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.EXCISION OF PARAFFINOMA BY DIRECT INCISION ON NASAL DORSUM.
Young Min KIM ; Moo Hyun PAIK ; Seung Hong KIM
Journal of the Korean Society of Aesthetic Plastic Surgery 1999;5(2):288-292
The injection of paraffin for cosmetic purpose is an illegal method as it evokes late complications such as the development of grauuloma, migration of foreign body, inflammation, ulceration, embolic phenomenon, etc. However, paraffin has been used by some unauthorized people for the augmentation of the soft tissue, i.e. face, breasts, as they can easily reansform the body contour in a short time and paraffin is not expensive to do so. Paraffinoma has been reported frequently as a delayed or late complication of foreign body reaction in the field of plastic surgery. And various mehtods of its surgical treatment also has been a topic of plastic surgeon, as postoperative outcome is not satisfactory. As the nose is located at the center of face, the patients who are suffering from paraffinoma in nose could not conceal their deformed appearance by cosmetics. Therefore the only method of improvement is surgical removal of paraffinoma. Paraffinoma of nose has been removed by transcolumellar, infracartilaginous, intercartilaginous incision. However, complete removal of the foreign material does not seem to be possible, may leave complications such as hematoma and overlying skin necrosis, and the remaining foreign material does not permit symmetric appearance. We experienced excision of paraffinoma by direct incision on nasal dorsum. 3 patients with paraffinoma of nose were successfully treated without any complications by vertical elliptical excision on the dorsum of the nose, and scars on nasal dorsum were acceptable with satisfaction by patients. Therefore, the authors concluded that excision of paraffinoma by direct incision on nasal dorsum is a good method for symmetric resection of foreign material, low risk of complication.
Breast
;
Cicatrix
;
Foreign Bodies
;
Foreign-Body Reaction
;
Hematoma
;
Humans
;
Inflammation
;
Necrosis
;
Nose
;
Paraffin
;
Skin
;
Surgery, Plastic
;
Ulcer
3.The effects of papaverine and triamcinolone on enhancing expansion of guinea pig skin.
Seung Han KIM ; Moo Hyun PAIK ; Seung Hong KIM ; Dae Hong MIN
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1992;19(4):577-585
No abstract available.
Animals
;
Guinea Pigs*
;
Guinea*
;
Papaverine*
;
Skin*
;
Triamcinolone*
4.The effects of superoxide dismutase on ischemic revascularized muscle in rats.
Seung Han KIM ; Moo Hyun BAIK ; Seung Hong KIM ; Dae Hong MIN
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1991;18(4):626-632
No abstract available.
Animals
;
Rats*
;
Superoxide Dismutase*
;
Superoxides*
5.An experimental study of glutaraldehyde treated homogenous cartilage graft in rabbits.
Sang June HAN ; Seung Han KIM ; Moo Hyun BAIK ; Seung Hong KIM ; Dae Hong MIN
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1991;18(4):612-619
No abstract available.
Cartilage*
;
Glutaral*
;
Rabbits*
;
Transplants*
6.A Case of Churg-Strauss Syndrome with Bilateral Pleural Effusions.
Min Su KIM ; Seung Hyun LEE ; Seung Beom HAN ; Kun Young KWON ; Young June JEON
Tuberculosis and Respiratory Diseases 2001;50(2):258-264
A 26-year-old man with a one-year history of asthma and sinusitis presented with bilateral pleural effusions, patch basilar infiltrates on a chest x-ray and a pericardial effusion on an echocardiogram. The peripheral blood showed marked eosinophilia. An obstructive pattern was also observed during the pulmonary fuction test, which was responsive to bronchodilator inhalation. Nerve conduction studies showed right sural neuropathy. Thoracentesis yielded an acidotic exudative effusion with low glucose, low C3 and eosinophilia. An open lung biopsy revealed an eosinophilic interstitial pneumonitis associated with a necrotizing eosinophilic vasculitis, and granulomatous inflammation foci. In the literature, pleural effusions were reported in 29 percent of Churg-Strauss patients, but the number of effusions was low and their characteristics have not been well described. This report describes the characteristic findings of pleural fluid and its histologic features in a case of classical Churg-Strauss syndrome.
Adult
;
Asthma
;
Biopsy
;
Churg-Strauss Syndrome*
;
Eosinophilia
;
Eosinophils
;
Glucose
;
Humans
;
Inflammation
;
Inhalation
;
Lung
;
Lung Diseases, Interstitial
;
Neural Conduction
;
Pericardial Effusion
;
Pleural Effusion*
;
Sinusitis
;
Thorax
;
Vasculitis
7.Correction of the hump nose using excision of protruded nasal dorsum and nasal tip elevation.
Jae Deok KIM ; Seung Han KIM ; Moo Hyun PAIK ; Seung Hong KIM ; Dae Hong MIN
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1992;19(6):976-984
No abstract available.
Nose*
8.Clinical Analysis of 62 patients with Rectovaginal Fistula.
Seung Hyun KANG ; Nam Kyu KIM ; Dae Jin LIM ; Seung Kook SOHN ; Jin Sik MIN
Journal of the Korean Society of Coloproctology 1998;14(1):109-114
Rectovagianl fistula(RVF) is a congenital or acquired communication between the two epithelial-lined surface of the rectum and the vagina. We present our experience with 62 patients with RVF. There were various etiologies and repair methods of rectovaginal fistula. The purpose of this study was to retospectively review the clinical course of the patients we treated and to evaluate the efficacy of various treatment options. The mean age was 40.5 yr, The type of RVF was classified to one of two(simple and complex), according to their location, size and etiology. RVF was developed most commonly after radiotherapy due to cervical cancer(n=17), then after pelvic surgery due to malignancy(n=16), obstetric trauma after episiotomy at delivery(n=7), congenital malformation(n=4), inflammatory bowel disease(n=1), Bechet's disease(n=1), infections such as perianal fistula or abscess(n=2), direct invasion of carcinoma(n=3), after chemotherapy(n=1), and idiopathic(n=6). Three cases of them associated with rectovesicovaginal fistula. Surgical therapeutic option was divided to local repair, abdominal approach and tissue transposition by the type of RVF. Most simple RVFs were repaired with local approach through the vagina or rectum. Most complex RVFs were repaired through abdominal approach or tissue transposition. With an average follow up of 20 months, the treatment results were as follows: completely healed(n=36, 58.1%), persistent symptom(n=6, 9.7%), recurrence after repair(n=5, 8.1%), loss of search or death(n=15, 24.1%). Therefore we assist that the management of RVF depends on size, location, and cause. anal sphincter function and overall health status of the patient. Careful preoperative assessment of the fistula, surrounding tissues, and anal sphincter and exclusion of associated disease are essential. With through evaluation, thoughtful consideration of treatment options, and meticulous operative technique, patient can be assured of an optimal outcome.
Anal Canal
;
Episiotomy
;
Female
;
Fistula
;
Follow-Up Studies
;
Humans
;
Radiotherapy
;
Rectovaginal Fistula*
;
Rectum
;
Recurrence
;
Vagina
9.Examination of Endoscopic Mucosal Resection of Early Gastric Cancer.
Seung Min LEE ; Seung Won SEO ; Jae Kyu SEONG ; Byung Seok LEE ; Hyun Yong JEONG
Korean Journal of Gastrointestinal Endoscopy 2002;24(3):129-134
BACKGROUND/AIMS: The endoscopic mucosal resection has now been adopted for a useful modality in both curative therapy and accurate diagnosis of early gastric cancer. A retrospective study was done to evaluate the indication and the limitation of endoscopic mucosal resection of early gastric cancer. METHODS: We studied 20 cases of early gastric cancer treated by endoscopic mucosal resection in Chungnam National University Hospital from November, 1995 to July, 1997. RESULTS: 1) The size affected the curability: 83. 3% of lesions less than 2 cm and 50. 0% of those larger than 2 cm were resected completely. 2) The depth of cancer invasion affected the curability: 87. 5% of lesion confined to mucosa were resected completely, while all of submucosal cancers were resected incompletely. 3) Among fourteen cases resected completely, three cases of lesions larger than 2 cm were residual cancer and two of those less than 2 cm were recurred locally. CONCLUSIONS: To be a curative therapy by endoscopic mucosal resection of early gastric cancer, we think that careful selection of the lesion, that is lesion less than 2cm and confined to mucosa, is necessary
Chungcheongnam-do
;
Diagnosis
;
Mucous Membrane
;
Neoplasm, Residual
;
Retrospective Studies
;
Stomach Neoplasms*
10.An Autopsy Case of Amyotrophic Lateral Sclerosis with Neuroinflammatory change.
Seung Hyun HA ; Wonki BAEK ; Hyun Young KIM ; Min Young NOH ; Se Jin HWANG ; Seung Hyun KIM
Journal of the Korean Neurological Association 2012;30(2):128-131
Neuroinflammation such as reactive gliosis and microglial activations are important pathological findings of ALS. We present a first autopsy case of ALS in Korea related with neuroinflammatory change. A 67-year-old ALS patient suddenly expired due to accidental head trauma. Gross autopsy finding showed marked atrophic change in spinal cord. Pathological finding include a marked loss of motor neurons, reactive gliosis and microglial infiltrations. These findings suggest neuroinflammation may play a role in pathogenesis of ALS.
Aged
;
Amyotrophic Lateral Sclerosis
;
Autopsy
;
Craniocerebral Trauma
;
Gliosis
;
Humans
;
Korea
;
Motor Neurons
;
Spinal Cord