• Journal of Chest Surgery
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• v.22 no.6
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• pp.990-995
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• 1989

Since 1984, 24 patients underwent repair of atrioventricular septal defect. Nineteen had a partial defect and 5 had a complete atrioventricular septal defect. There were 9 men and 15 women, ranging in age from 1 to 50 years [mean age, 13.3 years]. Four patients had a Downs syndrome. Additional congenital heart defects were present in 11 patients. One patient had palliative operation prior to total correction. In partial defects, the primum atrial septal defect was closed with Xenomedica patch and the mitral valve was repaired with simple closure of the septal commissure. Central incompetence from annular dilatation was repaired by a local annuloplasty. In complete defect, the septal defects were closed with two patches except one. Operative mortality was 5% in partial defects and 60% in complete defects and low cardiac output was the commonest etiology. In a mean follow-up period of 27.9 months [range, 4 to 63 months] there were no late death and no instances of late-onset complete heart block. One patient required reoperation [MVR] for residual mitral regurgitation. The majority of patients were asymptomatic and mean postop. NYHA functional class was 1.2.

• Proceedings of the Korean Society For Composite Materials Conference
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• 2004.04a
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• pp.241-245
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• 2004

An analytical study was conducted to characterize the fatigue crack growth behavior of pre-cracked aluminum plates repaired with asymmetric bonded composite patch. For single-sided repairs, due to the asymmetry and the presence of out-of-plane bending, crack front shape would become skewed curvilinear started from a uniform through-crack profile, as observed from previous studies. In this study, the fatigue analysis of single-sided repairs considering crack front shape development was conducted by implementing three-dimensional successive finite element method coupled with linear elastic fracture mechanics (LEFM) concept, which enables the growing crack front to be directly traced and modeled in a step by step way. Through conducting present analysis technique, crack path of the patched plate as well as the fatigue life was evaluated with sufficient accuracy. The analytical predictions of both the crack front shape evolution and the fatigue life were in good agreement with the experimental observations.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.32 no.1A
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• pp.11-18
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• 2012

This paper deals with the numerical determination of the stress intensity factors of cracked aluminum plates under the mixed mode of $K_I$ and $K_{II}$ in glass-epoxy fiber reinforced composites. For the stress intensity factors, two different models are reviewed such as VCCT and two-step extension method. The p-convergent partial layerwise model is adopted to determine the fracture parameters in terms of energy release rates and stress intensity factors. The p-convergent approach is based on the concept of subparametric element. In assumed displacement field, strain-displacement relations and 3-D constitutive equations of a layer are obtained by combination of 2-D and 1-D higher-order shape functions. In the elements, Lobatto shape functions and Gauss-Lobatto technique are employed to interpolate displacement fields and to implement numerical quadrature. Using the models and techniques considered, effects of composite laminate configuration according to inclined angles and adhesive properties on the performance of bonded composite patch are investigated. In addition to these, the out-of-plane bending effect has been investigated across the thickness of patch repaired laminate plates due to the change of neutral axis. The present model provides accuracy and simplicity in terms of stress intensity factors, stress distribution, number of degrees of freedom, and energy release rates as compared with previous works in literatures.

• Journal of Chest Surgery
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• v.30 no.2
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• pp.200-204
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• 1997

This is a report of a successful management of a patient with infective endocarditis involving native aortic valve, mitral valve, tricuspid valve, and Interventric lar septum. A 16 year-old patient who underwent VSD patch closure, and aortic valvuloplasty at the age of 1 1 years showed Intractable congestive heart failure during antibiotics treatment for infective endocarditis. Operative findings revealed that there were large defect along the previous patch, aortic regurgitation with multiple perforations and vegetations, mitral regurgitation with vegetation, aortic paraannular abscess, interventricular myocardial abscess, and tricuspid regurgitation with perforations and vegetations. We reconstructed the interventricular defect with Dacron patch extending to the aortic valve annulus after radical debridement of all infected or devitalized tissues, and could implant aortic valve by anchoring to the reconstructed Dacron patch. Mitral valve was replaced and tricuspid valve was repaired with patient's own pericardium. The patient was discharged after antibiotics treatment for 6 weeks and in good condition without any sequelae for 12 months.

• Journal of Chest Surgery
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• v.28 no.2
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• pp.183-187
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• 1995

This is a report of successful management of a patient with complicated native valvular endocarditis. Initially stable patient showed sudden collapse at the end of 4th week of antibiotics coverage. Echocardiography revealed that previous vegetation at the Aorto-mitral Fibrous Skeleton[AMFS developed into a false aneurysm, perforated to left atrium and caused fistulous communication between left ventricle and left atrium. Extensive debridement was performed including part of the ascending aorta, aortic cusps, the AMFS, anterior mitral cusp and roof of the left atrium. Reconstruction of the AMFS with tailored single piece of autologous pericardium enabled the implantation of mechanical valves at the aortic and the mitral position. Ascending aorta and roof of the left atrium were repaired with autologous pulmonary artery patch graft and another autologous pericardial patch. The patient was discharged on postoperative 16th day and followed - up till now without any residuae or sequelae.

• Structural Engineering and Mechanics
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• v.88 no.3
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• pp.201-208
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• 2023

In this work, the effect of the correction fibers direction on the efficiency of repairing damaged composite plates was highlighted. The composite plates studied in this work consist of eight layers of graphite/epoxy, while the patch used in this repair consists of four layers of the same type. The results obtained in this work, whether with regard to the experimental or analytical side, showed that the fibers orientation affects the repair efficiency, so the closer the angle of fibers inclination is to the tensile strength direction, the performance of the composite material is ideal. Hence, we conclude that the composite materials with longitudinal fibers (Parallel to tensile strength) is the most powerful and efficient material in performance.

• Journal of Chest Surgery
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• v.25 no.10
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• pp.1146-1151
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• 1992

This report describes a month-old female infant with a rare supracardiac type of total anomalous pulmonary venous connection which have intrapulmonary drainage and small left atrium. The left pulmonary vein drained into right hilum via transverse common pulmonary vein, and then both pulmonary veins drained into superior vena cava via ascending connecting vein. This anomaly was sucessfully repaired by double patch technique.

• Journal of Chest Surgery
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• v.25 no.10
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• pp.1137-1140
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• 1992

Bronchoartic Fistula Secondary to Pulmoanry Tuberculosis Bronch-aortic fistula is a exceptionally rare complication of pulmonary tuberculosis. We report herein, a case of 39 years woman who underwent successful repair of aor-tobronchofistula. She was admitted because of massive hemoptysis via emergency room, she had several bouts of massive hemoptysis prior to hospitalization. Thoracic-aortic pseudoaneurysm had detected by chest CT by chance. The eroded, perforated descending aorta was repaired with patch aortoplasty during temporarily clamping, followed by Left lower lobectomy and omentopexy. Pathological examination revealed pulmonary tuberculosis of superiror seg. of lerg lower lobe and aortitis. The patient had uneventful recovery was well at OPD follow-up check.

• Journal of Chest Surgery
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• v.25 no.12
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• pp.1465-1470
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• 1992

We experienced one case of total anomalous pulmonary venous connection to coronary sinus with secondum type ASD. The case was 21 years old woman with mild dyspnea on exertion and ill looking appearance. The disease was confirmed by 2D echocardiogram and cardiac catheterization. Under the conventional cardiopulmonary bypass, we repaired the anomaly by use of Dacron patch. The postoperative course was uneventful and discharged with excellent general condition and has been good during follow-up.

• 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.