1.Surgical treatment of atrial septal defect in adult patients.
Dong Hyup LEE ; Jung Cheul LEE ; Sung Sae HAN
Yeungnam University Journal of Medicine 1992;9(2):321-326
The study consisted of all patients over 35yerars old undergoing surgical repair of atrial septal defect for the period from June 1985, to August 1992. The following results were observed. 1. ASD was closed with patch in 11 (73%) patients. 2. The relationship of pulmonary artery systolic pressure to Qp/Qs ratio was not significant. 3. Before operation 6 patients were in NYHA functional class II. 8 were in class III, After operation 8 patients were in class I, 6 were in class II. 4. Atrial fibrillation has persisted in 3 patients and returned regular rhythm in 1 patient after surgery. 5. There was no operative mortality and we had good surgical results regardless of patient's age.
Adult*
;
Atrial Fibrillation
;
Blood Pressure
;
Heart Septal Defects, Atrial*
;
Humans
;
Mortality
;
Pulmonary Artery
2.Closed thoracostomy of spontaneous pneumothorax: clinical comparison of suction with no suction.
Sung Woo LIM ; Dong Hyup LEE ; Jung Cheul LEE
The Korean Journal of Thoracic and Cardiovascular Surgery 1991;24(9):890-894
No abstract available.
Pneumothorax*
;
Suction*
;
Thoracostomy*
3.Congenital Tracheoesophageal Fistula without Atresia of the Esophagus.
Dong Hyup LEE ; Cheol Joo LEE ; Hyun Sik MIN
Yeungnam University Journal of Medicine 1985;2(1):253-258
The congenital tracheoesophageal fistula without atresia of the esophagus is considered a rare variant, and the literature concerned to the tracheoesophageal fistula fistula without atresia is little in adult especially. The 22-year-old male was admitted to Yeungnam University Hospital with his chief complaints of weight loss (6 kg/6 months), abdominal discomfort, and intermittent coughing. The diagnosis was made by the endoscopy and esophagography. The fistula was 1.5 cm in diameter, 0.5 cm in length. The level was around second thoracic vertebra. The operation was performed transpleurally through the right third intercostals space and the fistula was secured with interrupted silk suture after division. The fibrotic adhesion was seen around the tracheoesophageal fistula. The postoperative course was uneventful, and postoperative esophagogram revealed no extraluminal leakage. Herewith we report this unusual case of isolated tracheo-esophageal fistula with review of literatures.
Adult
;
Cough
;
Diagnosis
;
Endoscopy
;
Esophagus*
;
Fistula
;
Humans
;
Male
;
Silk
;
Spine
;
Sutures
;
Tracheoesophageal Fistula*
;
Weight Loss
;
Young Adult
4.Surgical treatment of aortic aneurysm.
Sung Woo LIM ; Dong Hyup LEE ; Sung Sae HAN
The Korean Journal of Thoracic and Cardiovascular Surgery 1991;24(7):685-692
No abstract available.
Aortic Aneurysm*
5.Extracorporeal circulation influence on plasma atrial natriuretic peptide.
Hyeong Min LEE ; Dong Hyup LEE ; Jung Cheol LEE ; Sung Sae HAN
The Korean Journal of Thoracic and Cardiovascular Surgery 1993;26(2):102-107
No abstract available.
Extracorporeal Circulation*
;
Plasma*
6.Congenital cystic adenomatoid malformation(type II)of lung: A case report.
Eun Pyo HONG ; Dong Hyup LEE ; Jung Cheol LEE ; Sung Dae HAN
The Korean Journal of Thoracic and Cardiovascular Surgery 1993;26(8):650-653
No abstract available.
Lung*
7.Surgical treatment of coarctation of aorta less than 2 years old.
Eun Pyo HONG ; Dong Hyup LEE ; Jung Cheol LEE ; Sung Sae HAN
The Korean Journal of Thoracic and Cardiovascular Surgery 1993;26(8):604-608
No abstract available.
Aortic Coarctation*
;
Child, Preschool*
;
Humans
8.Left Thoracic Sympathetic Ganglionectomy with Thoracoscope for the Treatment of the Long QT Syndrome: A case report.
Nam Ki HONG ; Tae Eun JUNG ; Jung Cheul LEE ; Sung Sae HAN ; Dong Hyup LEE
The Korean Journal of Thoracic and Cardiovascular Surgery 2000;33(9):766-769
The long QT syndromes have been classified into acquired or inheritary forms, both of which are associated with a characteristic type of life-threatening polymorphic ventricular tachycardia called torsade de points. Beta-adrenergic blocker is the first cholic treatment, but in those whom cardiac events are not prevented by beta - blockade, left thoracic sympathetic ganglionectomy may be useful in selected cases. A 50-year-old woman had an recurrent syncopal attack in which she was unconscious for 1-2 min and 1-2 times a month for 10 years. The EKG revealed that QT & QTc intervals were 744 and 632 msec respectively. Treatment with Beta-adrenergic blocker and calcium channel blocker was ineffective in preventing recurrence of syncopal spell. Therefore, she underwent left thoracic sympathetic ganglionectomy with thoracoscope. During the 9 months after operation, she was free of syncopal episodes and is doing well.
Calcium Channels
;
Electrocardiography
;
Female
;
Ganglionectomy*
;
Humans
;
Long QT Syndrome*
;
Middle Aged
;
Recurrence
;
Syncope
;
Tachycardia, Ventricular
;
Thoracoscopes*
9.Congenital Aneurysm of The Left Atrium: A Case Report.
Nam Ki HONG ; Tae Eun JUNG ; Jung Cheul LEE ; Sung Sae HAN ; Dong Hyup LEE
The Korean Journal of Thoracic and Cardiovascular Surgery 2000;33(9):752-755
Isolated congenital aneurysm of the left atrium with intact pericardium is a rate anomaly, which usually presents with arrhythmia, cerebral embolism or abnormalities on routine chest X-ray. Surgery is indicated in most cases to eliminate a potential source of systemic emboli and arrhythmias. A 42-year-old woman having cervical cancer, she was suspected of having a left atrial aneurysm on review of chest X-ray and confirmed by echocardiography and cardiac catheterization. Surgical resection of Left atrial aneurysm was achieved without complication using median sternotomy with cardiopulmonary bypass. The postoperative course was uneventful.
Adult
;
Aneurysm*
;
Arrhythmias, Cardiac
;
Cardiac Catheterization
;
Cardiac Catheters
;
Cardiopulmonary Bypass
;
Echocardiography
;
Female
;
Heart Atria*
;
Humans
;
Intracranial Embolism
;
Pericardium
;
Sternotomy
;
Thorax
;
Uterine Cervical Neoplasms
10.Cardiac Surgery Via Lower Partial Sternotomy Lower Partial Sternotomy.
Hyuk Myun KWUN ; Tae Eun JUNG ; Jung Cheul LEE ; Sung Sae HAN ; Dong Hyup LEE
The Korean Journal of Thoracic and Cardiovascular Surgery 2000;33(9):729-733
BACKGROUND: Recent trends suggest that minimally invasive cardiac surgery reduces postoperative morbidity and offers a cosmetic benefit. This study was performed to evaluate the CPB time, ACC time, OP time, ICU stay and postoperative hospital stay following a lower partial sternotomy and those of the median sternotomy. MATERIAL AND METHOD: A group of 26 adult patients who underwent cardiac surgery through lower partial sternotomy from August 1997 to July 1999 (A group) were compared to 45 adult patients who underwent cardiac surgery through median sternotomy from January 1996 to July 1997 (B group). The mean ages (46.4+/-14.6 years, A group and 46.8+/-13.2 years, B group) were similar. Operations were performed with central cannula and antegrade/retrograde blood cardioplegia. RESULT: There was no death in each group. No differences were found in CPB time, ACC time, OP time, ICU stay and postoperative hospital stay. Postoperative complications were sternal splitting in a patient in group A and a patient with bleeding that required reoperation and a patient with delayed wound closure in group B. CONCLUSION: The lower partial sternotomy offered a cosmetic benefit, but does not significantly reduced the length of operative time and hospital stay. Minimally invasive cardiac surgery will be applied increasing because of the suggested advantage and choosing a proper operative technique will be helpful.
Adult
;
Catheters
;
Heart Arrest, Induced
;
Hemorrhage
;
Humans
;
Length of Stay
;
Operative Time
;
Postoperative Complications
;
Reoperation
;
Sternotomy*
;
Thoracic Surgery*
;
Wounds and Injuries