1.A Case of Pulmonary Vein Aneurysm Simulating Lung Tumor.
Moon Hong DOH ; Ha Jin IM ; Yu Ho KIM ; Byung Hee OH ; Young Bae PARK ; Yun Sihk CHOI ; Jung Don SEO ; Young Woo LEE ; Jae Hyung PARK
Korean Circulation Journal 1987;17(3):565-570
A case of pulmonary vein aneurysm is presented. Chest X-ray revealed round density along the right cardiac border in right lower lung field. The round density was suspected as solid tumor initially, but the angiocardiogram showed dealyed opacification of right inferior pulmonary vein. So it was confirmed as pulmonary vein aneurysm. This patient took mitral valve replacement because of mitral and aortic regurgitation. Pulmonary vein aneurysm is considered as congenital in origin and pulmonary venous hypertension has its pathogenetic role in enlarging the varix. Pulmonary vein aneurysm probably has little clinical significance although cases of spontaneous rupture have been reported. There are a few reported cases in the literature, but the actual incidence probably is much higher than reported. This is the first to be reported in Korean literature.
Aneurysm*
;
Aortic Valve Insufficiency
;
Humans
;
Hypertension
;
Incidence
;
Lung*
;
Mitral Valve
;
Pulmonary Veins*
;
Rupture, Spontaneous
;
Thorax
;
Varicose Veins
2.A Case of Spontaneous Bacterial Peritonitis Caused by Listeria monocytogenes.
Byung Sihk KIM ; Tae Yeob KIM ; Ji Yeoun KIM ; Kyo Sang YOO ; Yong Chul JEON ; Dong Soo HAN ; Joo Hyun SOHN ; Jieun KIM
The Korean Journal of Gastroenterology 2013;62(3):179-181
Spontaneous bacterial peritonitis (SBP) is a life-threatening complication in patients with ascites caused by advanced liver disease. While gram negative bacteria, such as Escherichia coli and Klebsiella pneumonia are the common pathogens, Listeria monocytogenes has been recognized as a very rare pathogen. Empirical treatment with third generation cephalosporins does not provide adequate antibiotics coverage against L. monocytogenes. Diagnosis is often delayed as it requires confirmation from ascitic fluid culture. Herein, we describe the first case of SBP caused by L. monocytogenes in a patient with advanced alcoholic liver cirrhosis in Korea. Clinicians should be aware of the atypical pathogens, especially in patients with inadequate response to empirical antibiotics.
Ampicillin/therapeutic use
;
Anti-Bacterial Agents/therapeutic use
;
Ascites/microbiology
;
Humans
;
Listeria monocytogenes/*physiology
;
Listeriosis/*diagnosis/drug therapy
;
Liver Cirrhosis, Alcoholic/*diagnosis
;
Male
;
Middle Aged
;
Peritonitis/*diagnosis/*microbiology
3.A Case of Ticagrelor Rescue Therapy in a Patient with Subacute Stent Thrombosis.
Jun Kwon KO ; Ji Soong KIM ; Sung Jun CHUNG ; Seong Jong KIM ; Byung Sihk KIM ; You Shin KIM ; Jeong Hun SHIN
Korean Journal of Medicine 2014;87(5):598-602
Stent thrombosis (ST) is a rare but catastrophic complication of a drug-eluting stent. Although dual antiplatelet therapy with aspirin and clopidogrel significantly reduces the occurrence of ST, it continues to occur and is occasionally associated with clopidogrel resistance. Here, we describe a 71-yr-old man with subacute stent thrombosis and clopidogrel resistance following drug-eluting stent implantation who underwent successful ticagrelor rescue therapy.
Aspirin
;
Drug-Eluting Stents
;
Humans
;
Stents*
;
Thrombosis*
4.A Case of Ticagrelor Rescue Therapy in a Patient with Subacute Stent Thrombosis.
Jun Kwon KO ; Ji Soong KIM ; Sung Jun CHUNG ; Seong Jong KIM ; Byung Sihk KIM ; You Shin KIM ; Jeong Hun SHIN
Korean Journal of Medicine 2014;87(5):598-602
Stent thrombosis (ST) is a rare but catastrophic complication of a drug-eluting stent. Although dual antiplatelet therapy with aspirin and clopidogrel significantly reduces the occurrence of ST, it continues to occur and is occasionally associated with clopidogrel resistance. Here, we describe a 71-yr-old man with subacute stent thrombosis and clopidogrel resistance following drug-eluting stent implantation who underwent successful ticagrelor rescue therapy.
Aspirin
;
Drug-Eluting Stents
;
Humans
;
Stents*
;
Thrombosis*
5.Percutaneous Thrombin Injection with Balloon Occlusion for the Treatment of a Femoral Artery Pseudoaneurysm.
Byung Sihk KIM ; Jeong Hun SHIN ; You Shin KIM ; Yonggu LEE ; Jinoo KIM ; Hwan Cheol PARK ; Sung Il CHOI
Korean Journal of Medicine 2014;86(4):484-488
Femoral artery pseudoaneurysm (FAP) is an uncommon but potentially serious vascular complication that may develop after cardiac and peripheral angiographic procedures. Here we describe the case of a 75-year-old female who presented with a life-threatening bleeding episode due to an FAP 4 days after diagnostic coronary angiography, which was treated with a percutaneous thrombin injection and transient balloon occlusion of the femoral artery during thrombin injection. This case reminds us of the importance of close observation and proper evaluation for complications, even if the risk of bleeding complications is low. Furthermore, although ultrasound-guided compression and a percutaneous thrombin injection are the standard treatment for FAP, this case demonstrates that transient balloon dilation during the percutaneous injection of thrombin is an important treatment option in cases of a wide-necked pseudoaneurysm in which the risk of thrombin escape is high.
Aged
;
Aneurysm, False*
;
Balloon Occlusion*
;
Coronary Angiography
;
Female
;
Femoral Artery*
;
Hemorrhage
;
Humans
;
Thrombin*
;
United Nations
6.A Case of Deep Vein Thrombosis Following Ultrasound-Guided Compression of a Pseudoaneurysm.
You Shin KIM ; Byung Sihk KIM ; Sang Ki LEE ; Jae Gon LEE ; Yonggu LEE ; Jeong Hun SHIN ; Sung Il CHOI
Korean Journal of Medicine 2013;85(6):614-618
Femoral artery pseudoaneurysm (FAP) is one of the most troublesome groin complications related to femoral arterial access during invasive cardiovascular procedures. Ultrasound-guided compression is the initial treatment for FAP. Here, we describe the case of a 65 year-old female who developed significant deep vein thrombosis (DVT) following ultrasound-guided compression of FAP after percutaneous coronary intervention. She was successfully treated with anti-coagulation medications. This case, along with a brief review of the literature, should remind physicians of the possible occurrence of delayed vascular complications, such as DVT, after ultrasound-guided compression of FAP.
Aged
;
Aneurysm, False*
;
Female
;
Femoral Artery
;
Groin
;
Humans
;
Percutaneous Coronary Intervention
;
Venous Thrombosis*
7.Hypothyroidism With Acute Renal Failure and Heart Failure.
Jae Ha KIM ; Sang Mo HONG ; Yong Soo PARK ; Chang Beom LEE ; Jae Gon LEE ; Eun Young CHOI ; Byung Sihk KIM
Journal of the Korean Geriatrics Society 2013;17(4):249-252
Here we report a 65-year-old male patient initially presented with dyspnea and chest discomfort. This patient was finally diagnosed with severe hypothyroidism accompanied by heart failure, pericardial effusion and acute renal failure. We suspected that heart failure, pericardial effusion and acute kidney injury were induced by severe hypothyroidism. Thus, we began thyroid hormone replacement therapy. After the therapy, the patient's dyspnea and chest discomfort were improved. Hypothyroidism has many complications, such as myxedema, dyslipidemia, and depression. In contrast, heart failure, pericardial effusion, and acute kidney injury are very rare complications of hypothyroidism. Only a few cases of heart failure or renal failure combined with hypothyroidism have been reported. Our case suggests that severe hypothyroidism can lead to multiorgan failure, such as heart failure as well as renal failure. Moreover, congestive heart failure induced by severe hypothyroidism can be reversed by thyroid hormone replacement therapy.
Acute Kidney Injury*
;
Aged
;
Depression
;
Dyslipidemias
;
Dyspnea
;
Heart Failure*
;
Heart*
;
Hormone Replacement Therapy
;
Humans
;
Hypothyroidism*
;
Male
;
Myxedema
;
Pericardial Effusion
;
Renal Insufficiency
;
Thorax
;
Thyroid Gland