• Title/Summary/Keyword: patch repair

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Clinical study of Endocardial Cushion Defect [7 Cases Report] (심내막상 결손증의 임상적 고찰7례 보고)

  • 김승철
    • Journal of Chest Surgery
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    • v.18 no.2
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    • pp.283-287
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    • 1985
  • Seven patients had undergone repair of endocardial cushion defect from Jan. 1977 to Dec. 1984 at National Medical Center. Most patients had no associated anomalies except one who had PFO, and mortality case was absent. Five patients had partial ECD and two had complete ECD [Rastelli type A]. In P-ECD patients, the atrial septal defect was closed with patch in all cases and mitral cleft was approximated with 2-3 direct stitches. In two cases of C-ECD, atrial and ventricular septal defect was closed with single patch in one case and atrial septal defect was closed with patch but ventricular septal defect was closed with patch but ventricular septal defect was closed it direct suture in the other case. Atrioventricular cleft was approximated with 2-3 direct sutures. Postop. transient A-V block was noted in 2 cases but returned to regular sinus rhythm after 2 to 6 months.

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Properties of VES-LMC Adhesive Strength for Surface Removal Methods (절삭방법에 따른 VES-LMC의 부착강도 특성)

  • Kim, Ki-Heun;Jeong, Won-Kyong;Lee, Jin-Beom;Lee, Bong-Hak;Yun, Kyong-Koo
    • Proceedings of the Korea Concrete Institute Conference
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    • 2005.11a
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    • pp.543-546
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    • 2005
  • The development and maintenance of a sound bond are an essential requirements of concrete repair and replacement. The bond property of a bonded overlay to its substrate concrete during the lifetime is one of the most important performance requirements which should be quantified This study was performed to investigate the characteristics of adhesive strength for overlay concrete. Three different removal methods of deteriorated concrete such as chip-patch, mill-patch and water-jet were varied in this study. According to the adhesive strength of pull- off test, case III using water-jet was measured $2\~3$ times higher than that of chip-patch or mill-patch.

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Three-dimensional stress analysis of composite laminates patches under extension load (인장하중 하에서 복합재 적층 패치의 3 차원 응력 해석)

  • Lee, Jae-Hun;Cho, Maeng-Hyo;Kim, Heung-Soo;Grediac, Michel
    • Proceedings of the KSME Conference
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    • 2008.11a
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    • pp.652-657
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    • 2008
  • A stress distribution of composite laminates patches is obtained by using the Kantorovich method when the substrate is under uniaxial load. The analysis is based on the stress function approach and uses the complementary virtual work principle. The three-dimensional stresses satisfy the traction free conditions at the free edges and the top surfaces of the patch. The stress of the bottom surfaces of the patch is obtained from equilibrium equation of patch and substrate. To demonstrate the efficiency and validity of the proposed analysis, numerical examples for cross-ply and quasi-isotropic laminates are included. The present method provides accurate stresses in the interior and near the free edges of composite laminate patches.

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Ozone resistance of radiosensitive strains of escherichia coli K-12 (Escherichia coli K-12 방사선 감수성 균주의 오존 내성)

  • Harvey, Michel
    • Korean Journal of Microbiology
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    • v.26 no.2
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    • pp.113-121
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    • 1988
  • Ozone, an atmospheric pollutant, can damage similar UV and X-rays DNA and its components. It is possible then that the KNA damage produced by this gas are similar, to some extent, to those of radiations and that they could be repaired by the same DNA repair mechanisms. It has been observed in Escherichia coli that radiosensitive strains such as lex A, rec A and pol A, all deficient to some extent for DNA repair, are more sensitive to ozone than a wild type strain. We have thendetermined the ozone resistance and host-cell reactivation of ozone-damaged T3 phages for the E. coli double mutants pol A, lex A, uvr B, lex A, uvr A, rec A and rec A lox A. According to the results, the DNA polymerase 1 plays a key role in ozone resistance and Type 11 mechanism and/or shory patch excision repair are the most important for it. The interactions between the different DNA repair mechanisms are secondary. There is a strong correlation between ozone resistance and the capacity to reactivate T3 phages damaged by ozone.

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Surgical Results of Monocusp Implantation with Transannular Patch Angioplasty in Tetralogy of Fallot Repair

  • Jang, Woo Sung;Cho, Joon Yong;Lee, Jong Uk;Lee, Youngok
    • Journal of Chest Surgery
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    • v.49 no.5
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    • pp.344-349
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    • 2016
  • Background: Monocusp reconstruction with a transannular patch (TAP) results in early improvement because it relieves residual volume hypertension during the immediate postoperative period. However, few reports have assessed the long-term surgical outcomes of this procedure. The purpose of the present study was to evaluate the mid-term surgical outcomes of tetralogy of Fallot (TOF) repair using monocusp reconstruction with a TAP. Methods: Between March 2000 and March 2009, 36 patients with a TOF received a TAP. A TAP with monocusp reconstruction (group I) was used in 25 patients and a TAP without monocusp reconstruction (group II) was used in 11 patients. We evaluated hemodynamic parameters using echocardiography during the follow-up period in both groups. Results: At the most recent follow-up echocardiography (mean follow-up, 8.2 years), the mean pulmonary valve velocities of the patients in group I and group II were $2.1{\pm}1.0m/sec$ and $0.9{\pm}0.9m/sec$, respectively (p=0.001). Although the incidence of grade 3-4 pulmonary regurgitation (PR) was not significantly different between the two groups (group I: 16 patients, 64.0%; group II: 7 patients, 70.0%; p=0.735) during the follow-up period, the interval between the treatment and the incidence of PR aggravation was longer in group I than in group II (group I: $6.5{\pm}3.4years$; group II: $3.8{\pm}2.2years$; p=0.037). Conclusion: Monocusp reconstruction with a TAP prolonged the interval between the initial treatment and grade 3-4 PR aggravation. Patients who received a TAP with monocusp reconstruction to repair TOF were not to progress to pulmonary stenosis during the follow-up period as those who received a TAP without monocusp reconstruction.

Onlay patch augmentation in rotator cuff repair for moderate to large tears in elderly patients: clinical and radiologic outcomes

  • Sung-Yup Hong;Seung-Jin Lee;Hee-Bum Hahm;Ji-Woo Chang;Yoon-Suk Hyun
    • Clinics in Shoulder and Elbow
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    • v.26 no.1
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    • pp.71-81
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    • 2023
  • Background: This study evaluated the clinical and radiologic outcomes of onlay patch augmentation in rotator cuff repair for moderate-to-large tears in elderly patients. Methods: We reviewed 24 patients who underwent onlay augmentation with dermal allograft after arthroscopic rotator cuff repair from January 2017 to March 2020. Inclusion criteria were patients aged >65 years with tears >2.5 cm, who were followed for >12 months after surgery, and patients who could raise their arms above 90° preoperatively. American Shoulder and Elbow Surgeons (ASES) score, Constant-Murley score, pain visual analog scale (VAS), and VAS for satisfaction were used as clinical outcomes. For the evaluation of cuff integrity, magnetic resonance imaging scans were performed every 3 months after surgery. The results were compared before and after surgery in all patients and between the retear and intact groups. Results: The average follow-up period was 16.38 months, and the mean age of patients was 71.05 years. All patients showed significant improvement in ASES score, Constant-Murley score, and pain VAS at the last evaluation. The average value of satisfaction VAS was 7.27/10. The retear rate was 25% (6/24) if Sugaya type 3 was categorized in the retear group, otherwise 16.7% (4/24), if Sugaya type 3 was categorized into the intact group. Irrespective of Sugaya type 3 being included in the retear group, there was no significant difference in outcome variables between the intact and retear groups during follow-up. Conclusions: In moderate-to-large rotator cuff tear in elderly patients, onlay patch augmentation improved clinical outcomes. Retear did not adversely affect clinical outcomes.

FATIGUE CRACK GROWTH MONITORING OF CRACKED ALUMINUM PLATE REPAIRED WITH COMPOSITE PATCH USING EMBEDDED OPTICAL FIBER SENSORS (광섬유센서를 이용한 복합재 패치수리된 알루미늄판의 균열관찰)

  • 서대철;이정주;김상훈
    • Proceedings of the Korean Society For Composite Materials Conference
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    • 2001.05a
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    • pp.250-253
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    • 2001
  • Recently, based on the smart structure concept, optical fiber sensors have been increasingly applied to monitor the various engineering and civil structural components. Repairs based on adhesively bonded fiber reinforce composite patches are more structurally efficient and much less damaging to the parent structure than standard repairs based on mechanically fastened metallic patches. As a result of the high reinforcing efficiency of bonded patches fatigue cracks can be successfully repaired. However, when such repairs are applied to primary structures, it is needed to demonstrate that its loss can be immediately detected. This approach is based on the "smart patch" concept in which the patch system monitors its own health. The objective of this study is to evaluate the potentiality of application of transmission-type extrinsic Fabry-Perot optical fiber sensor (TEFPI) to the monitoring of crack growth behavior of composite patch repaired structures. The sensing system of TEFPI and the data reduction principle for the detection of crack detection are presented. Finally, experimental results from the tests of center-cracked-tension aluminum specimens repaired with bonded composite patch is presented and discussed.

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Surgical Treatment of Incomplete Endocardial Cushion Defect: 2 Cases Report (심장내막상결손증의 외과적 치료: 2예 보고)

  • 송요준
    • Journal of Chest Surgery
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    • v.7 no.1
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    • pp.101-108
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    • 1974
  • Repair of incomplete endocardial cushion defect was accomplished in two cases in September 1973 in this department. In each case a low atrial septal defect and a cleft of mitral septal cusp were found. Interrupted suture repair on the cleft mitral cusp and closure of the atrial septal defect with dacron patch were done successfully. Rigg-Kyvsgaard bubble oxygynator and Sigma motor were utilized for extracorporeal circulation. Follow up study, six months after discharge, revealed satisfactory results.

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One Stage Repair of Traumatic Ventricular Septal Defect and Mitral Regurgitation (외상성 심실중격결손 및 승모판막 역류증의 일차 완전정복)

  • 이재원;송태승;제형곤;송명근
    • Journal of Chest Surgery
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    • v.32 no.12
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    • pp.1131-1134
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    • 1999
  • After a penetrating thoracic injury early detection of intracardiac injury and early surgical repair when indicated are essential. A case presenting severe respiratory distress two weeks after a penetrating thoracic injury is reported. Transesophageal echocardiography showed massive pericardial effusion ventricular septal defect and mirtal regurgitation, The infundibular ventricular septal perforation was repaired using a Dacron patch the anterior mitral leaflet by interrupted sutures and the ruptured chordae of the posterior leaflet by a new chordae formation.

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Total Correction of Double-Outlet Right Ventricle [DORV]: Report of 45 cases (양대동맥 우심실기시증의 전교정술 - 45예 보고 -)

  • 서울의대
    • Journal of Chest Surgery
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    • v.23 no.6
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    • pp.1174-1179
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    • 1990
  • Forty-five patients with double-outlet right ventricle[DORV] underwent complete intracardiac repair between July, 1983 and June, 1989. Patients with complete atrioventricular canal, atrioventricular discordance and uni-ventricular heart were excluded. The 32 male and 13 female patients ranged in age from 3 months to 15 years[mean 4 years]. Thirty-two patients had pulmonary stenosis. The early mortality was 11.ltd[5 /45] None of 27 died after a completely intraventricular repair. The mortality was 20%[1/5] for repair using transannular patch, 20% [1/5] for REV operation, 33.3%[1/3] for repair including extracardiac valved conduit, and 50% [1/2] for Jatene operation, respectively. Two modified Fontan procedures were performed without mortality. One died after Senning operation. Causes of early deaths included high residual right ventricular pressure[one patient] small left atrial and left ventricular volume[one patient], persisting severe pulmonary hypertension [one patient] and low cardiac output of unknown cause [two patients]. Complete heart block developed in one patient. Two late deaths occurred among the 40 operative survivors [5.0Po] from persisting severe pulmonary hypertension and bleeding at reoperation. Our results indicate that significant defects can be repaired with low mortality and morbidity.

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