1.Acute Pulmonary Hypertension and Hypoxemia Following Indwelling Swan-Ganz Catheter during Coronary Artery Bypass Graft: A case report.
Hyun Hwa LEE ; Seung Gi CHOI ; Sang Min LEE
Korean Journal of Anesthesiology 1997;33(6):1229-1233
Balloon-tipped, flow-directed (Swan-Ganz) catheters are used commonly for monitoring of cardiac function in patients undergoing cardiac surgical procedures. We report a case of pulmonary hypertension with hypoxemia which may be caused by incorrect positioning of pulmonary artery catheter (PAC) during CABG. Pulmonary arterial pressure (PAP) of 70/40 mmHg which was nearly high as systemic pressure was measured when we tried to wean patient from cardiopulmonary bypass. But, TEE (transesophageal echocardiography) showed nonspecific finding. PAP decreased soon and maintained about 33/16 mmHg for a few minutes. But, the PAP elevated high to 70/40 mmHg again and the arteral oxygen tension (PaO2) decreased to 61.2 mmHg. When we withdrew the PAC to the depth of 35 cm, the PAP and systolic pressure returned to normal range and PaO2 elevaed to 320 mmHg. End tidal CO2 was elevated from 30 mmHg to 35 mmHg.
Anoxia*
;
Arterial Pressure
;
Blood Pressure
;
Cardiac Surgical Procedures
;
Cardiopulmonary Bypass
;
Catheters*
;
Coronary Artery Bypass*
;
Coronary Vessels*
;
Humans
;
Hypertension, Pulmonary*
;
Oxygen
;
Pulmonary Artery
;
Reference Values
2.A case of pustular drug eruption localized to the face.
Young Min PARK ; Sang Hyun CHO ; Hoon KANG
Journal of Asthma, Allergy and Clinical Immunology 2000;20(1):122-125
No abstract available.
Drug Eruptions*
3.Solitary Morphea Profunda with Incidental Acantholysis.
Young Min PARK ; Sang Hyun CHO ; Baik Kee CHO
Annals of Dermatology 1999;11(2):78-81
Solitary morphea profunda is a rare form of scleroderma, characterized clinically by a solitary sclerotic plaque, and histologically by marked dermal and subcutaneous fibrosis with an inflammatory infiltrate. We describe another case of this entity presented with an ulcerative, indurated plaque on the left iliac crest, which histologically revealed a focal incidental acantholysis in the overlying epidermis and a marked eosinophilic infiltration through the dermis to the sub-cutaneous tissue.
Acantholysis*
;
Dermis
;
Eosinophils
;
Epidermis
;
Fibrosis
;
Scleroderma, Localized*
;
Ulcer
4.Arthroscopic Meniscectomy in Bucket Handle Tear of the Meniscus
Dong Min SHIN ; Sang Ho HA ; Yong Hyun JEON
The Journal of the Korean Orthopaedic Association 1996;31(4):754-760
Recently, the frequency of meniscal injury of knee has been increasing due to increase of sports activities. It has been known that bucket handle tear is the most common type of the entire injuries of the meniscus. We found 127 cases of meniscal tears and experienced 42 cases of bucket handle tears in the arthroscopic findings from Jan. 1991 to April 1994 in our hospital. We analysed 31 cases which were followed up for at least 1 year. The purpose of this study is to analyse the locking history and frequency, to discuss the several types of bucket handle tear in arthroscopic view, to introduce three portal techniques using posteormedial or posterolateral portal to resect the meniscus, and to analyse our clinical results. So we concluded as follows. 1. Among the 31 cases, 23 cases(74%) had an episode of locking. 2. We found many different types of bucket handle tears in arthroscopic view and the most common type was complete tear in a classic type(11 cases). 3. We were able to resect the meniscal fragment very easily using posteromedial or posterolateral portal. 4. We obtained satisfactory results in 24 cases(77%).
Knee
;
Sports
;
Tears
5.A case of mandibular reconstruction using fibular osteospectocutaneous flap.
Kwang Hyun KIM ; Pil Sang CHUNG ; Kyung Won MIN
Korean Journal of Otolaryngology - Head and Neck Surgery 1992;35(3):452-456
No abstract available.
Mandibular Reconstruction*
6.Volar Interdigital flap in the Treatment of Syndactyly
Moon Sang CHUNG ; Phil Hyun CHUNG ; Min LO
The Journal of the Korean Orthopaedic Association 1986;21(2):339-346
Syndactyly is one of most common congenital anomalies of the limb. We reviewed 89 webs of 40 patient with syndactyly which had been treated at Seoul National University Hospital from 1979 to November 1984. It is the purpose of this article to compare the operative methods used in the treatment of syndactyly. In our hands, using the volar interdigital flap in the treatment of syndactyly gives the most excellent postoperative result in both function and cosmesis.
Extremities
;
Hand
;
Humans
;
Seoul
;
Syndactyly
7.Subepidermal Calcified Nodule of the Buttock.
Dai Ho KIM ; Sang Hee HAM ; Hoon KANG ; Sang Hyun CHO ; Young Min PARK
Annals of Dermatology 2000;12(1):74-76
Subepidermal calcified nodule, a form of idiopathic calcinosis cutis, typically present as a hard, 3 to 11 mm, solitary lesion on the exposed area of the head and the extremities. Here we re-port an unusual case of subepidermal calcified nodule occurring on the buttock. A 15-year-old girl presented with a 6-month history of a 12 × 6 mm, oval, hard, erythematous nodule on the right buttock. Histopathologic examination of an excision biopsy specimen revealed extensive deposition of calcium in the whole dermis as large multilobulated masses.
Adolescent
;
Biopsy
;
Buttocks*
;
Calcinosis
;
Calcium
;
Dermis
;
Extremities
;
Female
;
Head
;
Humans
8.Two Familial Cases of Acrokeratoelastoidosis of Costa with Autosomal Dominant Inheritance.
Sang Hee HAM ; Seog Jun HA ; Young Min PARK ; Sang Hyun CHO ; Baik Kee CHO
Korean Journal of Dermatology 1998;36(5):946-949
Acrokeratoelastoidosis of Costa is a rare palmoplantar keratoderma with autosomal dominant inheritance. It is clinically charaeterized by small, firm, yellowish, shiny, translucent papules occumng over the dorsal hands, the knuckles, and the lateral margine of the palms and soles. Histologically, the characteristic features are hyperkeratosis, aeanthosis, and most strikingly, fragmentation of coarse elastic fibers within the dermis. The lesions usually begin in early childhood and progress slowly. We herein report two familial cases of acrokeratoelastoidosis of Costa showing typical clinic1 and histopathological features.
Dermis
;
Elastic Tissue
;
Hand
;
Keratoderma, Palmoplantar
;
Wills*
9.Acute generalized exanthematous pustulosis induced by terbinafine.
Sang Hee HAM ; Seog Jun HA ; Young Min PARK ; Sang Hyun CHO ; Jin Wou KIM
Journal of Asthma, Allergy and Clinical Immunology 1998;18(2):330-334
Terbinafine is now widely used for the treatment of dermatophytic infections of the skin and nails. Cutaneous side effects of terbinafine are rare and mild. They includes erythema, pruritus, urticaria, desqumation, and macular exanthem. In addition, fixed drug eruption, erythema multiforme, Stevens-Johnson syndrome, and erythema annulare centrifugum-like psoriatic drug eruption were recently described in the literatures. Herein, we reported a case of acute generalized exanthematous pustulosis induced by terbinafine.
Acute Generalized Exanthematous Pustulosis*
;
Drug Eruptions
;
Erythema
;
Erythema Multiforme
;
Exanthema
;
Pruritus
;
Skin
;
Stevens-Johnson Syndrome
;
Urticaria
10.Acral Erythema and Hyperpigmentation Induced by Tegafur.
Seog Jun HA ; Sang Hee HAM ; Young Min PARK ; Sang Hyun CHO ; Baik Kee CHO
Korean Journal of Dermatology 1998;36(2):363-366
Tegafur is a fluoropyrimidine structurally similar to 5-fluorouracil, used in the treatment of advanced gastrointestinal neoplasms. Mucocutaneous side reactions induced by this agent are rare and include photosensitivity of lichenoid and eczematous types, acral erythema, hyperpigmentation and palmoplantar keratoderma. However, to our knowledge, there has been no report of concurrent development of eruptions of two types in a patient. We describe a female patient with breast cancer, presented with combined features of acral erythema and hyperpigmentation due to oral tegafur.
Breast Neoplasms
;
Erythema*
;
Female
;
Fluorouracil
;
Gastrointestinal Neoplasms
;
Humans
;
Hyperpigmentation*
;
Keratoderma, Palmoplantar
;
Tegafur*