• Title/Summary/Keyword: pericardium

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Intrapulmonary Teratoma - A Case Report - (폐기형종;1례 보고)

  • 유웅철
    • Journal of Chest Surgery
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    • v.25 no.2
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    • pp.205-209
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    • 1992
  • The intrapulmonary teratoma is an extremely tumor. This paper reports a case of int-rapulmonary teratoma located in the right upper and middle lobes of the lung in a 16-years-old male patient. The initial symptoms were right chest pain and coughing. Chest X-ray revealed huge soft tissue mass density in the right lower lung field. Right upper and middle lobectomy with resection of invaded pericardium was done. The gross and microscopic findings of res-ected specimen revealed characteristic findings of the intrapulmonary teratoma. The patient was recovered uneventually. We would like to describe this case of rare tumor with the review of literatures.

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Metastatic Giant Pulmonary Soft Tissue Sarcomas (Hemangiopericytoma, Synovial Sarcoma) -Two Case Report- (폐에 전이된 거대 연조직 육종(혈관외피세포종, 활막육종) -수술치험 2례-)

  • Kim, Gil-Dong;Jeong, Gyeong-Yeong;Sin, Dong-Hwan
    • Journal of Chest Surgery
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    • v.27 no.1
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    • pp.63-67
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    • 1994
  • We report two cases of giant soft tissue sarcomas metastatic to the lung from lower extremities. The lung metastasis occurred 2 years later from original diagnosis in 27-year-old woman with hemangiopericytoma and 8 years later in 54-year-old woman with synovial sarcomtt. We had performed pleuropneumonectomies with partial resection of pericardium involved. The postoperative courses were uneventful and postoperative adjuvant therapy was begun.

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A Case of Effusive-Constrictive Pericarditis in and Infant Treated by Pericardiectomy (영아에서 발생한 삼출성-긴축성 심낭염의 심낭절제술에 의한 치료)

  • 선기남;김석기;김민호
    • Journal of Chest Surgery
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    • v.32 no.10
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    • pp.935-938
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    • 1999
  • Effusive-constrictive pericarditis is a very rare disease in infants but has high motality rates when not treated. There were some reports of pericardial constriction associated with intrapericardial abscess that led to pericardiectomy. The patient was admitted due to fever, cyanosis, and abdominal distension. We treated the patient with antibiotics and pericardiostomy but the symtoms did not improved, therefore, pericardiectomy was perfomed immediately. The patient with effusive-constrictive pericarditis was immediately relief on the symptoms and the treatment was successful.

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Radical Thymectomy in the Treatment of Myasthenia Gravis (중증 근무력증의 치료에 있어서 종격동내 조직의 광범위 절제술)

  • 손영상
    • Journal of Chest Surgery
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    • v.22 no.5
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    • pp.806-810
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    • 1989
  • There has been arguing in the proper surgical treatment of myasthenia gravis. But the ultimate goal of operation is complete removal of thymic tissues. In view of previous surgical-anatomic studies that there are frequently thymic tissues from the level of thyroid gland to the diaphragm and from hilum to hilum, en bloc resection of thymus, mediastinal fat including both sheets of pleura and pericardium is reasonable. We experienced four myasthenic patients with radical thymectomy from 1989. As compared to the result of previous simple thymectomy group, the 23 patients who were operated from 1976 to 1988[Group I ], excellent surgical outcome was obtained in radical thymectomy group[Group II ].

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Left Main Coronary Artery Angioplasty -Two Cases Report- (좌 주관상동맥 혈관성형술 -2례 보고-)

  • 이재덕
    • Journal of Chest Surgery
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    • v.28 no.7
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    • pp.708-712
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    • 1995
  • We report two cases of angioplasty of the left main coronary artery for isolated left main coronary artery disease. One was 63-years old male with 90% occlusion of the left main coronary artery and the other was 64-years old male with 80% occlusion of the left main coronary artery. We have performed left main coronary artery angioplasty with pericardium. The postoperative courses were uneventful and good without specific complications.

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Abruzzini Operation for Postpneumonectomy Empyema with BPF (기관지 누공을 동반한 폐전절제후 농흉의 Abruzzini씨 수술)

  • 박기진
    • Journal of Chest Surgery
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    • v.28 no.7
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    • pp.717-720
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    • 1995
  • The bronchopleural fistula is the most common and serious complication of postpneumonectomy empyema. We experienced one case of postpneumonectomy empyema with bronchopleural fistula which treated with Abruzzini operation using residual long bronchial stump. Median sternotomy was used with extension about 3cm incision toward cephalic side. We ligated and divided the innominate vein. We did not open the pericardium with extrapericardial approach. Stapler was used to distal bronchial side and additional interupt sutures were used on proximal side.

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Valved Conduit with Glutaraldehyde-Fixed Bovine Pericardium Treated by Anticalcification Protocol

  • Lim, Hong-Gook;Kim, Gi Beom;Jeong, Saeromi;Kim, Yong Jin
    • Journal of Chest Surgery
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    • v.47 no.4
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    • pp.333-343
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    • 2014
  • Background: A preclinical study was conducted for evaluating a valved conduit manufactured with a glutaraldehyde (GA)-fixed bovine pericardium treated using an anticalcification protocol. Methods: Bovine pericardia were decellularized, fixed with GA in an organic solvent, and detoxified. We prepared a valved conduit using these bovine pericardia and a specially designed mold. The valved conduit was placed under in vitro circulation by using a mock circulation model, and the durability under mechanical stress was evaluated for 2 months. The valved conduit was implanted into the right ventricular outflow tract of a goat, and the hemodynamic, radiologic, histopathologic, and biochemical results were obtained for 6 months after the implantation. Results: The in vitro mock circulation demonstrated that valve motion was good and that the valved conduit had good gross and microscopic findings. The evaluation of echocardiography and cardiac catheterization demonstrated the good hemodynamic status and function of the pulmonary xenograft valve 6 months after the implantation. According to specimen radiography and a histopathologic examination, the durability of the xenografts was well preserved without calcification at 6 months after the implantation. The calcium and inorganic phosphorus concentrations of the explanted xenografts were low at 6 months after the implantation. Conclusion: This study demonstrated that our synergistic employment of multiple anticalcification therapies has promising safety and efficacy in the future clinical study.

Differences in Electric Potential of Meridian System - Comparing Electric Potentials of Patients with Arthroncus of Knee - (슬안풍 환자의 십이경맥 전위측정 연구)

  • Nam, Bong-Hyun;Choi, Hwan-Soo
    • Korean Journal of Acupuncture
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    • v.21 no.4
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    • pp.21-30
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    • 2004
  • Objectives : Assuming that the characteristic of meridian system has been similar to this of electric potentials in human body and that measurements of electric potential at well(井穴) and sea(合穴) points in branches of the twelve meridians(WSBTM) will be representative of measurements of the twelve meridians, to measure the electric potentials of 13 patients with Arthroncus of Knee(슬안풍<膝眼風>, AK), to find out the characteristic of meridian system in patients with AK. Methods : Electric potentials of well and sea points in the meridians in twenty one patients with the pain in the lion diagnosed as AK were repeatedly measured by physiograph(PowerLab). Measurements of those electric potentials were analyzed by factor analysis. Results : Their electric potentials at the left and right side were factors which are different from each side. In the left side, Factor 1 included Small Intestine, Pericardium, Spleen, Kidney meridian, and Factor 2 included Heart, Tripple Energizer, Bladder, Liver meridian. Factor 3 included Large Intestine, Stomach, Gall bladder meridian, and Factor 4 included Lung meridian. In the right side, Factor 1 included Heart, Pericardium, Tripple Energizer, Spleen, Bladder meridian and Factor 2 included Lung, Liver, Gall bladder meridian. Factor 3 included Small Intestine, Stomach, Kidney meridian and Factor 4 included Large Intestine Meridian. Conclusions : The electric potentials of AK differ from those of normal bodies as well as of bodies with other diseases-shoulder lesions, waist lesions, Lumbago due to Strain and Contusion-. Thus electric potentials of well and sea points might be the representative meridian to show their characteristics.

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A Communicating Bronchopulmonary Foregut Malformation Associated with Absence of the Left Pericardium - A case report - (좌측 완전 심낭결손증을 동반한 Communicating Bronchopulmonary Foregut Malformation - 1예 보고 -)

  • Yoo, Dong-Gon;Park, Chong-Bin;Kang, Pil-Je;Lee, Jong-Hyeog;Kim, Chong-Wook
    • Journal of Chest Surgery
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    • v.40 no.11
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    • pp.793-797
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    • 2007
  • A communicating bronchopulmonary foregut malformation (CBPFM) is a rare congenital anomaly that is characterized by a fistula between isolated respiratory tissue and the esophagus or stomach, The presence of accessory lung tissue arising from the primitive gastrointestinal tube is a common factor in the development of all forms of bronchopulmonary foregut malformations. Recurrent pneumonia associated with cystic radiographic structures is a characteristic of the condition. Further imaging studies using esophagogram, bronchography, computerized tomography, MRI, and arteriography can help in making a diagnostic evaluation. The treatment is a surgical resection of the involved lung tissue, and fistula closure with a good prognosis. We encountered a case of CBPFM, who presented with an extralobar pulmonary sequestration and bronchogenic cyst communicating with a tubular esophageal duplication that was associated with a complete left pericardial defect.

A Literature Study on the Combination of acupoints of HANGYEOK and YEOLGYEOK in the Saam Acupuncture Method (사암침법 한격과 열격의 경혈구성에 관한 고찰)

  • Yu, Jun-Sang;Han, Suzy;Yun, Dong Won
    • The Journal of Korean Medicine
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    • v.41 no.3
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    • pp.81-97
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    • 2020
  • Objectives: The objective of this study is to review the methods of combining acupoints of HANGYEOK(Cooling Mode) and YEOLGYEOK(Heating Mode) in Saam Acupuncture Method. Methods: We searched and investigated the journals and literatures by OASIS(Korea Institute of Oriental Medicine) and relevant searching engines with the key word "Saam, Hangyeok, Yeolgyeok". Unfortunately there was no relevant articles on this theme except six literatures. Six literatures with the key words relevant to Saam and acupuncture were selected and analyzed according to each composition of acupuncture prescription especially focusing on HANGYEOK and YEOLGYEOK. Results: Analyzing HANGYEOK and YEOLGYEOK of 12 meridians, two different methods emerged. In HANGYEOK to treat Heat Pattern, one method is to tonify Water points and directly sedate Fire points. The other is also to tonify Water point, but sedate Earth points instead of Fire points. It is assumed that Earth sedation method is to eradicate the underlying Fire. In only Heart meridian and Pericardium meridian there is one method to treat Heat Pattern: Water tonification and Fire Sedation. In YEOLGYEOK to treat Cold Pattern, there is one method to tonify Fire points and sedate Water points. In Pericardium meridian and Triple Energizer meridian there are some different combination of acupoints depending on literatures. Conclusions: Considering HANGYEOK and YEOLGYEOK in Saam Acupuncture Method, two methods are mainly discussed in HANGYEOK; Water Tonification Fire Sedation and Water Tonification Earth Sedation. To remove the underlying Fire, it is regarded that Water Tonification Earth Sedation is appropriate and close to Saam's thought.