1.Recent Advances in Pediatric cardiology.
Journal of the Korean Pediatric Society 1986;29(6):11-13
No abstract available.
Cardiology*
2.A Family of Benign Familial Hematuria.
Ran NAMKUNG ; Jun Hee SUL ; Pyung Kil KIM ; In Joon CHOI
Journal of the Korean Pediatric Society 1981;24(4):358-366
No abstract available.
Hematuria*
;
Humans
3.Two-Dimensional Echocardiographic Diagnosis of Cornary Aneurysms in Children with the Mucocutaneous Lymphnode Syndrome.
Jun Hee SUL ; Sung Kyu LEE ; Dong Shik CHIN
Journal of the Korean Pediatric Society 1987;30(12):1363-1367
No abstract available.
Aneurysm*
;
Child*
;
Diagnosis*
;
Echocardiography*
;
Humans
4.Morphological analysis of the congenital heart disease associated with infrahepatic interruption of IVC with azygos continuation.
Jun Hee SUL ; Jong Kyun LEE ; Sung Kyu LEE
Journal of the Korean Pediatric Society 1993;36(4):543-549
Infrahepatic interruption of the inferior vena cava with azygos continuation is relatively infrequent cardiovascular developmental anomaly occurring both in association with congenital heart disease and as an isolated anomaly of no hemodynamic importance. During the past 5 years, we observed 38 cases of infrahepatic interruption of IVC with azygos continuation out of 2,397 cases of congenital heart disease catheterized at Yonsei Cardiovascular Center. We conducted the study with a view point of position of the heart and abdominal organs and segmental analysis of the underlying congenital heart disease. We also analysed the associated exracardiac vascular anomalies The following results wer obtained: 1) The incidence of this anomaly among congenital heart disease was 1.7% and the sex ratio 1.4:1. Twenty four cases(63.1%) was below 5 years of age and 30 cases (79.0%) had cyanosis. 2) We observed 21 cases (55.2%) with the malposition of the heart and 17 cases (44.8%) with malposition of the abdominal organs. The ventricular loops revealed D-loop in 25 cases, L-loop in 5 cases and in the remaining 7 cases, it was uncertain. Eighteen showed normally related great arteries and malposition was present in another 18 cases. 3) Associatcd cardiovascular anomalics wcre as follows: right-sidcd aortic arch: 12 cases, patentductus arteriosus: 10 cases, pulmonic stenosis: 19 cases and bilateral superior vena cava: 9 cases. In conclusion, the presence of this anomaly should alert one to seek the severeintracardiac anomalies which are usually associated with it. Also, it is essential that, if any patient with this anomaly should come to thoracotomy, the azygos vein be not sacrificed.
Aorta, Thoracic
;
Arteries
;
Azygos Vein
;
Catheters
;
Cyanosis
;
Heart
;
Heart Defects, Congenital*
;
Hemodynamics
;
Humans
;
Incidence
;
Pulmonary Valve Stenosis
;
Sex Ratio
;
Thoracotomy
;
Vena Cava, Inferior
;
Vena Cava, Superior
5.Assessment of Right Ventricular Pressure by Two-Dimensional Echocardiography in Congenital Heart Disease.
Jun Hee SUL ; Sung Kyu LEE ; Dong Shik CHIN
Korean Circulation Journal 1985;15(2):241-245
The pressure and resistance of the pulmonary artery are the most important factors when evaluating the congenital heart disease. They are easily measured by the cardiac catheterization, but this procedure is a invasive technique, and difficult to perform repeatedly. There were some reports to estimate the pulmory artery pressure by using non-invasive techniques, such as the echocardiography. The accuracy and the application of the estimate derived from this technique is still a matter of controversy. We estimate the right ventricular pressure by the real time two dimensional echocardiography. The way to measure accuracy for this technique is by of camparing the estimate the right ventricular pressure derived by the echocardiograpy against the right ventricular pressure measured by the cardiac catheterization. The diameter of the left ventricle in the plane of the papillary muscles in measured by short axis view from parasternal positions at the end-systolic phase. The diameter between the interventricular sulcus[B] and the longest vertical from to the interventricular septum[C] are measured. The relationship between the ration, C/B by the two-dimensional echocardiography and the RVP/LVP by the cardiac catheterization is relatively well correlated(r=-0.88). Thus we may conclude that measuring the right ventricular pressure by using the two-dimensional echocardiography is relatively accurate and should be used for evaluating the congenital heart disease.
Arteries
;
Axis, Cervical Vertebra
;
Cardiac Catheterization
;
Cardiac Catheters
;
Echocardiography*
;
Heart Defects, Congenital*
;
Heart Ventricles
;
Papillary Muscles
;
Pulmonary Artery
;
Ventricular Pressure*
6.Two cases of Vascular Ring.
Jun Chul CHOI ; Dong Soo KIM ; Jun Hee SUL ; SUng Kyu LEE ; Dong Shik CHIN
Journal of the Korean Pediatric Society 1986;29(3):80-85
No abstract available.
7.Studies of false tendon in left ventricle by echocardiography.
Un Jun HYOUNG ; Jin Yong LEE ; Jun Hee SUL ; Sung Kyu LEE ; Dong Shik CHIN
Journal of the Korean Pediatric Society 1989;32(11):1503-1509
No abstract available.
Echocardiography*
;
Heart Ventricles*
;
Tendons*
8.The Observation for the Dead Children with Congenital Heart Disease.
Dong Chul PARK ; Jun Hee SUL ; Sung Kyu LEE ; Dong Shik CHIN
Korean Circulation Journal 1988;18(4):681-694
In the treatment of congenital heart in Korea, a big progress has made so far, and successful results have been achieved. However, there were few reports pertaining to the age and cause of death in congenital heart disease patients. Now, the author made observation on the mortality, the age and the mode of death in 3817 patients of congenital heart disease who had been admitted to Severance Hospital during the period of 15 years, from Jan 1972 to Dec 1986. The overall hospital mortality of the congenital heart disease was 6.1% ; 10.1% in the unoperated cases and 4.5% in the patients who underwent surgery. The hospital mortality of indivisual congenital heart disease was, in the order of increasing frequency, 1.0% for ventricular septal defect, and for the complicated heart disease, such as transposition of great vessels(12.5%), and total anomalous pulmonary venous return(15.8%) the death rate was higher in general. The mortality was highest under 1 year of age, especially during the neonatal period, i.e. under 1 month of age. The mode of death in the unoperated cases were congestive heart failure, infection, and hypoxia, in the order of frequency, comprising 84.5%, and in the patients who underwent surgery were congestive heart faliure or low cardiac output syndrome and htpoxia, 62.3%. Among the patients who died in the neonatal period, 76.9% died without accurate diagnosis, and 38.5% were under 5 days of age. Hypoxia(27%), congestive heart faliure(19.4%), and sepsis(11.6%) were the main mode of death. The analysis of the dead patients with congenital heart disease revealed the following results.The mortality was high in the complicated heart disease ; the major mode of death in surgical patients were congestive heart faliure or low cardiac output syndrome ; and the mortality was high in patients under one year of age, especially in the neonates, and most of then lacked accurate diagnosis.Therefore, more accurate properative diagnosis of complicated heart disease and better surgical techniques, development of diagnostic tools in neonatal period, and the need for early surgery and emergency medical management are uregently demanded.
Anoxia
;
Cardiac Output, Low
;
Cause of Death
;
Child*
;
Diagnosis
;
Emergencies
;
Estrogens, Conjugated (USP)
;
Heart
;
Heart Defects, Congenital*
;
Heart Diseases
;
Heart Failure
;
Heart Septal Defects, Ventricular
;
Hospital Mortality
;
Humans
;
Infant, Newborn
;
Korea
;
Mortality
9.Transcatheter Double-Disc Occluder Closure of Patent Ductus Arteriosus.
Won Heum SHIM ; Jung Han YOON ; Byung Ok KIM ; Seung Yun CHO ; Jun Hee SUL
Korean Circulation Journal 1991;21(5):908-913
We successfully closed the isolated patent ductusarteriosus(PDA) in 2 female patients using the Rashkind Double-Disc Occlusion system. nonsurgical closure of PDA usin plug was introduced by Porstmann in 1968 through transfemoral artery catheter and using umbrella by Rashkind in 1977 througth venous site. There has been continued improvement and simplification of the equipment as well as in the implantation technique. Nowaday, a multicenter study was conducted to test the safety and effectiveness of this interventioal method in States. Successful closure rate was high but some problems were reported such as embolization, abnormal deployment and residual shunt. Residual shunt was visualized by aortography in our both cases immediately after intervention but continuous murmur could not be heard in both cases. Oxygen step-up disappeared immediately after occluder implantation in both cases. Complete occlusion was expected with thrombus in near future.
Aortography
;
Arteries
;
Catheters
;
Ductus Arteriosus, Patent*
;
Female
;
Humans
;
Oxygen
;
Thrombosis
10.Evaluation of congenital cardiac anomalies associated with side by side ventricle.
Young Sook KIM ; Jong Kyun LEE ; Jun Hee SUL ; Sung Kyu LEE ; Dong Shik CHIN
Journal of the Korean Pediatric Society 1992;35(2):168-173
No abstract available.