• Title/Summary/Keyword: saccular

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Surgical Treatment of Coronary Artery Aneurysm - A case report - (관상동맥류의 외과적치료: 1례보고)

  • 이필수
    • Journal of Chest Surgery
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    • v.24 no.4
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    • pp.361-365
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    • 1991
  • We experienced one case of the coronary artery aneurysm. The patient was 67 years old female, who complained of dyspnea on exercise[NYHA functional class III] for two years. Coronary angiogram demonstrated a localized saccular aneurysm on left main coronary artery, just above bifurcation of left anterior descending coronary artery and circumflex artery. On the operative field, the aneurysm was 2cmx2cmx 1.5cm in size with 0.5cm in neck. Resection and aneurysmorrhaphy was done. The patient was recovered and discharged uneventfully. During 8 months follow-up period, she lives in good physical activity and absence of chest pain.

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Giant Serpentine Intracranial Aneurysm: A Case Report

  • Jae Seong Park;Myeong Sub Lee;Myung Soon Kim;Dong Jin Kim;Joong Wha Park;Kum Whang
    • Korean Journal of Radiology
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    • v.2 no.3
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    • pp.179-182
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    • 2001
  • The authors present a case of giant serpentine aneurysm (a partially thrombosed aneurysm containing tortuous vascular channels with a separate entrance and outflow pathway). Giant serpentine aneurysms form a subgroup of giant intracranial aneurysms, distinct from saccular and fusiform varieties, and in this case, too, the clinical presentation and radiographic features of CT, MR imaging and angiography were distinct.

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First Record of Sphingid Moth, Macroglossum corythus (Lepidoptera: Sphingidae) from Korea

  • Choi, Sei-Woong;Kim, Sung-Soo;Jeon, Ju-A
    • Animal Systematics, Evolution and Diversity
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    • v.36 no.1
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    • pp.78-80
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    • 2020
  • A sphingid species, Macroglossum corythus Walker, 1856 is newly recorded from Korea. Macroglossum corythus can be characterized by grayish or dark greenish fore- and hindwings, blackish basal, ante- and postmedial lines with a blackish discal dot on the forewing and transverse antemedial line, as well as a strongly dentate postmedial line and a thick, dark brownish tinged subterminal line on the hindwing. The male genitalia of Macroglossum corythus can be characterized by the long saccular process of valva and the phallus with one hooked distal process and the large penshaped cornutus and a notched ridge. The female genitalia of Macroglossum corythus can be characterized by the long tubular ductus bursae and the long ovate corpus bursae with multiple stripes and a long triangular patch of minute signa. To date, six species of the genus Macroglossum have been identified in Korea.

Aneurysm of the Descending Thoracic Aorta -Report of a Case- (하행흉부대동맥류(下行胸部大動脈瘤) 치험(治驗) 1례(例))

  • Lee, Dong June;Kim, Sang Hyung
    • Journal of Chest Surgery
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    • v.9 no.1
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    • pp.44-49
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    • 1976
  • Aneurysm of the Aorta is a grave disease mostly producing disabling symptoms and ultimate death by rupture and hemorrhage without surgical intervention. The author recently experienced one case of surgical correction of descending thoracic aortic aneurysm treated with excision of the aneurysm and replacement of Dacron artificial vessel under temporary external by pass technique in November, 10th, 1975. 9mm internal diameter arterial cannula was inserted into upper and below the aneurysm. Bypass time was about 1 hour. The case was 35 years old women who had small egg sized saccular aneurysm in the upper third of the descending thoracic aorta involving the 1t. subclavian artery. Histopathological diagnosis was arteriosclerotic. Immediate postoperative course had been uneventful except low pressure and pulse of the left arm. The follow-up was possible up to date about 3 months. The patient has been doing well with ordinary activities except mild left chest discomfort.

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Development of 'De novo' Aneurysm after Therapeutic Carotid Occlusion

  • Jin, Sung-Chul;Choi, Choong-Gon;Kwon, Do-Hoon
    • Journal of Korean Neurosurgical Society
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    • v.45 no.4
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    • pp.236-239
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    • 2009
  • Carotid occlusion is an inevitable therapeutic modality for the treatment of complex aneurysms such as giant, traumatic, and intracavernous aneurysms. Late complications of carotid occlusion include 'de novo' aneurysm formation at a distant site because of hemodynamic changes in the circle of Willis. We report a case of de novo aneurysm in a vessel that appeared to be normal on initial angiography. The patient developed an anterior communicating artery aneurysm and marked growth of a basilar bifurcation aneurysm 9 years after trapping of the left internal carotid artery for the treatment of a ruptured large saccular aneurysm involving ophthalmic and cavernous segments. We propose that patients who undergo therapeutic carotid occlusion should be periodically followed by magnetic resonance angiography or computed tomographic angiography to evaluate the possibility of de novo aneurysm formation; this advice is in line with previous reports.

An Aneurysm Developing on the Infundibulum of Posterior Communicating Artery : Case Report and Literature Review

  • Jang, Woo-Youl;Joo, Sung-Pil;Kim, Tae-Sun;Kim, Jae-Hyoo
    • Journal of Korean Neurosurgical Society
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    • v.40 no.4
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    • pp.293-295
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    • 2006
  • Infundibular dilatation is funnel-shaped symmetrical enlargement that occurs at the origin of cerebral arteries and which is apparent on 7 to 25% of normal angiograms. Infundibular dilatation is frequently considered a normal anatomic variation of no pathologic significance. The authors report a case in which an aneurysm developed on an infundibular dilatation of the posterior communicating artery [PComA]. A 72-year-old woman presented with severe headache, nausea, and vomiting. Digital subtraction angiography showed a saccular aneurysm arising from the origin of the left PComA. Operative findings revealed the aneurysm and infundibular widening of the right PComA. The aneurysm was successfully obliterated. Whether infundibular dilatation is a pre-aneurysmal state or a benign dilatation is controversial. However, we believe infundibular dilatation of the PComA in this case may have served as a pre-aneurysmal lesion.

A Case of Cerebral Aneurysmal Subarachnoid Hemorrhage in Fabry's Disease

  • Chang, Youn Hyuk;Hwang, Sung-Kyun
    • Journal of Korean Neurosurgical Society
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    • v.53 no.3
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    • pp.187-189
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    • 2013
  • We report an unusual case of cerebral aneurysmal subarachnoid hemorrage (SAH) with Fabry's disease. A 42-year-old woman presented with aneurysmal SAH originated from a saccular aneurysm of the right posterior communicating artery. The patient was treated by an endovascular coil embolization of aneurysm. Postoperatively the patient recovered favorably without any neurological deficit. During her admission, the patient had a sign of proteinuria in urine analysis. The pathologic findings of kidney needle biopsy implied nephrosialidosis (mucolipidosis of lysosomal stroage disease), which is consistent with a Fabry's disease. It is uncommon that Fabry's disease is presented with aneurysmal SAH, especially in middle-aged patients, but could be a clinical concern. Further investigations are needed to reveal risk factors, vascular anatomy, and causative mechanisms of Fabry's disease with aneurysmal SAH.

Strategy for the Patient with Tuberculum Sellae Meningioma Combining Bilateral Internal Artery Aneurysm

  • Cha, Ki-Yong;Park, Sang-Keun;Hwang, Yong-Soon;Kim, Tae-Hong
    • Journal of Korean Neurosurgical Society
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    • v.38 no.2
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    • pp.151-154
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    • 2005
  • A 43-year-old woman was admitted with the chief complaint of progressive visual disturbance and her brain radiological studies disclosed well demarcated tumor at tuberculum sellae area and bilateral mirror image paraclinoid internal carotid artery saccular aneurysms. A larger left side aneurysm was pointing medialy and almost encased by the tumor. Although a brain tumor and intracranial aneurysm can be simultaneously treated by surgery, the high risk of intra-operative aneurysm rupture should be considered. Therefore, the author secondly performed tumor resection after the endovascular embolization of the aneurysm which was embedding the tumor using a Guglielmi detachable coil. After successful treatment of the patient with tuberculum sellae meningioma associated with bilateral mirror image paraclinoid aneurysms using endovascular and surgical techniques, the authors present the case with a review of the related literatures.

CABG in Coronary Aneurysm Due to Kawasaki Disease (가와사키병에 의한 관상동맥류의 관상동맥우회로술 -치험 1례-)

  • Kim, Jong-Uk;Lee, Jae-Won;Song, Myeong-Geun
    • Journal of Chest Surgery
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    • v.28 no.4
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    • pp.398-400
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    • 1995
  • Kawasaki s disease is a multisystemic disorder that is an important cause of cardiovascular disease in children. We experienced a case of coronary artery aneurysm secondary to Kawasaki s disease. The patient was 12-year-old female presented as exertional dyspnea & chest pain[NYHA classII . Her coronary angiogram showed saccular aneurysms at proximal right coronary artery and proximal left anterior descending artery. CABG was performed by use of double internal mammary artery.Postoperative E.K.G. showed a normal pattern.She discharged at postoperative 10th day without problem. 4 months after discharge, she had no dyspnea & chest pain in exertion[NYHA class I .

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Vestibular Evoked Myogenic Potential (전정유발근육전위)

  • Kim, Sung Hun;Nam, Eui Cheol
    • Annals of Clinical Neurophysiology
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    • v.7 no.1
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    • pp.1-6
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    • 2005
  • Loud click or tone burst sound can activate vestibular receptor and evoke reflex changes in tonic electromyographic activity within the stenocleidomastoid muscles. This reflex is assumed to originate in the saccule, the afferent pathways being the inferior vestibular nerve, and the efferent pathways the vestibulospinal tract. Averaging these muscular responses allows vestibular evoked myogenic potentials (VEMP) to be obtained. The earliest response ipsilateral to a loud click, p13n23, is dependent upon vestibular activation, specifically saccular afferents. These new techniques are beginning to be applied clinically in the patient of vestibular neuritis, Meniere's disease, acoustic neuromas, Tullio phenomenon, etc. VEMP recording will provide both a straightforward non-invasive exploration of each vestibule independently and an attractive method by which to explore otolithic receptors and vestibulospinal pathways.

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