PURPOSE: The complications of ischemic spinal cord injury on the descending and thoracoabdominal aorta remain a problem in spite of surgery and anesthesia advance. The protective effects of aprotinin and pentoxifylline was assessed from a rabbit spinal cord ischemia model in order to prevent ischemia reperfusion injury from the spinal cord. METHOD: In 36 rabbits, left vertical flank incision and retroperitoenal approach were done and ischemia was induced with clamping of the aorta just distal to left renal artery and proximal to aortic bifurcation for 20 min. In Group A, Aprotinin was given 30,000 KIU/kg was given as a intravenous injection after anesthesia, and was followed by 10,000 KIU/hr by continuous infusion in group A (n=12). Also in group B, Pentoxifylline 40mg/kg was given as a intravenous injection after anesthesia, and was followed by 30 mg/hr by continuous infusion in group B (n=12). Similar volume of saline solution was used in control group C (n=12). Physiological parameters were monitored in animals before aortic occlusion, during aortic occlusion, after aortic occlusion. Their neurological outcome was clinically evaluated up to 48 hour postischemia. After 48 hour of the operation, all rabbits' victim were induced and their spinal cord, abdominal aorta, and its branches were processed for histopathological examination. RESULT: Mean aortic pressure, heart rate and arterial blood gas analysis showed no statistical difference in 3 groups. Bladder function also revealed no statistical difference. The average motor function score was significantly higher in aprotinin group (group A) than control group (group C) at 24 (P=0.026) and 48 hour (P=0.018) after the ischemic insult. But the average motor function score was similar in pentoxifylline group (group B) and control group (group C) at 24 and 48 hour after the ischemic insult. Histological observations were revealed fewer ischemic damage in aprotinin group (group A) than control group (group C) but in pentoxifylline group (group B) and control group (group C), ischemic damages were more than moderate degree. CONCLUSION: The results suggest that aprotininreduces spinal cord injury and preserves neurologic function in transient spinal cord ischemia of rabbits but pentoxifylline is not effective.
Anesthesia ; Animals ; Aorta ; Aorta, Abdominal ; Aprotinin* ; Arterial Pressure ; Blood Gas Analysis ; Constriction ; Heart Rate ; Injections, Intravenous ; Ischemia ; Pentoxifylline* ; Rabbits ; Renal Artery ; Reperfusion Injury ; Sodium Chloride ; Spinal Cord Injuries ; Spinal Cord Ischemia* ; Spinal Cord* ; Urinary Bladder

A 70-year old male with dilated cardiomyopathy was admitted to our hospital because of a renal stone, and a supra-renal abdominal aortic aneurysm was detected during work-up. We performed a hybrid surgery using an endovascular stent because of his co-morbidities. The operation consisted of removal of the renal stone, de-branching of the visceral artery and both renal arteries from the abdominal aorta, reperfusion of the de-branched arteries with retrograde bypass surgery using two Y-graft from the left external iliac artery, and deployment of stent graft in the abdominal aorta. Therefore, we report a case of hybrid surgery for supra-renal abdominal aortic aneurysm.
Aneurysm ; Aorta ; Aorta, Abdominal ; Aortic Aneurysm, Abdominal ; Arteries ; Cardiomyopathy, Dilated ; Chimera ; Humans ; Iliac Artery ; Male ; Renal Artery ; Reperfusion ; Stents ; Transplants

A 38-year-old male was admitted to our hospital due to painful swelling of his right popliteal fossa. He had been kicked in his right popliteal fossa during a soccer game about three weeks earlier. Computerized tomographic angiography of the lower extremity demonstrated a 4-cm-wide, 3-cm-long aneurysmal change of the popliteal artery. He underwent aneurysmectomy and graft interposition using a great saphenous vein graft. Pathologic findings of the resected specimen were consistent with those of a pseudoaneurysm.
Adult ; Aneurysm ; Aneurysm, False ; Angiography ; Humans ; Leg Injuries ; Lower Extremity ; Male ; Popliteal Artery ; Saphenous Vein ; Soccer ; Transplants

A 38-year-old male was admitted to our hospital due to painful swelling of his right popliteal fossa. He had been kicked in his right popliteal fossa during a soccer game about three weeks earlier. Computerized tomographic angiography of the lower extremity demonstrated a 4-cm-wide, 3-cm-long aneurysmal change of the popliteal artery. He underwent aneurysmectomy and graft interposition using a great saphenous vein graft. Pathologic findings of the resected specimen were consistent with those of a pseudoaneurysm.
Adult ; Aneurysm ; Aneurysm, False ; Angiography ; Humans ; Leg Injuries ; Lower Extremity ; Male ; Popliteal Artery ; Saphenous Vein ; Soccer ; Transplants

A 50-year old man was admitted to our hospital because he complained of sudden abdominal pain. Multidetector abdominal CT showed proximal occlusion of the superior mesenteric artery. Emergency open laparotomy and Fogarty thrombectomy were done on admission day and repeat Fogarty thrombectomy and partial resection of the small bowel were done the next day. We report here on a case of superior mesenteric artery occlusion.
Abdominal Pain ; Angiography ; Emergencies ; Humans ; Laparotomy ; Mesenteric Artery, Superior* ; Middle Aged ; Thrombectomy* ; Thrombosis ; Tomography, X-Ray Computed

BACKGROUND: Compensatory hyperhidrosis is the most common complication after thoracoscopic sympathetic operation in hyperhidrosis. It is not only decrease patient's satisfaction but also gives another burdens to the patients. Unfortunately remarkable treatment for compensatory hyperhidrosis does not exist yet. The purpose of this study was to evaluate the effect of decreased sweating production using 20% aluminum chloride hexahydrate on compensatory hyperhidrosis. MATERIAL AND METHOD: From May to July, 2000, 8 patients were evaluated. All of them complained of severe discomfort due to compensatory hyperhidrosis. Degree of compensatory sweating was subjectively assessed thorough questionnaire as follows: 1=absent, 2=mild, 3=moderate 4=severe, 5=disabling, Also degree of life satisfaction was subjectively assessed thorough questionnaire as follows: 1=Absolutely no satisfaction, 2= Aluminum* ; Follow-Up Studies ; Humans ; Hyperhidrosis* ; Postoperative Complications ; Surveys and Questionnaires ; Sweat ; Sweating

A 43-year-old male was admitted to our hospital complaining of dyspnea and wheezing sound at respiration. He had received esophageal exclusion and esophagogastrostomy due to spontanous esophageal rupture 1-year ago. Chest computed tomography revealed esophageal mucocele like that of mediastinal tumor. Trachea is compressed by esophageal mucocele. The operation was performed by resection of thoracic esophagus through right open thoracotomy. Herein we report a case of a tracheal compression by esophageal mucocele after surgical exclusion of the esophagus.
Adult ; Dyspnea ; Esophagus* ; Humans ; Male ; Mucocele* ; Respiration ; Respiratory Sounds ; Rupture ; Thoracotomy ; Thorax ; Trachea

A 19-month-old boy suffered from stridor and dysphagia. He was taking asthma medication for a few months, but symptoms did not improve. After admission, a chest CT showed a posterior mediastinal mass, which compressed the trachea and esophagus. The removed mass via open thoracotomy was a bronchogenic cyst on histopathology. Postoperatively, stridor and dysphagia disappeared. In case of persistent and refractory stridor or dysphagia in children, congenital lesions including bronchogenic cyst need to be ruled out.
Asthma ; Bronchogenic Cyst ; Child ; Deglutition Disorders ; Esophagus ; Humans ; Infant ; Mediastinum ; Respiratory Sounds ; Thoracotomy ; Thorax ; Trachea

A 51-year-old male was admitted three month previously with a cardiac stab injury and he underwent direct cardiac repair. He had no problem after this event. He complained of dyspnea that started 2 months after the original injury. Echocardiography showed severe tricuspid regurgitation and so, chordac replacement and ring annuloplasty was performed. Herein we report on a case of tricuspid valve repair for treating tricuspid insufficiency following a cardiac stab injury.
Dyspnea ; Echocardiography ; Humans ; Male ; Middle Aged ; Tricuspid Valve Insufficiency* ; Tricuspid Valve* ; Wounds, Stab

A 34-year-old male was admitted to our hospital complaining of chest pain. Chest computerized tomography showed pleural effusion and mass in left lower area. After open thoracotomy and mass removal originating from the parietal pleura were done. The mass was pathologically diagnosed as poorly differentiated synovial sarcoma. Synovial sarcoma of the pleura is rare. Herein we report a case of synovial sarcoma of the parietal pleura.
Male ; Humans