1.Surgical Repair of Giant Right Atrial Aneurysm in a Neonate.
Youngok LEE ; Joonyong CHO ; Gunjik KIM ; Sangbum LEE ; Myungchul HYUN ; Yeohyang KIM
Korean Circulation Journal 2011;41(6):331-333
Right atrial aneurysm is an extremity rare congenital heart defect. We report a case which was diagnosed during the early fetal stage and operated on in a 2 week old neonate. Following median sternotomy, aneurysmectomy was performed under a cardiopulmonary bypass. Histopathological examination of the resected atiral tissue showed a lipotomatous degeneration and reduction of the muscular elements. There were no postoperative complications.
Aneurysm
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Cardiopulmonary Bypass
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Extremities
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Heart Aneurysm
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Heart Atria
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Heart Defects, Congenital
;
Humans
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Infant, Newborn
;
Postoperative Complications
;
Sternotomy
2.Changes in gallbladder motility in gastrectomized patients.
Joonsoo HAHM ; Joonyong PARK ; Yunju CHO ; Changsoo EUN ; Yongwook LEE ; Hosoon CHOI ; Byoengchul YOON ; Minho LEE ; Choonsuhk KEE ; Kyungnam PARK ; Heonkil LIM ; Sungjoon KWON
The Korean Journal of Internal Medicine 2000;15(1):19-24
OBJECTIVES: Gastric resection may predispose gallstone formation. However, the mechanism has not been clearly understood. To evaluate the relationship between gastric resection and gallstone formation, we compared gallbladder(GB) motility in gastrectomized patients and control subjects. METHODS: We compared the GB volume and ejection fraction of the 46 gastrectomized patients with 37 healthy controls using real time ultrasonography. RESULTS: GB volume increased significantly in the gastrectomized group in fasting (30.2 13.9 ml). The GB volume after a fatty meal was greater in the gastrectomized group (12.6 6.4 ml) than in the control group (4.3 3.3 ml) (p +ADw- 0.01). A significant reduction of ejection fraction was found in gastrectomized patients (56.9 13.0+ACU-) in comparison with the control group (75.5 16.1+ACU-) (p +ADw- 0.01). The GB ejection fraction had a poor correlation to the postoperative period (r +AD0- 0.232). CONCLUSION: A gastrectomy appears to be a risk factor of GB dysmotility, which may play a major role in gallstone formation in gastrectomized patients.
Adult
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Aged
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Cholelithiasis/ultrasonography
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Cholelithiasis/etiology+ACo-
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Comparative Study
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Eating
;
Endosonography
;
Fasting
;
Female
;
Gallbladder/ultrasonography
;
Gallbladder/physiopathology+ACo-
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Gallbladder Emptying
;
Gastrectomy/adverse effects+ACo-
;
Gastrointestinal Motility
;
Human
;
Male
;
Middle Age
;
Probability
;
Prospective Studies
;
Reference Values
;
Risk Assessment
;
Stomach Neoplasms/surgery+ACo-