1.Surgical treatment of pulmonary aspergillosis.
Seung Dong YEO ; Hyo Yoon KIM ; Seung Joon PARK ; Jae Il ZO ; Young Mog SHIM
The Korean Journal of Thoracic and Cardiovascular Surgery 1992;25(6):611-615
No abstract available.
Pulmonary Aspergillosis*
2.Determinants of Functional Left Ventricular Aneurysm Formation after Acute Anterior Myocardial Infarction: A Clinical and Angiographic Study.
Seung Jung PARK ; Seung Yun CHO ; Won Heum SHIM ; Seung Jae TAHK ; Sung Soon KIM ; Woong Ku LEE
Korean Circulation Journal 1988;18(4):575-579
To determine factors involved in left ventricular aneurysm formation after transmural anterior myocardial infarction, 74 patients with a first myocardial infarction who underwent cardiac catheterization within 6 weeks of infarction were evaluated.Patients were divided into four groups depending on the status of the left anterioe descending artery(LAD) and the presence Group I(n=15);aneurysm with occluded LAD, Group II(n=16);no aneusrysm and occluded LAD, Group III(n=18);aneusrysm and patent LAD, and Group IV(n=25);no aneusrsm with patent LAD. Neither age, sex nor risk factors for coronary disease correlated with aneusrysm formation,but the duration of chest pain in patients with previous angina was significantly longer in group II(no aneusrysm with occluded LAD) compared with other groups(P<0.01). Single vessel disease was more commom in Group I and III(aneusrysm) compared with II and IV(no aneusrysm)(P<0.06). Collateral blood supply was more frequently observed in Group I and II(occluded LAD) compared with Group III and IV(patent LAD)(P<0.01) and was slightly less in Group I(aneusrysm) compared with Group II(no aneusrym)(P<0.07). Delta area decreasing rate of the left ventricle was significantly lower in Group I and III(aneusrysm)compared with Group II and IV(no aneusrysm)(P<0.01). Single vessel disease in assocition with poor collateral circulation tends to be a determinant of left ventricular aneusrysm formation after anterior myocardial infarction.
Aneurysm*
;
Cardiac Catheterization
;
Cardiac Catheters
;
Chest Pain
;
Collateral Circulation
;
Coronary Disease
;
Heart Ventricles
;
Humans
;
Infarction
;
Myocardial Infarction*
;
Risk Factors
3.Surgical resection of double primary cancer in esophagus & stomach.
Hyo Yoon KIM ; Seung Joon PARK ; Jae Ill ZO ; Young Mog SHIM
The Korean Journal of Thoracic and Cardiovascular Surgery 1992;25(10):1087-1092
No abstract available.
Esophagus*
;
Stomach*
4.Effect of COENZYME Q10(Decaquinon) in Congestive Heart Failure.
Woong Ku LEE ; Jae Bock CHUNG ; Won Heum SHIM ; Seung Yun CHO
Korean Circulation Journal 1979;9(2):109-114
From May, 1978 through Oct., 1979 the effect of Coenzyme Q10 was evaluated on 10 patients with chronic heart failure. The subjects selected for this study consisted of 7 patients with cardiomyopathy and 3 patients with valvular heart disease admitted to Severance Hospital, Yonsei University College of Medicine, All these patients had symptoms and signs of congestive heart failure which was stable for at least one month before starting Coenzyme Q10. Coenzyme Q10 was administered 30mg daily for eight weeks, one hour before meal and in combination with digitalis and/or diuretics. The drug effects were determined by measuring the cardio-thoracic ratio by chest X-ray, the sum of 'S' wave in V1 and 'R' wave in V5 in electrocardiogram, and PEP/LVET (pre-ejection period/left ventricular ejection time) by simultaneous tracings of carotid pulse and phonocardiogram every two weeks during medication. The cardio-thoracic ratio was improved in 4 of 10 cases, the sum of RV+SV5 was decreased in all 5 cases who showed voltages above 40mm before medication, and PEP/LVET ratio was decresed in 4 of 10 cases. The difference of average values before and after medication were not statistically significant(p<0.05) in all 3 parameters when examined by t-test. During treatment, there was improvement, if any, from two weeks after medication and no significant side effects were noted throughout the study period.
Cardiomyopathies
;
Digitalis
;
Diuretics
;
Electrocardiography
;
Estrogens, Conjugated (USP)*
;
Heart Failure*
;
Heart Valve Diseases
;
Humans
;
Meals
;
Thorax
5.Effect of COENZYME Q10(Decaquinon) in Congestive Heart Failure.
Woong Ku LEE ; Jae Bock CHUNG ; Won Heum SHIM ; Seung Yun CHO
Korean Circulation Journal 1979;9(2):109-114
From May, 1978 through Oct., 1979 the effect of Coenzyme Q10 was evaluated on 10 patients with chronic heart failure. The subjects selected for this study consisted of 7 patients with cardiomyopathy and 3 patients with valvular heart disease admitted to Severance Hospital, Yonsei University College of Medicine, All these patients had symptoms and signs of congestive heart failure which was stable for at least one month before starting Coenzyme Q10. Coenzyme Q10 was administered 30mg daily for eight weeks, one hour before meal and in combination with digitalis and/or diuretics. The drug effects were determined by measuring the cardio-thoracic ratio by chest X-ray, the sum of 'S' wave in V1 and 'R' wave in V5 in electrocardiogram, and PEP/LVET (pre-ejection period/left ventricular ejection time) by simultaneous tracings of carotid pulse and phonocardiogram every two weeks during medication. The cardio-thoracic ratio was improved in 4 of 10 cases, the sum of RV+SV5 was decreased in all 5 cases who showed voltages above 40mm before medication, and PEP/LVET ratio was decresed in 4 of 10 cases. The difference of average values before and after medication were not statistically significant(p<0.05) in all 3 parameters when examined by t-test. During treatment, there was improvement, if any, from two weeks after medication and no significant side effects were noted throughout the study period.
Cardiomyopathies
;
Digitalis
;
Diuretics
;
Electrocardiography
;
Estrogens, Conjugated (USP)*
;
Heart Failure*
;
Heart Valve Diseases
;
Humans
;
Meals
;
Thorax
6.Ganglion of the Posterior Cruciate Ligament: 1 case report.
Seung Wook YANG ; Hak Young JEONG ; Jae Woong SHIM ; Byeong Seon KONG
The Journal of the Korean Orthopaedic Association 1997;32(5):1387-1391
Ganglia of the cruciate ligament are quite rare. About 60 cases were reported previously in the world and 6 cases were reported at two articles in korea. It's symptoms may be similar to those of internal derangement of knee, especially meniscal lesion. We report a case of isolated ganglion of posterior cruciate ligament with brief of literatures.
Ganglia
;
Ganglion Cysts*
;
Knee
;
Korea
;
Ligaments
;
Posterior Cruciate Ligament*
7.Mitral Regurgitation after Percutaneous Balloon Mitral Valvuloplasty(PMV): Results and Relationships to Valve Morphology.
Seung Jung PARK ; Seung Yun CHO ; Won Heum SHIM ; Woong Ku LEE ; Sung Soon KIM ; Seung Jae TAHK ; Ik Mo CHUNG ; Kyung Kwon PAIK
Korean Circulation Journal 1988;18(3):319-327
To evaluate the change in valvular morphology and occurence and severity of mitral regurgitation produced by PMV, 45 patients(33 women and 12 men,mean age 38+/-10 years) were studied using two-dimensional(2-D) and Doppler echocaediography before and 1-2 days after this procedure. Mitral valve area after PMV increased in all patients, from 0.9+/-0.2 to 1.8+/-0.4cm2(P<0.0001). In valve area estimation, the correlation between Gorlin`s method and 2-Dechocardiography was better(r=0.61, p<0.0001) than that between Gorlin`s method and Doppler pressure halftime(r=0.38, P<0.01) before valvuloplasty, but after the procedure Gorlin`s and 2-D image valve area correlated less well(r=0.33, P<0.05) than Gorlin`s-Doppler pressure halftime correlation(r=0.46, P<0.002). Before PMV, 37 patients had no mitral regurgutation, 7 had grade 1 and 1 had grade 2 mitral regurgutation. After PMV, new mitral regurgutation occurred in 14 patients, increased in severity in 5 patients and so mitral regurgutation newly developed or increased in severity in 19(42%) patients. There were no differences between the patients with and those without an increase in mitral regurgutation after PMV, in age, sex, caediac rhythm, initial mitral valve area, increase in mitral valve area and fluoroscopic calcification. However, morphologic characteristics especially mobility(P<0.01) and thickening(P<0.05) of mitral leaflets were better pressured, and EBDA/BSA(effective balloon dilating area/body surface area) was significantly smaller(P<0.02) in patients without an increase in mitral regurgutation. Thus, an increase in mitral regurgutation after PMV might be related to the features of valve morphology especially and thickand EBDA/BSA.
Female
;
Humans
;
Mitral Valve
;
Mitral Valve Insufficiency*
;
Mitral Valve Stenosis
8.Coronary Thrombolysis with Intravenous Urokinase in Acute Myocardial Infarction.
Seung Jae TAHK ; Seung Yun CHO ; Won Heum SHIM ; Seung Jung PARK ; Han Soo KIM ; Yang Soo JANG ; Sung Soon KIM ; Woong Ku LEE
Korean Circulation Journal 1989;19(2):245-253
Recent studies showed effective early recannalization of infarct-related artery achieved by intravanous urokinase, but dosage of urokinase is still arbitary. Thirty-five patients with acute trasmural myocardial infarction were treated with intraveous urokinase from April 1984 to October 1988. The incidence of coronary thrombolysis, left ventricula function and effect on fibrinolytic system were investigated. Inital 18 patients recieved 0.5 to 2.0 million unitis of urokinase and remaining 17 patients received 3 million units of urokinase intravenously for 1 hour. Thirteen of 17 patients(76.4%) with 3 million units but only four of 18 patients(22.2%) with 0.5 to 2.0 million units showed patent infarct-related coronary artery. Left ventricular function was significantly better in patients with patent infarct-related coronary artery, and the difference was marked in anterior myocardial infarction. There were three local bleeding at puncture site in 3 million units group, one of which required transfusion. Thus, intravenous infusion of 3 million units of urokinase provide rapid reperfusion of infarct-related coronary arterty and myocardial salvage is more lkiely to occur.
Arteries
;
Coronary Vessels
;
Hemorrhage
;
Humans
;
Incidence
;
Infusions, Intravenous
;
Myocardial Infarction*
;
Punctures
;
Reperfusion
;
Urokinase-Type Plasminogen Activator*
;
Ventricular Function, Left
9.The Role of CT Discography in Far Lateral Disk Herniation.
Young Chul KIM ; Young Sook KIM ; Jae Hee OH ; Hyun Shim KOH ; Seung Soo YUN ; Jun Kyun PARK
Journal of the Korean Radiological Society 1995;33(5):681-685
PURPOSE: To evaluate the value and the radiologic findings of CT discography in the diagnosis of the far lateral disk herniation. MATERIALS AND METHODS: We retrospectively reviewed 7 cases of surgically proven far lateral lumbar disc herniation. CT discography was performed for all cases. Four cases underwent conventional CT and three cases MRI as a primary diagnostic imaging method. Far lateral diac herniation was divided into 3 groups by location;Intraforaminal herniation, extraforaminal herniation, and mixed type. We analyzed the findings of CT discography including location and extent of far lateral disc herniation. RESULTS: In all 7 cases, CT discography clearly demonstrated the filling of contrast media in laterally-protruded disc material. Intraforaminal and extraforminal types were seen in 2 cases each, and mixed type in 3 cases. Subligamentous herniated nucleus pulposus was present in 6 cases and extruded disc in 1 case. Far lateral disc herniation was located at L4-5 in 5 cases and L5-S1 in 2 cases. CONCLUSION: CT discography can help establishing accurate preoperative diagnosis for far lateral disc herniation.
Contrast Media
;
Diagnosis
;
Diagnostic Imaging
;
Magnetic Resonance Imaging
;
Retrospective Studies
10.Fresh Fibroblast Allograft as a Treatment for Diabetic Foot Ulcers.
Jae Sun SHIM ; Seung Kyu HAN ; Woo Kyung KIM
Journal of the Korean Society of Plastic and Reconstructive Surgeons 2008;35(5):501-506
PURPOSE: In order to overcome the limitations of the conventional cryopreserved fibroblast or keratinocyte allograft method used in the treatment of diabetic foot ulcers, we reported a pilot study in 2004 demonstrating promising results of a fresh fibroblast allograft method in eight patients. However, the number of cases was insufficient for full evaluation and the follow-up duration was not long enough to determine the efficacy and safety of the method. This encouraged us to conduct this follow-up study to fully evaluate the use of noncryopreserved fresh human fibroblast allografts in treating diabetic foot ulcers. METHODS: Thirty-seven patients with diabetic foot ulcers were treated using fresh fibroblast allografts. Human dermal fibroblasts from healthy teenagers were cultured in DMEM/F-12 medium supplemented with 10% serum. The cultured cells were applied on the wounds immediately following debridement, with fibrin being used as a cell carrier. In eight weeks, percentages of complete healing, mean healing time, and patient satisfactions were assessed, with follow-up time ranging from 6 to 40 months. RESULTS: Our study showed that 83.8% of the treated patients were complete healed. The time required for complete healing was 30.9+/-10.1 days. Patient satisfaction scores for the experimental treatment were higher than those for the conventional method(mean scores of 8.1+/-1.1 and 4.8+/-1.4, respectively). No adverse events related to the study treatment occurred. CONCLUSION: The use of fresh human fibroblast allografts was found to be a safe and effective treatment for diabetic foot ulcers.
Adolescent
;
Cells, Cultured
;
Debridement
;
Diabetic Foot
;
Fibrin
;
Fibroblasts
;
Follow-Up Studies
;
Humans
;
Keratinocytes
;
Patient Satisfaction
;
Pilot Projects
;
Transplantation, Homologous
;
Ulcer