1.The Role of Percutaneous Balloon Pericardial Window Formation for Malignant Pericardial Effusion.
Seok Min KANG ; Won Heum SHIM ; Dong Hoon CHOI ; Yang Soo CHANG
Korean Circulation Journal 1997;27(6):618-623
BACKGROUND: There are several ways to treat for recurrent pericardial effussion and cardiac tamponade due to malignancy. They are repeated pericardiocentesis, pericardial instillation of sclerosing and chemotherapeutic agents, surgical creation of a pericardial window and transthoracic pericardiectomy. Surgical techniques are usually effective but bear a significant morbidity and mortality especially in chronic debilitating cancer patients. So percutaneous balloon pericardial window as an alternative to surgery in these patients. METHODS: After pericardiocentesis was performed, a 0.035 inch J-tip guidewire was advanced into the pericardial space. And a pigtail catheter was advanced over the wire. A moderate amount of pericardial fluid were removed. A nd then the pigtail catheter was withdrawn and 8F sheath was inserted. A20mm diameter, 4cm long(Single balloon method) or two 10mm diameter, 4cm long balloon dilating catheter(Double balloon medium) was advanced over the wire to straddle the parietal pericardial border though the sheath. Several inflations of the balloon with a solution containing 50% radiographic contrast medium were performed until disappearance of the balloon waist. After balloon dilation, contrast medium from the pericardial space to subcutaneous tisse suggesting successful PBPWF. Single ballon method was employed in 4 patients and Dould balloon method in 2 patients. RESULT: We performed percutaneous balloon pericardial window formation in 6 patiemts with malignant pericardial effusion. We did percutaneous balloon pericardial window formation successfully in 5 patients and failed due to adhesion of parietal pericardium in 1 patient. One patient developed recurrent pericardial effusion with tamponade at a mean follow-up of 11.49.6 months(1.5-26 months). Conclusion: These results suggest that PBPWF is an alternative method less invasive than subxiphoid surgical windowing, espesially in critically ill patients with recurrent malignant pericardial effussion. It carries less risks and has more constant effect than repeated pericardiocentesis.
Cardiac Tamponade
;
Catheters
;
Critical Illness
;
Follow-Up Studies
;
Humans
;
Mortality
;
Pericardial Effusion*
;
Pericardiectomy
;
Pericardiocentesis
;
Pericardium
;
Rabeprazole
2.Adult Polycystic Kidney Disease with Cardiovascular Assault.
Kyung Moo YANG ; Gam Rae JO ; Il hoon KWON ; Joong Seok SEO
Korean Journal of Legal Medicine 1999;23(1):92-96
Adult polycystic kidney disease is a genetic disease characterized by bilateral multiple renal cysts and is transmitted as an autosomal dominant traits. The disease usually manifests in the fourth decade of life. The affected patients usually die with end stage renal failure, cardiovascular assaults and infection etc. Cardiovascular assaults include ruptured berry aneurysm, spontaneous intracranial hemorrhage, acute myocardial infarction, dissecting aortic aneurysm and hypertensive heart failure. Fatal intracranial hemorrhage and hypertensive heart failure occur in 15% and 2% of patients, respectively. Genetically-determined structural weakness in the arterial wall have been suggested as a possible factor in the genesis of berry aneurysm. We have experienced three autopsy cases with cardiovascular causes of sudden death. Two cases have intracranial hemorrhage (1 berry aneurysm and 1 intracerebral hemorrhage) and the remaining one is dead with hypertensive cardiomyopathy. All of them are aged over 40 years and associated with polycystic liver disease. Histologically, myriad cysts of enlarged bilateral kidney are lined by single layer of cuboidal cells with focal hyperplastic epithelial configuration. Diffusely scattered liver cysts are also lined by flat to cuboidal epithelium and often associated with portal fibrosis.
Adult*
;
Aortic Aneurysm
;
Autopsy
;
Cardiomyopathies
;
Cerebral Hemorrhage
;
Death, Sudden
;
Epithelium
;
Fibrosis
;
Heart Failure
;
Humans
;
Intracranial Aneurysm
;
Intracranial Hemorrhages
;
Kidney
;
Liver
;
Liver Diseases
;
Myocardial Infarction
;
Polycystic Kidney, Autosomal Dominant*
;
Renal Insufficiency
3.Spontaneous Pulmonary Hemorrhage and Adult Respiratory Distress Syndrome after Thrombolytic Therapy for Acute Myocardial Infarction.
Jun Gu LEE ; Dong Hoon CHOI ; Seok Min KANG ; Yang Soo JANG
Korean Circulation Journal 1997;27(5):554-558
We report a cace of 69-year-old man who developed massive pulmonary hemorrhage and subsuquent adult respiratory distress syndrome following intravenous urokinase for acute myocardial infarction. Pulmonary hemorrhage is a rare but a potentially life-threatening complication after thrombolytic therapy and should be considered in the differential diagnosis of pulmonary infiltrates of falling hemoglobin after thrombolytic therapy for acute myocardial infarction with no obvious site of bleeding.
Adult*
;
Aged
;
Diagnosis, Differential
;
Hemorrhage*
;
Humans
;
Myocardial Infarction*
;
Respiratory Distress Syndrome, Adult*
;
Thrombolytic Therapy*
;
Urokinase-Type Plasminogen Activator
4.A case of neurofibromatosis type 1.
Ji Soon LEE ; Tae Seon YOO ; Seok Kyung HONG ; Hoon Shik YANG
Korean Journal of Otolaryngology - Head and Neck Surgery 1992;35(1):133-138
No abstract available.
Neurofibromatoses*
;
Neurofibromatosis 1*
5.Pulmonary adenocarcinoma in a slaughtered female Hanwoo
Hyoung Seok YANG ; Jae Hoon KIM
Korean Journal of Veterinary Research 2019;59(1):51-54
Pulmonary masses were observed in the thoracic cavity of a 9-year-old female Korean native cattle (Hanwoo) encountered at a Jeju, Korea slaughterhouse. Grossly, the thoracic cavity was filled with pulmonary masses. Histologically, the neoplastic masses were composed of many abnormal papillary structures lined by single to double columnar neoplastic cells and formed arborizing fronds supported by significant fibrovascular stroma. The neoplastic cells showed strong destructive and infiltrative growth to adjacent tissues and were strongly positive for pan-cytokeratin (CK), CK 7 and sporadically positive for CK MNF116. The masses in the female Hanwoo were diagnosed as a papillary pattern of pulmonary adenocarcinoma.
Abattoirs
;
Adenocarcinoma
;
Animals
;
Cattle
;
Child
;
Female
;
Humans
;
Korea
;
Lung
;
Thoracic Cavity
6.A case report of mandibular prognathism treated with activatior.
Jin Hwan LIM ; Dong Seok NAHM ; Won Sik YANG ; Cheong Hoon SUH
Korean Journal of Orthodontics 1976;6(1):79-82
A patient (Hellman dental age IIIA) who had anterior cross bite due to functional factor was treated with activator. Following results were obtained: 1) Anterior cross bite was crorrected 3 months after the initial application of the appliance. 2) Comparing pretreatment records with posttreatment, the main effects were labioversion of upper incisors, increase of upper arch length and downward-backward rotation of the mandible. 3) There was no damage on teeth and periodontal tissues and the patient had normal occlusion 1 year after the treatment.
Humans
;
Incisor
;
Malocclusion
;
Mandible
;
Prognathism*
;
Tooth
7.Pulmonary adenocarcinoma in a slaughtered female Hanwoo
Hyoung Seok YANG ; Jae Hoon KIM
Korean Journal of Veterinary Research 2019;59(1):51-54
Pulmonary masses were observed in the thoracic cavity of a 9-year-old female Korean native cattle (Hanwoo) encountered at a Jeju, Korea slaughterhouse. Grossly, the thoracic cavity was filled with pulmonary masses. Histologically, the neoplastic masses were composed of many abnormal papillary structures lined by single to double columnar neoplastic cells and formed arborizing fronds supported by significant fibrovascular stroma. The neoplastic cells showed strong destructive and infiltrative growth to adjacent tissues and were strongly positive for pan-cytokeratin (CK), CK 7 and sporadically positive for CK MNF116. The masses in the female Hanwoo were diagnosed as a papillary pattern of pulmonary adenocarcinoma.
8.Clinical Outcome and Complications of Medpor(R) Orbital Implant.
Jong Hoon LEE ; Seok Woo YANG ; Woong Chul CHO
Journal of the Korean Ophthalmological Society 2001;42(7):933-938
PURPOSE: This study was to observe the clinical outcome and complications of Medpor(R) orbital implant. METHODS: The clinical outcome and complications were studied retrospectively in 64 eyes with Medpor(R) implantation. Evisceration was done in 34 cases, enucleation in 19 cases, and secondary implantation in 11cases. Mean follow up period was 16 months(4~30 months) and mean age of the participants was 34.9(1~79). RESULTS: Implant infection developed in one case, implant exposure developed in four cases and superior sulcus deformity developed in two cases. Motility Coupling Post(MCP) was inserted in 26 eyes. Motility of the prosthesis was good in most cases. CONCLUSIONS: Medpor(R) orbital implant is being widely used currently. Complications or motility of the prosthesis showed no significant difference from those of Hydroxyapatite. But low cost and its handiness in operation makes it a desirable orbit implant.
Congenital Abnormalities
;
Durapatite
;
Follow-Up Studies
;
Orbit*
;
Orbital Implants*
;
Prostheses and Implants
;
Retrospective Studies
9.Do Knots Matter in Superior Labrum Anterior to Posterior Lesions Repair?.
Hyeon Jang JEONG ; Ho Yun JOUNG ; Dae Ha KIM ; Sung Min RHEE ; Seok Hoon YANG ; Woo KIM ; Joo Han OH
Clinics in Shoulder and Elbow 2017;20(2):68-76
BACKGROUND: In general, the outcomes of arthroscopic repair for superior labrum anterior to posterior lesions (SLAP) are favorable, however, persistent pain and limitation of motion are not rare complications. One of the possible cause is a “knot-ache”. This study evaluated the results of reoperation of symptomatic recurrent SLAP lesions and asked whether the knot is associated with postoperative complications. METHODS: Between 2005 and 2015, a total of 11 patients who had undergone arthroscopic SLAP repair were reoperated for recurrent symptomatic SLAP lesion. By retrospective chart review, operative findings, the visual analogue scale for pain (pVAS), the range of motion (ROM), and functional scores were analyzed. RESULTS: The mean age of the study participants was 38.3 years, and the mean follow-up period was 42.5 months. In the primary operation, there were nine cases of repairs with conventional knot-tying anchors and three cases with knotless anchors. Impingement of the knots during abduction and external rotation of the shoulder was observed in the all cases with knot-tying anchors. The mean pVAS, ROM, and functional scores significantly improved with reoperation. At the final follow-up, the mean satisfaction VAS was 8.3. CONCLUSIONS: The knots of suture anchor maybe a possible etiology of the pain, which we termed a “knot-ache”. Considering that reoperation is performed due to pain after primary repair, the use of knotless suture anchor may have benefits of eliminating one of possible cause, “knot-ache”. Therefore, authors suggest the use of knotless anchors during reoperation for recurrent or recalcitrant pain after primary SLAP repair.
10.Individual Identification of Human Remains from the Korean War.
Kyoung Jin SHIN ; Yun Seok YANG ; Jong Hoon CHOI ; Chong Youl KIM
Korean Journal of Legal Medicine 2001;25(2):31-37
During the exhumation of victims of Korean War, among the memorial activities of Korean War, we found a dead body in a tomb in Kyung-Ju city. With the testimony of natives we could find the family related with the body. Using bone and teeth of it we determined that it was male and about 20 years old or more and the result was unite with the insistence of the bereaved family. With the photography offered by the family and the skull we did the photographic superimposition and according to the result we could not exclude that it was the same person with him. We performed mitochondrial DNA(mtDNA) sequencing and it reveals that the dead body and the family have same maternal inherited mtDNA. Finally, We could identify the dead body. At present it is very difficult thing to collect much data of victims of Korean War because it passed over 50 years. But if we find the bereaved family of them we can identify them more accurate and more objective with the forensic identification method like sex determination, age estimation, superimposition and mtDNA sequencing and so on.
DNA, Mitochondrial
;
Exhumation
;
Gyeongsangbuk-do
;
Humans*
;
Korean War*
;
Male
;
Photography
;
Population Groups
;
Skull
;
Tooth
;
Young Adult