1.Two Cases of Takayasu's Aortitis Causing Acute Myocardial Infarction.
Soon Koo BAIK ; Keum Soo PARK ; Seung Hwan LEE ; Kyung Hoon CHOE ; Sung Oh HWANG
Korean Circulation Journal 1992;22(2):322-329
The myocardial infarction is usually associated with the coronary artery disease in adults. It is unusual in chilhood and young adult but occasionally associated with coronary vasculitis. Takayasu's arteritis produces a panaortits with thickening of the adventitia and narrowing of aorta. Narrowing of coronary arteries is due to extension into these arteries of the processes of inflammation that occur in aorta. We report here two cases of Takayasu's aortitis causing acute myocardial infarction. Case 1 is a 17-year-old girl presented with the inferior myocardial infarction and the cerebral infarction. Digital subtraction aortography showed a diffuse narrowing of the aorta and the obstruction of both subclavian arteritis, right carotid artery and both femoral arteries. Case 2 is a 19-year-old male patient with anterior myocardial infarction. Coronary cineangiogram showed the beak like appearance of the left main coronay artery.
Adolescent
;
Adult
;
Adventitia
;
Animals
;
Aorta
;
Aortitis*
;
Aortography
;
Arteries
;
Arteritis
;
Beak
;
Carotid Arteries
;
Cerebral Infarction
;
Coronary Artery Disease
;
Coronary Vessels
;
Female
;
Femoral Artery
;
Humans
;
Inferior Wall Myocardial Infarction
;
Inflammation
;
Male
;
Myocardial Infarction*
;
Takayasu Arteritis
;
Vasculitis
;
Young Adult
2.Clinical experience on split thickness skin graft from the scalp.
Jin Hwan KIM ; Rong Min BAEK ; Kab Sung OH ; Jun CHOE ; Se Min BAEK
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1992;19(6):959-968
No abstract available.
Scalp*
;
Skin*
;
Transplants*
3.A Case of Folliculosebaceous Cystic Hamartoma on the Upper Back.
Sung Hwan CHOE ; Hyang Joon PARK ; You Chan KIM ; Yong Woo CINN
Annals of Dermatology 2001;13(4):254-257
Folliculosebaceous cystic hamartoma (FCH) is a recently recognized adnexal tumor and is composed of follicular, sebaceous and mesenchymal elements such as small vessels, adipocytes and neural component in the fibrous stroma. It usually presents as an exophytic papule or nodule on the central part of the face. We describe a 39-year-old woman with FCH on the right upper back, which is an unusual site. A biopsy specimen demonstrated a follicular structure in infundibuiar nature, sebaceous lobules attached to it, and compactly laminated fibrous stroma with an increased number of vessels in it. Immunohistochemically, many of the vessels in the stroma showed positive reaction for CD34, and Factor VIII.
Adipocytes
;
Adult
;
Biopsy
;
Factor VIII
;
Female
;
Hamartoma*
;
Humans
4.Multiple Cutaneous Plexiform Neurilemmomas on the Course of the Median Nerve.
Sung Hwan CHOE ; You Chan KIM ; Hyang Joon PARK ; Yong Woo CINN
Korean Journal of Dermatology 2000;38(5):700-702
No Abstract Available.
Median Nerve*
;
Neurilemmoma*
5.A Case of Tubulovillous Adenoma Involving Ampulla of Vater, which Recurred after Local Excision.
Kang Hyeon CHOE ; Sung Koo LEE ; Myung Hwan KIM ; Young Il MIN ; Suck Joon HONG
Korean Journal of Gastrointestinal Endoscopy 1991;11(1):93-96
The villous adenoma of the duodenum is a rare disease and a considerable portion of the cases are known to be associated with malignancy. Although the diagnosis can be made with duodenoscopy, some cases showed false negative rate for malignancy detection with endoscopic biopsy only. So Whipple's operation is preferred than local excision. We experienced a case of tubulovillous adenoma involving ampulla of Vater, which recurred after local excision. So we report a case of tubulovillous adenoma involving ampulla of Vater with relevant literature.
Adenoma*
;
Adenoma, Villous
;
Ampulla of Vater*
;
Biopsy
;
Diagnosis
;
Duodenoscopy
;
Duodenum
;
Rare Diseases
6.Rupture of Mitral Papillary Muscle Resulting from Blunt Chest Trauma: A Case Report.
Sung Oh HWANG ; Mu Eob AHN ; Kyoung Soo LIM ; Seung Hwan LEE ; Jung Hwan YOON ; Keum Soo PARK ; Kyung Hoon CHOE ; Joong Hwan OH
Korean Circulation Journal 1992;22(4):699-704
We experienced a case of mitral incompetence due to rupture of anterolateral papillary muscle in a 56-year-old male who complained of abdominal pain and mild dyspnea after being struck by car. Clinical manifestation immediately following injury was minimal, but heart failure progressed rapidly 3 days after injury. Echocardiopraphic evaluation revealed ruptured anterolateral papillary muscle and severe mitral regurgitation on color flow imaging. There was no evidence of coronary artery disease on coronary angiography. Operation revealed that the haed of anterolateral papillary muscle was torn out of its insertion. Mitral valve replacement with mechanical prosthesis was performed on the 50th day after injury.
Abdominal Pain
;
Coronary Angiography
;
Coronary Artery Disease
;
Dyspnea
;
Heart Failure
;
Humans
;
Male
;
Middle Aged
;
Mitral Valve
;
Mitral Valve Insufficiency
;
Papillary Muscles*
;
Prostheses and Implants
;
Rupture*
;
Thorax*
7.A Case of Methylmalonic Acidemia.
Jong Hoon PARK ; Si Houn HAHN ; Kee Hwan YOO ; Kwang Chul LEE ; Chang Sung SOHN ; Pyung Hwa CHOE
Journal of the Korean Pediatric Society 1989;32(7):984-989
No abstract available.
8.A Case of Stent Embolizations into the Left Renal and Right Common Iliac Artery during Primary PTCA.
Byung Su YOO ; Junghan YOON ; Bong Ki LEE ; Ji Yean KO ; Seung Hwan LEE ; Sung Oh HWANG ; Kyung Hoon CHOE
Korean Circulation Journal 1999;29(11):1250-1254
Coronary stent embolization is a rare event but may result in clinically relevant cardiac ischemia or peripheral embolization during the procedure. We report a case of systemic embolizations of two coil stents during the primary PTCA in acute myocardial infarction, who were treated successfully with a double wire helix technique and a gooseneck snare. Although in our experience this rare complication did not produce any clinical complications, care should be taken to prevent this possibility, especially in patients with significant vessel tortuosity, calcification, total occlusion, or mild stenosis proximal to the target lesion.
Constriction, Pathologic
;
Humans
;
Iliac Artery*
;
Ischemia
;
Myocardial Infarction
;
SNARE Proteins
;
Stents*
9.MR Imagine of Systemic and Pulmonary Venous Return in Congential Cardiac Defects with Situs Ambiguus.
Je Hwan WON ; Yong Kook HONG ; Young Hwan PARK ; Jun Hee SUL ; Sung Kyu LEE ; Kyu Ok CHOE ; Bum Koo CHO
Korean Circulation Journal 1997;27(5):514-522
BACKGROUND: Preoperative identification of systemic and pulmonary venous return is essential for surgical design in situs ambiguus. This study was carried out to evaluate anatomy of systemic and pulmonary venous return and to assess clinical efficacy of magnetic resonance imagine(MR) by comparing with results of cardiac catheterization(Cath) and echocardiography(Echo). MATERIALS AND METHODS: MR performed on 22 patients with cardiac situs ambiguus(right isomerism ; 13, left isomerism ; 9). MR findings were compared with the findings of Cath and Echo for the assessment of diagnostic accuracy of MR in 19 patients. RESULTS: 1) Interruptions of IVC with azygous continuation were found in all patients of left isomerism. But IVC was drained to right of left sided atria in right isomerism. 2) Brlateral SVC were found in 12 of 22 situs ambiguus(left isomersm ; 5, right isomerism ; 8). 3) Total anomalous pulmonary venous returns(TAPVR) were found in 7 of 12 right isomerism. Location of vertical veins were as follows ; prearterial(n=1), retroarterial-prebronchial(n=3), retrobronchial(n=3). In 5 patients of remained 6 right isomerism, pulmonary venous returns(PAPVR) in which right and left pulmonary veins entered to right and left atrium respectively, were found in 5 of 9 left isomerism. 4) Compared with Cath and Echo findings(n=19) in which MR, Cath and Echo were performed simultaneously, TAPVR were found in 6 cases on MR but 2 cases on Cath and Echo. The cases that were not detected by Cath showed severe decrement of pulmonary flow due to hypoplasia of pulmonary artery or obstruction of pulmonary vein. On MR, accurate anatomy of PAPVR were found only in 4 cases. CONCLUSIONS: MR can provide accurate and complete imaging of systemic and pulmonary venous return in sitrs ambiguus. Especially, MR is superior to Cath or Echo in depiction of TAPVR with severe decrement of pulmonary flow of obstruction of pulmonary vein, PAPVR and bilateral SVC.
Heart
;
Heart Atria
;
Heterotaxy Syndrome*
;
Humans
;
Isomerism
;
Pulmonary Artery
;
Pulmonary Veins
;
Scimitar Syndrome
;
Veins
10.Intrapulmonary shunt and effect of PEEP therapy on pulmonary contusion.
Sung Oh HWANG ; Young Sik KIM ; Mu Eob AHN ; Kyoung Soo LIM ; Joong Hwan OH ; Jung Han YOON ; Kyung Hoon CHOE ; Sung Joon KANG
Journal of the Korean Society of Emergency Medicine 1992;3(2):23-30
No abstract available.
Contusions*