• Journal of Chest Surgery
• /
• 제12권3호
• /
• pp.289-296
• /
• 1979

For years, physicians and anatomists have been interested in the heart that has one functioning ventricle. Various terms have been suggested for this entity including single ventricle, common ventricle, double-inlet left ventricle, cor biatriatum triloculare, and primitive ventricle. In this report, the term "single ventricle" is utilized as suggested by Van Praagh, and is defined as that congenital cardiac anomaly in which a common or separate atrioventricular valves open into a ventricular chamber from which both great arterial trunks emerge. An outlet chamber, or infundibulum, may or may not be present and give rise to the origin of either of the great arteries. This definition excludes the entity of mitral and tricuspid atresia. An 11 year old cyanotic boy was admitted chief complaints of exertional dyspnea and frequent upper respiratory infection since 2 weeks after birth. He was diagnosed as inoperable cyanotic congenital heart disease, and remained without any corrective treatment up to his age of 11 year when he suffered from aggravation of symptoms and signs of congestive heart failure for 2 months before this admission. On 22nd of May 1979, he was admitted for total corrective operation under the impression of tricuspid atresia suggested by a pediatrician. Physical check revealed deep cyanosis with finger and toe clubbing, and grade V systolic ejection murmur with single second heart sound was audible at the left 3rd intercostal space. Development was moderate in height [135 cm] and weight[28Kg]. Routine lab findings were normal except increased hemoglobin [21.1gm%], hematocrit [64 %], and left axis deviation with left ventricular hypertrophy on EKG. Cardiac catheterization and angiography revealed 1-transposition of aorta, pulmonic valvular stenosis, double inlet of a single ventricle with d-loop, and normal atriovisceral relationship [Type III C solitus according to the classification of Van Praagh]. At operation, longitudinal incision at the outflow tract of right ventricle in between the right coronary artery and its branch [LAD from RCA] revealed high far anterior aortic valve which had fibrous continuity with mitral annulus, and pulmonic valve was stenotic up to 4 mm in diameter positioned posterolaterally to the aorta. Ventricular septum was totally defective, and one markedly hypertrophied moderator band originated from crista supraventricularis was connected down to the imaginary septum of the ventricular cavity as a pseudoseptum of the ventricle. Size of the defect was 3X3 cm2 in total. Patch closure of the defect with a Teflon felt of 3.5 x 4 cm2 was done with interrupted multiple sutures after cut off of the moderator band, which was resutured to the artificial septum after reconstruction of the ventricular septum. Pulmonic valvotomy was done from 4 mm to 11 mm in diameter thru another pulmonary arteriotomy incision, and right ventriculotomy wound was closed reconstructing the right ventricular outflow tract with pericardial autograft of 3 x 4 cm2. Atrial septal defect of 2 cm in diameter was closed with 3-0 Erdeck suture, and atrial wall was sutured also when rectal temperature reached from 24`C to 35.5`C. Complete A-V block was managed with temporary external pacemaker with a pacing rate of 110/min. thru myocardial wire, and arterial blood pressure of 80/50 mmHg was maintained with Isuprel or Dopamine dripping under the CVP of 25-cm saline. Consciousness was recovered one hour after the operation when his blood pressure reached 100 /70 mmHg, but vital signs were not stable, and bleeding from the pericardial drainage and complete anuria were persisted until his heart could not capture the pacemaker impulse, and patient died of low output syndrome 320 min after the operation.

• 한국산학기술학회논문지
• /
• 제16권9호
• /
• pp.6397-6402
• /
• 2015

본 연구는 lab-scale로 제작된 가압식 마이크로버블 발생장치의 버블크기 분포를 분석하여 장치의 최적 운전조건을 검토하고 벤튜리 노즐 제원에 따른 마이크로버블 발생 특성을 확인하였다. 실험결과, 실험실 규모의 가압식 마이크로버블 발생장치의 운전조건은 공기 주입율 0.3 LPM, 가압탱크압력 3 bar, 벤튜리 노즐을 수조와 직접 연결 하였을 때, 상대적으로 우수한 성능을 나타내었다. 벤튜리 노즐 제원을 달리한 마이크로버블 발생 특성에서는 노즐의 제원에 따른 버블크기 분포에 미치는 영향은 낮지만, 버블 발생의 성능적 측면에서는 노즐의 목 직경이 3-4 mm 일 때, $D_{50}$이 $54.98-61.19{\mu}m$(D3L15, D4L15), $50{\mu}m$이하의 버블 분율은 각각 0.326, 0.345(D3L15, D4L15)로 상대적으로 우수함을 확인하였으며, 노즐 목 길이의 경우 목 길이가 20 mm인 노즐의 $D_{50}$이 $49.40-54.98{\mu}m$, $50{\mu}m$이하의 버블 분율은 0.447로서, 마이크로버블을 비교적 안정적으로 발생시키는 것을 확인 할 수 있었다.

• 한국산학기술학회논문지
• /
• 제19권11호
• /
• pp.688-694
• /
• 2018

이액형 액상 실리콘 혼합비율은 혼합된 액상 실리콘 원재료를 통해 완성된 제품이 갖추어야하는 고유의 물리적 특성에 더 부합되며 제품 품질에 중요한 요소이기 때문에 주재료와 부재료의 균일한 비율제어는 필요하다. 본 연구에서는 주재료와 부재료 각각의 원재료 이송유량을 확인할 수 있는 디지털 유량계와 유량제어시스템, 압력을 일정하게 유지함과 동시에 원재료 이송을 위한 펌핑 시스템으로 구성 되도록 혼합 비율 제어시스템을 설계 하였다. 또한 시스템과의 유기적인 연동과 혼합비율 제어를 위한 프로그램을 개발 하였다. 개발된 시스템의 검증을 위해 펌핑을 통한 실제 계량된 원재료의 중량과 유량계의 측정값을 비교 하였으며, 혼합 비율 향상 알고리즘의 적용 유무에 따른 테스트 시편을 제작하여 혼합된 재료의 물리적 특성을 측정하였다. 테스트 결과 알고리즘을 적용한 시편의 경우 경도는 46~47 범위, 인장 강도는 9.3MPa~9.5MPa 범위로 기준값에 가까운 측정값을 얻을 수 있었다. 이 결과들은 이액형 실리콘의 혼합 비율을 ${\pm}0.5%$이내의 오차 범위에서 제어됨을 알 수 있었다.