• Journal of Chest Surgery
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• v.33 no.9
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• pp.752-755
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• 2000

Isolated congenital aneurysm of the left atrium with intact pericardium is a rate anomaly, which usually presents with arrhythmia, cerebral embolism or abnormalities on routine chest X-ray. Surgery is indicated in most cases to eliminate a potential source of systemic emboli and arrhythmias. A 42-year-old woman having cervical cancer, she was suspected of having a left atrial aneurysm on review of chest X-ray and confirmed by echocardiography and cardiac catheterization. Surgical resection of Left atrial aneurysm was achieved without complication using median sternotomy with cardiopulmonary bypass. The postoperative course was uneventful.

• Journal of Chest Surgery
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• v.30 no.4
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• pp.432-436
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• 1997

Primary malignant pericardial mesothelioma(PMPM) is more rare than heart tumor, and the term of mcsothelioma was first used by Adami in 1910, although the lesion was Hrst descripted by Wagner in 1870. Most of 1:le reported 40 cascs have becn diagnosed on autopsy. Antemortem diagnosis are rarely reported with only 40 cases in the world. According to Cohen, its incidence in 500,000 autopsies were 2.2. An analysis of the recent review shows that an antemortem diagnosis was made in only 19∼25% of total cases. This report co sist of a case of our experience of PMPM.

• Journal of Chest Surgery
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• v.44 no.3
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• pp.247-249
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• 2011

We report a case of pseudo-pseudoaneurysm, which is a very rare complication of myocardial infarction. A 69-year-old man was admitted to our clinic with chest tightness and dyspnea. He had undergone aortic valve replacement with a pericardial bioprosthetic valve, ring mitral annuloplasty, and reconstruction of an aortic annular defect due to infective endocarditis with bovine pericardium 4 years prior. Echocardiography and computed tomography showed pericardial effusion and a 16-mm cavity at the anterolateral wall of the left ventricle. Magnetic resonance imaging suggested either pseudo-pseudoaneurysm or myocardial abscess. We successfully repaired the myocardial defect using a patch made from a vascular graft with pledgeted horizontal mattress sutures under cardiopulmonary bypass.

• Journal of Chest Surgery
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• v.19 no.3
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• pp.494-499
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• 1986

Malignant germ cell tumors which have the same morphological appearance as germinal tumor of the gonad are sometimes found in the anterior mediastinum. Pure endodermal sinus tumor among them is very rare. It is highly malignant and usually extensively invasive at the time of surgical consideration. The prognosis is poor, but improvements in systemic chemotherapy regimens may improved the outlook. A case of primary endodermal sinus tumor of the mediastinum was presented. He was a 23-year-old male with anterior chest pain, tenderness and exertional dyspnea for 1 month. The tumor was well encapsulated and adhered to pericardium. The microscopic appearance was indistinguishable from that of the analogous gonadal neoplasm. The patient has treated with combination of surgery and radiotherapy as daily 180 rad for 6 weeks schedule, and then has follow up about 3 months with early recurrence.

• Journal of Chest Surgery
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• v.29 no.5
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• pp.559-563
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• 1996

We have experienced a patient, 16 year-old male, with ventricular septal defect with tricuspid recur- gitation due to blunt chest trauma. He suffered from congestive heart failure after the trauma. Echocardiogram and cardiac catheterization revealed left to right shunt at the ventricular level (muscu- far portion of interventricular septum) and tricuspid regurgitation. At the time of the operation, marked systolic thrill was palpable over the rlght ventricle near the apex and a chorda tendina was seen sharply ruptured just near the medial papillary muscle. We repaired the ventricular septal defect with a Dacron patch and chordal reconstruction with autologous pericardium. The postoperative course was uneventful and the patient was discharged in good condition.

• Journal of Chest Surgery
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• v.41 no.1
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• pp.120-123
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• 2008

A 60-year-old man with a history of gunshot vascular injury on the right inguinal area, and this happened in the military service 40 years ago, was admitted to our hospital with claudication and dyspnea on exertion. The patient was diagnosed with a chronic traumatic femoral arteriovenous fistula. The patient underwent a successful operation for arteriovenous fistula closure with bovine pericardium and for femoropopliteal bypass with using a right greater saphenous vein graft. The patient is well at 14 months after the operation.

• Journal of Korean Medical classics
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• v.23 no.2
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• pp.141-155
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• 2010

Simpo(心包. Pericardium) was described early in "Hwangjenaegyeong(黃帝內經)". But there has been a lot of criticisms about this organ. Jinsatak(陳士鐸) is one of famous doctors in Cheong(淸) dynasty. He suggested a creative Oriental medical theory and he did a profound research on Simpo(心包). "Oegyeongmieon(外經微言)" is one of his books recording his oriental medical theory in detail so it is the good documentary record for observing his theory of the Simpo(心包). So we looked into his theory of Simpo(心包) in "Oegyeongmieon(外經微言)" and also referred to his other books. You might be able to get a viewpoint of utilizing Simpo(心包) in several ways through reading this paper.

• Korean Journal of Acupuncture
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• v.19 no.1
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• pp.131-144
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• 2002

Objective : This study was undertaken to review the moxa treatment of melancholia. Method : We referred to records from ancient to modern. Results : The results of this study were obtained as follows ; 1. It reveals that the common symptoms of melancholia shows chronic weakness and coldness generally, and moxibustion is effective for making body warm. 2. It reveals that HT8(少府), LR1(大敦), PC7(大陵), ST36(足三里) are used much for the treatment of melancholia, and the common characters of the above points are freshing mind, refreshing chest, controlling digestive energy etc. 3. It reveals that pericardium meridian, liver meridian, heart meridian are used much in moxa treatment of melancholia. Conclusion : These results indicate that moxa treatment is effective to treatment of melancholia.

• Journal of Chest Surgery
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• v.28 no.7
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• pp.713-716
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• 1995

A 75-year-old man was admitted to the hospital because of a pericardial effusion.After 3 L of blood-stained pericardial fluid was drained, clinical examination together with echocardiography and chest computed tomography showed a tumor in the right atrium. At operation a pedunculated vascular tumor was found with a broad base which was embedded in the atrial wall and extended into the pericardium.A wide resection was performed resulting in a large defect of the right atrial wall. The defect was reconstructed with a pericardial patch. The patient did well postoperatively, but bloody pleural effusion developed later, presumably because of pulmonary metastasis. The patient died 2 months after surgery as a result of respiratory failure.

• Journal of Chest Surgery
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• v.25 no.5
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• pp.555-561
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• 1992

Endodermal sinus tumor[EST] of the mediastinum is a rare germ cell neoplasm. It usually arises from the ovaries and testes but also arises from multiple extragonadal site including the mediastinum. Characteristically, alpha feto protein level is high and used for monitoring the clinical course. EST of the mediastinum is poor prognosis because of its direct invasion. The patient was 18 month old female with chief complaints of cough and fever. In the chest X-ray and CT, large encapsulated, 7x6cm sized, mass of anterior med-iastinum was found, and we could excise it completely because it was well encapsulated and not invaded but only adhered to aortic arch, pericardium and left upper lung. And confirmed it as EST by histopathology. Pre-operative alpha feto protein[AFP] level as 41,748ng/ml and decreased to 2, 663ng /ml at 14th postoperative day, 644ng /ml at 31th postoperative day. From 17th post-operative day, chemotherapy was started and keep going now.