The congenital diverticulum of ventricle is a rare cardiac malformation arising from the left or right ventricle, the former being more common. Ventricular diverticulum is usually associated with other anomalies including intracardiac, midline thoracic, diaphragmatic and abdominal wall defect. The authors experienced a case of congenital diverticulum of left ventricle in nine month-old female infant. Left Blolock-Taussig shunt operation was done and total correction will be done later. Thereafter we presented a case with brief review of the related literatures.
Abdominal Wall ; Diverticulum* ; Female ; Heart Ventricles ; Humans ; Infant ; Pulmonary Atresia*

No abstract available.
Humans ; Mucocutaneous Lymph Node Syndrome*

Choledochal cyst, or cystic dilatation of the common bile duct, is generally considered to be an uncommon indiopathic congenital condition that may produce symptoms in infancy but more of ten is discovered at some time during the first two decades of life. Female patients have outnumbered males 3 or 5 to1, and almost cases reported by many authors had more than two symptoms among the classic triad of abdominal mass, jaundice and upper abdominal pain. Authors would like to submit here with the brief review of the literature and report on 2 cases of idiopathic dilatation of the common bile duct that they had experiences among the Pediatric inpatient at Busan St. Benedict Hospital, and the diagnosis was established by clinical, laboratory, X-ray and surgical findings. Cases I in 14 year old girl was complained of severe abdominal distension, jaundice, pruritus and abdominal mass. On 7th admission day, exploratory laparatomy was done and choledochal cyst of 1722cm in size was confirmed and has been followed up for 1 year after Roux-en-Y choledochojejunsotomy without any complications. Cases II in 9 year old boy was complained of intermittent fever, jaundice, colicky abdominal pain and upper abdominal mass. On 6th admission day, exploratory laparatomy was done and choledochal cyst of 1015cm in size was confirmed and has been followed up for 1 year after choledochoduodenostomy with cholecystectomy without any complications.
Abdominal Pain ; Adolescent ; Busan ; Child ; Cholecystectomy ; Choledochal Cyst ; Choledochostomy ; Common Bile Duct* ; Diagnosis ; Dilatation* ; Female ; Fever ; Humans ; Inpatients ; Jaundice ; Male ; Pruritus

A case of congenital hypothyroidism in 7 month old infant was presented. This baby was admitted because of growth retardation, feeding difficulties, and constipation. We diagnosed this case by clinical features as well as thyroid scintigram, X-ray survey for bone age and skeletal maturation and biochemical studies. The patient was treated with desiccated thyroid, but was died of intercurrent infection on 20th hospital day. The review of literature was made briefly.
Congenital Hypothyroidism* ; Constipation ; Humans ; Infant ; Thyroid Gland

The use of LASER in medicine has increased since the early 1960s. The advantages of LASER are clear cut, less bleeding, less post-operative edema and rapid wound healing. But the disadvantages are penetration of normal tissue, endotracheal of tube ignition or penetration and chronic exposure. Therefore, through managemnt of anesthesia is required in the usuage of the LASER for the laryngeal surgery. We have experienced anesthesia in 28 cases of ENT patients using CO2 LASER without specific problems except one patient, who had the complication of penetration of the endotracheal tube cuff by the LASER beam after the main procedure. The anesthetic management to avoid LASER complications and emergency treatment after the complication are discussed with references.

No abstract available.
Humans* ; Placenta* ; Pregnancy*

With the arm in hyperabduction, we have carried out 525 procedures of supraclavicularbrachial plexus block from Aug. 1976 to June 1980, whereas block with the arm in adduction has been customarily performed by other authors. The anesthetic procedure is as follows: 1) The patient lies in the dorsal recumbent position without a pillow under his head or shoulder. His arm is hyperabducted more than a 90 degree angle from his side, and his head is turned to the side opposite from that to be blocked. 2) An "X" is marked at a point 1 cm above the mid clavicle, immediately lateral to the edge of the anterior scalene muscle, and on the palpable portion of the subclavian artery. The area is aseptically prepared and draped. 3) A 22 gauge 3. 5cm needle attached to a syringe filled with 2% lidocaine (7~8mg/kg of body weight) and epineprine(1: 200,000) is inserted caudally toward the second portion of the artery where it crosses the first rib and parallel with the lateral border of the muscle until a paresthesia is obtained. 4) Paresthesia is usually elicited while inserting the needle tip about 1~2 cm in depth. If so, the local anesthetic solution is injected after careful aspiration. 5) If no paresthesia is elicited, the needle is withdrawn and redirected in an attempt to elicit paresthesia. 6) If, after several attempts, no paresthesia is obtained, the local anesthetic solution is injected into the perivascular sheath after confirming that the artery is not punctured. 7) Immediately after starting surgery, Valium is injected for sedation by the intravenous route in almost all cases. The age distribution of the cases was from 11 to 80 years. Sex distribution was 476 males and 49 females(Table 1). Operative procedures consisted of 103 open reductions, 114 skin grafts combined with spinal anesthesia in 14, 87 debridements, 75 repairs, i.e. tendon(41), nerve(32), and artery(2), 58 corrections of abnormalities, 27 amputations above the elbow(5), below the elbow(3) and fingers(17), 20 primary closures, 18 incisions and curettages, 2 replantations of cut fingers respectively(Table 2). Paresthesia was obtained in all cases. Onset of analgesia occurred within 5 minutes, starting in the deltoid region in almost all cases. Complete anesthesia of the entire arm appeared within 10 minutes but was delayed 15 to 20 minutes in 5 cases and failed in one case. Thus, our success rate was nearly 100%. The duration of anesthesia after a single injection ranged from 3(1/2), to 4(1/2) hours in 94% of the cases. The operative time ranged from 0.5 to 4 hours in 92.4% of the cases(Table 3). Repeat blocks were carried out in 33 cases when operative times which were more than 4 hours in 22 cases and the others were completed within 4 hours(Table 4). Two patients of the 33 cases, who received microvasular surgery were injected twice with 2% lidocaine 20ml, for a total of 13(1/2) hours. The 157 patients who received surgery on the forearms or hands had pneumatic tourniguets (250 torrs) applied without tourniquet pain. There was no pneumothorax, hematoma or phrenic nerve paralysis in any of the unilateraI and 27 bilateral blocks, but there was hoarseness in two, Horner's syndrome in 11 and shivering in 7 cases. No general seizures or other side effects were observed. By 20ml of 60% urografin study, we confirm ed the position of the needle tip to be in a safer position when the arm is in hyperabduction than when it is in adduction. And also that the humoral head caused some obstraction of the distal flow of the dye, indicating that less local anesthetic solution would be needed for satisfactory anesthesia. (Fig. 3,4)
Age Distribution ; Amputation ; Analgesia ; Anesthesia ; Anesthesia, Spinal ; Arm ; Arteries ; Brachial Plexus Block* ; Brachial Plexus* ; Clavicle ; Curettage ; Debridement ; Diatrizoate Meglumine ; Diazepam ; Fingers ; Forearm ; Hand ; Head ; Hematoma ; Hoarseness ; Horner Syndrome ; Humans ; Lidocaine ; Male ; Needles ; Operative Time ; Paralysis ; Paresthesia ; Phrenic Nerve ; Pneumothorax ; Replantation ; Ribs ; Seizures ; Sex Distribution ; Shivering ; Shoulder ; Skin ; Subclavian Artery ; Surgical Procedures, Operative ; Syringes ; Tourniquets ; Transplants

No abstract available.
Aminophylline* ; Humans* ; Ritodrine* ; Uterus*

No abstract available.
Erythromycin* ; Gastric Emptying* ; Gastroparesis*

Cardiac tumors are rare diseases with various imaging findings. However, differentiating cardiac tumors based on imaging findings is challenging because of similarities in imaging features. We present two cases of cardiac tumors, including primary cardiac lymphoma and cardiac metastasis, in which the differential diagnosis was difficult.