduced, back-projection of occluder onto the light source to get visibility of light or filtering of shadow boundary by calculating size of penumbra. But they also have problems of light bleeding or ringing effects because of low order approximation, or low performance. In this paper, we describe a method to improve those problems using shadow atlas.

• Clinical and Experimental Pediatrics
• /
• v.48 no.10
• /
• pp.1143-1143
• /
• 2005

The traumatic ventricular septal defect (VSD) is a rare but potentially life threatening complication of chest wall injury. The traumatic VSD occurs in up to 4.5% of penetrating cardiac trauma. Most of the patients are usually operated on because of heart failure and/or significant left-to-right shunt. The feasibility of surgical repair under cardiopulmonary bypass may be affected by coexisting pulmonary, cerebral or other vascular injuries. Transcatheter closure of VSD is being considered as an alternative therapeutic modality to surgery in order to avoid the potential risk of cardiopulmonary bypass. We report a patient who underwent a successful transcatheter closure of VSD with an $Amplatzer^{(R)}$ VSD occluder. The patient had a residual VSD with significant left-to-right shunt after surgical repair of post-traumatic VSD using cardiopulmonary bypass.