• 제목/요약/키워드: patch repair

검색결과 254건 처리시간 0.019초

혈관손상의 임상적 고찰 (clinical analysis of vascular trauma)

  • 성숙환
    • Journal of Chest Surgery
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    • 제19권2호
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    • pp.288-294
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    • 1986
  • During the period from Mar. 1983 to Feb. 1986, 22 patients with vascular trauma were treated at Capital Armed General Hospital. 1] 11 patients had arterial injury alone, 6 patients had venous injury alone, and 5 patients had both arterial and venous injuries. 2] The mechanism of injury in these 22 patients was 7 penetrating non-gun shot wounds, 5 blast fragments injuries, 4 iatrogenic injuries, 4 blunt injuries, 2 gun shot wounds. 3] The method of 16 arterial repair was 5 autogenous saphenous vein graft, 8 synthetic vascular graft, 1 end to end anastomosis, 2 lateral suture. Midterm patency of 16 repairs was 100% within 1 months. 4] The method of 11 venous repair was 1 autogenous saphenous vein graft, 2 onlay vein patch, 2 ligation, 1 lateral suture. The thrombotic obstructions occurred in 4 repairs [36.4%], but they were resolved somewhat with heparinization. 5] Uncommon cases of false aneurysm of internal carotid artery and laceration of retrohepatic inferior vena cava were summarized.

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상지혈류를 보전한 쇄골하동맥피판 대동맥성형술 (Repair of the Coarctation of the Aorta Using the Subclavian Artery as a Flap and Preservation of Arterial Blood Flow to the Left Arm)

  • 허동명
    • Journal of Chest Surgery
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    • 제24권6호
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    • pp.625-630
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    • 1991
  • From April 1990 through June 1990, three patients underwent subclavian flap aortoplasty for relief of the coarctation of the aorta. The age of the patients were 13 days, 7 months and 39 months and their weights were 3.3kg, 6.5kg, and 11kg, respectively. Two patients had persistence of the ductus arteriosus and all patients had associated intracardiac anomalies. We used the technique devised by Mendonca, namely, repair of the coarctation of the aorta using the subclavian artery as a flap and preservation of the arterial blood flow to the left arm. In one patient with long narrowing of isthmus, significant residual pressure gradient was remained by this technique and we added patch aortoplasty. There were no hospital deaths and follow-up over a one year period shows all patients in good condition.

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심실중격결손증 폐쇄술후 잔존심잡음의 발생기전에 관한 임상적 연구 (The Clinical Study to the Mechanism of Remained Murmur after VSD Repair)

  • 정황규
    • Journal of Chest Surgery
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    • 제22권4호
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    • pp.630-637
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    • 1989
  • Author studied 30 cases of remained heart murmur patients after VSD repair. The age ranged from 7months to 27 years, and sex ratio was 29: 1 in male and female. Perimembranous trabecular type of VSD was the most common causes of remained murmur after operation 11 cases, and the next was subpulmonic type 9 cases. The VSD size between 1.1 and 2.0cm in diameter was the most common in 15 cases. The operative method frequently used was patch closure in 21 cases, and commonly used surgical approaching way was through right atrium. Mechanisms of origin of postoperative remained murmur was from TR 9 cases, PI 6 cases, PS 5 cases, remnant shunts 5 cases, pulmonary artery dilatation 2 cases, MR 2 cases, and subaortic stenosis 1 cases.

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Surgical Extraction of an Embolized Atrial Septal Defect Occluder Device into Pulmonary Artery after Percutaneous Closure

  • Yolcu, Mustafa;Kaygin, Mehmet Ali;Ipek, Emrah;Ulusoy, Fatih Rifat;Erkut, Bilgehan
    • Journal of Chest Surgery
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    • 제46권2호
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    • pp.135-137
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    • 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.

Repair of Offshore Structures by Underwater Wet Welding Design and Fatigue Assessment

  • Krohn, A.;Petershagen, H.;Pohl, R.;Szelagowski, P.;Lafaye, G
    • Journal of Ship and Ocean Technology
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    • 제1권1호
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    • pp.26-34
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    • 1997
  • Under water wet welding is an economically alternative for the repair of offshore structures. In this paper investigations on the fatigue strength of a wet welded pipe structural member have been reported. For the connection a special sleeve patch design has been developed. The joint was fatigue tested. The evaluation of the test was carried out by means of the hot-spot approach with regard to several extrapolation rules of the hot-spot stress. Obtained results have been compared to actual classfication rules and recommendations.

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자가 심낭편을 이용한 대동맥판 폐쇄 부전의 수술적 교정;1례 보고 (Surgical Repair of Aortic Incompetence using Autologous Pericardium - A Case Report -)

  • 우석정
    • Journal of Chest Surgery
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    • 제25권10호
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    • pp.1157-1160
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    • 1992
  • Aortic valve repair with the use of tailored autologous pericardial extension to the native cusp was performed in one patient with rheumatic aortic valve incompetence. The patient was a 10-year-old girl with Grade II aortic regurgitation and tiny postoperative recannalization of the patent ductus arteriosus. The left aortic coronary cusp appeared to be a little thickened and a cicatrical shortening of the distance between the free edge of the cusp and its annular attachment. A semilunar shaped patch of autologous pericardium, treated with glutaraldehyde solution[6 minutes in 0.6% solution] was sutured along the free edge of the left coronry cusp. Postoperative recovery was uneventful. Echocardiography 8 months later showed Grade I aortic regurgitation. She is now conducting as usual life.

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Isolated Ventricular Inversion and Anatomically Corrected Malposition of the Great Arteries Associated with Right Juxtaposition of Left Atrial Appendage: A case of Successful surgical repair

  • 이정렬
    • Journal of Chest Surgery
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    • 제23권6호
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    • pp.1280-1287
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    • 1990
  • A seven month old female infant with isolated ventricular inversion and anatomically corrected malposition of the great arteries in situs solitus, associated with ventricular septal defect, patent ductus arteriosus, right-sided juxtaposition of left atrial appendage, is reported. The patient showed usual atrial arrangement with somewhat superoinferior relation, a discordant atrioventricular connection, and a concordant ventriculoarterial connection with aorta in the right-sided position. A normal sized left atrium was connected to the left superiorly positioned morphologic right ventricle through a tricuspid valve, which crossed the left ventricular outflow tract anteriorly. Well developed bilateral[subaortic and sub-pulmonary]conus was documented at operative field. successful surgical repair was done by performing the Senning procedure and by closing the ventricular sepal defect with a patch through the right ventriculotomy. The infant’s postoperative course was uneventful with normal sinus rhythm. Postoperative cardiac catheterization revealed no hemodynamic obstruction or residual shunt.

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심근경색후 발생한 심실중격결손의 외과적 치료 -2례 보고- (Surgical Repair of Postinfarction VSD -Two Cases Report-)

  • 이용훈;최필조;우종수
    • Journal of Chest Surgery
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    • 제28권6호
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    • pp.623-629
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    • 1995
  • Rupture of ventricular septum following myocardial infaction is one of the serious complication of coronary artery disease. The characteristic manifestations are sudden appearance of a harsh systolic murmur, precordial pain, cardiovascular collapse and permit early diagnosis. We report two cases of successful repair of postinfaction ventricular septal defect. The infarcted area was anterior wall of ventricle and VSD was placed near apex of heart in two cases all. VSD was closed with pledgetted Dacron patch and incised wall was sutured with Teflon felt and concomitant coronary artery bypass graft was done respectively .Postoperative courses were uneventful.

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결함이 있는 점집합 곡면의 형상 및 외관 수정 (Shape and Appearance Repair for Incomplete Point Surfaces)

  • 박세연;;신하용
    • 한국CDE학회논문집
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    • 제12권5호
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    • pp.330-343
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    • 2007
  • In this paper, we present a new surface content completion system that can effectively repair both shape and appearance from scanned, incomplete point set inputs. First, geometric holes can be robustly identified from noisy and defective data sets without the need for any normal or orientation information. The geometry and texture information of the holes can then be determined either automatically from the models' context, or manually from users' selection. After identifying the patch that most resembles each hole region, the geometry and texture information can be completed by warping the candidate region and gluing it onto the hole area. The displacement vector field for the exact alignment process is computed by solving a Poisson equation with boundary conditions. Out experiments show that the unified framework, founded upon the techniques of deformable models and PDE modeling, can provide a robust and elegant solution for content completion of defective, complex point surfaces.

Recent Development in Ultrasonic Guided Waves for Aircraft and Composite Materials

  • Rose, Joseph L.
    • 비파괴검사학회지
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    • 제29권6호
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    • pp.525-533
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    • 2009
  • Emphasis in the paper is placed on describing guided wave successes and challenges for applications in aircraft and composite materials inspection. Guided wave imaging methods discussed includes line of sight, tomography, guided wave C-scan, phased array, and ultrasonic vibration methods. Applications outlined encircles lap splice, bonded repair patch, fuselage corrosion, water loaded structures, delamination, and ice detection and de-icing of various structures.