1.Thrombolytic Therapy in the 8 Cases of left Ventricular Thrombus after Transmural Anterior Myocardial Infarction.
Jae Lyun LEE ; Jong Won PARK ; Dong Gu SHIN ; Young Jo KIM ; Bong Sup SHIM
Korean Circulation Journal 1996;26(1):130-137
The 8 cases of left ventricular thrombus detected by the 2 D echocardiography or left ventriculography, after acute transmural anterior myocardial infarction were effectively lysed by the thrombolytic agents and heparin therapy. The thrombolytic agents were either urokinase or tissue plasminogen activator. Urokinase was infused intravenously at a dose of 1.0 million unit for three days. And tissue plasminogen activator was infused at a dose of 100mg for a day. In all cases, the thrombi were completely lysed. At follow up, no recurrence of left ventricular thrombus was found. We have experienced 2 cases of peripheral embolization in which, left ventricular thrombi were protruding nonmobile type. The one was the embolic cerebral infarction, the other was transient hoarseness and paresthesia on the left foot, which may be transient ischemic attack. These results show that left ventricular thrombi can be treated by intravenous thrombolytic agents without life-threatening complication. However, for the better establishment of the risk and benefit of therapy further investigation is needed.
Cerebral Infarction
;
Echocardiography
;
Fibrinolytic Agents
;
Follow-Up Studies
;
Foot
;
Heparin
;
Hoarseness
;
Ischemic Attack, Transient
;
Myocardial Infarction*
;
Paresthesia
;
Recurrence
;
Thrombolytic Therapy*
;
Thrombosis*
;
Tissue Plasminogen Activator
;
Urokinase-Type Plasminogen Activator
2.Bilateral Coronary Artery-Right Ventricular Fistula in Newborn: Associated with Atrial Septal Defect.
Jo Won JUNG ; Jong Kyun LEE ; Jun Hee SUL ; Sung Kyu LEE ; Dong Gwan HAN
Korean Circulation Journal 1991;21(6):1259-1264
Bilateral coronary artery fistula is very uncommon congenital anomaly which occupy small percentage of all congenital coronary artery fistula. About 20% of the cases associated with additional congenital heart disease. And it may cause congestive heart failure, especially severely in neonate. We experienced a case of neonate who was 1 day-old-male with bilateral coronary artery-right ventricular fistula associated with atrial septal defect and congestive heart failure. The Patient was admitted because dyspnea, cyanosis since birth. 2D ecgicardiogram and cardiac catheterization revealed that a fistulous communicating ; forming a large aneurysm, was noted from bilateral coronary artery emptied into the right ventricle, and there was oxygen step-up in right ventricle.
Aneurysm
;
Cardiac Catheterization
;
Cardiac Catheters
;
Coronary Vessels
;
Cyanosis
;
Dyspnea
;
Fistula*
;
Heart Defects, Congenital
;
Heart Failure
;
Heart Septal Defects, Atrial*
;
Heart Ventricles
;
Humans
;
Infant, Newborn*
;
Oxygen
;
Parturition
3.Color Doppler Assessment of Mitral Regurgitation in Childhood.
Jo Sam KOO ; Jae Won HUH ; Yang Dong PARK ; Hyun Kee CHUNG ; Ho Joon KIM
Journal of the Korean Pediatric Society 1989;32(6):773-778
No abstract available.
Mitral Valve Insufficiency*
4.A case report of trichomonas hominis in ascitic and pleural fluids.
Soon Hwa JO ; Tae Youn CHOI ; Won Bae KIM ; Dong Wha LEE ; Duk Yong KANG
Korean Journal of Clinical Pathology 1992;12(1):79-83
No abstract available.
Trichomonas*
5.Primary adenosquamous carcinoma of the colon.
Dong Baek KANG ; Jung Taek OH ; Hyang Jeong JO ; Won Cheol PARK
Journal of the Korean Surgical Society 2011;80(Suppl 1):S31-S35
Adenosquamous cell carcinoma (Ad-SCC) of the colon is rare. The pathogenesis of Ad-SCC is unclear, however, several hypotheses have been suggested. The clinical presentation and gross findings of Ad-SCC of the colon are similar to those of adenocarcinoma of the colon, but Ad-SCC has a more aggressive clinical course and a poorer prognosis. We report on two cases of Ad-SCC of the colon with obstruction; a collision-type Ad-SCC that has not only obstruction but also numerous hepatic metastases, and a composite-type Ad-SCC treated with left hemicolectomy followed by an adjuvant chemotherapy.
Adenocarcinoma
;
Carcinoma, Adenosquamous
;
Chemotherapy, Adjuvant
;
Colon
;
Colonic Neoplasms
;
Neoplasm Metastasis
;
Prognosis
6.A case report of trichomonas hominis in ascitic and pleural fluids.
Soon Hwa JO ; Tae Youn CHOI ; Won Bae KIM ; Dong Wha LEE ; Duk Yong KANG
Korean Journal of Clinical Pathology 1993;13(1):79-83
No abstract available.
Trichomonas*
7.The Role of the Adenosine Receptor Subtypes and Protein Kinase C in Ischemic Preconditioning in the in Vivo Cat Heart.
Young Jo KIM ; Dong Gu SHIN ; Jong Seon PARK ; Kyo Won CHOI ; Bong Sub SHIM
Korean Circulation Journal 1996;26(5):1038-1047
BACKGROUND: It is well known that ischemic preconditioning protects the heart against infarction or arrhythmias from a subsequent ischemic injury. Recent laboratory data indicate that the adenosine during the ischemic period may trigger protection via A1 or A3 adenosine receptor and also protein kinase C(PKC) plays a central role. This study was designed to determine the role of adenosine receptor subtypes and PKC in the preconditioning protection. METHODS: All cat heart groups were subjected to 40min ischemia and 30min reperfusion. The preconditioning protocol consists of 4min ischemia and then 10min of reperfusion 4 times. The effects of ischemic preconditioning, nonselective adenosine receptor blocker(SPT), an A1 specific antagonist(DPCPX) and protein kinase C inhibitor(Polymyxin B), on ischemic preconditioning were determined by infarction size. There were 5 groups : (1) control group (Group 1, n=10)(2) Ischemic preconditioned group(Group 2, n=9)(3) DPCPX pretreatment group(Group 3, n=6)(4) SPT preteatment group(Group 3, n=6)(5) Polymyxin B pretreatment group(Group 5, n=6). SPT and DPCPX were given intravenously 5 min before ischemic preconditioning. Polymyxin B was administered to cats for 30min during ischemic preconditioning period. RESULTS: Ischemic preconditioning only or pretreatment with DPCPX prior to preconditioning demonstrated a significant reduction in infarct size(22.6+/-1.5, 25.4+/-0.9% infarction of the risk zone, respectively, p<0.05) with respect to control, SPT-pretreatment, and polymyxin B-pretreatment groups(44.0+/-1.7, 43.0+/-2.0 and 40.3+/-0.4% infarction of the risk zone, respectively). CONCLUSIONS: Ischemic preconditioning protects heart from subsequent ischemia. Protection was blocked by SPT and protein kinase C inhibitor(polymyxin B), but not by A1 antagonist DPCPX. The cardioprotective effects by ischemic preconditioning in the in vivo cat heart appear to be dependent on A3 adenosine receptors and activation of protein kinase C.
Adenosine*
;
Animals
;
Arrhythmias, Cardiac
;
Cats*
;
Heart*
;
Infarction
;
Ischemia
;
Ischemic Preconditioning*
;
Polymyxin B
;
Polymyxins
;
Protein Kinase C*
;
Protein Kinases*
;
Receptors, Purinergic P1*
;
Reperfusion
8.A Case of Carcinoma Erysipelatoides Associated with Carcinoma Telangiectaticum.
Won Ho LEE ; Dong Sik BANG ; Kyung Hun CHANG ; Soo Il CHUN ; Chang Jo KOH
Korean Journal of Dermatology 1982;20(1):151-155
Carcinoma of the breast can produce cutaneous metastases which sbow highly diversified clinical pictures. The cutaneous metastases produce four definite clinical types: inflammatory carcinoma, telangiectatic carcinoma, nodular carcinoma, and carcinoma, en cuirasse. We present a case of 78-year-old nulliparous woman who had several painful dark purplish colored zosteriform papulovesicular eruptions, suggestive of herpes zoster, on the right breast, right axilla, scapular area, and upper arm for three month. Two month later, well dermacated linearly arranged erysipeloid eruptions appeared around the previous skin lesions and the right chest wall. Histopathological findings showed metastatic ductal carcinoma with massive vascular permeation but the primary focus was undetermined.
Female
;
Humans
;
Neoplasm Metastasis
9.Transoral Decompression and Posterior Fusion for Unstable Os Odontoideum and Cord Compression: Case Report.
Hyung Bong MOON ; Won Gyu CHOI ; Hyun Won JO ; Sung Moon YOON
Journal of Korean Neurosurgical Society 1994;23(11):1323-1327
The authors present the one case of a 22-year-old man admitted with intermittent quadriparesis and respiratory difficulty. On investigation, atlantoaxial instability and upper cervical cord compression due to abnormal soft tissue were revealed. We have performed transoral decompression and biopsy, and then posterior transarticular facet screw fixation with interspinous wiring and fusion. We could obtain immediate and long-term postoperative stability with Philadelphia collar only. The pathologic examination reveald connective soft tissue hypertrophy due to chronic mechanical irritation.
Biopsy
;
Decompression*
;
Humans
;
Hypertrophy
;
Quadriplegia
;
Young Adult
10.Primary Intracranial Choriocarcinoma: Case Report.
Jeong Pill PARK ; Houng Bong MOON ; Jae Hong JO ; Hyeun Won JO ; Hayk PARK ; Sung Moon YOON
Journal of Korean Neurosurgical Society 1993;22(12):1364-1368
Primary intracranial choriocarcinoma is a extremely rare neoplasm since the case was reported by Askanasy, in 1906, there have been 35 reported, even if germinal neoplasms containing chorocarcinoma-like tissue are added. But pure choriocarcinoma was rarely reported. The purpose of this paper is to report a case of 18-year-old boy with tumor in subependymal region around left frontal horn, which was present with high level of serum beta chain of chorionic gonadotropin(B-HCG) and was verified as germine choriocarcinoma by biopay.
Adolescent
;
Animals
;
Choriocarcinoma*
;
Chorion
;
Female
;
Horns
;
Humans
;
Male
;
Pregnancy