1.CLINICAL EXPERIENCES OF MICROSURGICAL FINGERNAIL RECONSTRUCTION.
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1997;24(6):1408-1414
No abstract available.
Nails*
2.Calcification and Aneurysms of Coronary Artery without Atherosclerosis in Young Adult.
Ji Shin LEE ; Young Jik LEE ; Jong Tae PARK
Korean Journal of Legal Medicine 1997;21(1):105-112
Coronary artery calcification(CAC) is found frequently in the atheromatous plaques CAC is known to have increased frequency above 40 years. CAC without evidence of atherosclerosis in young adults is quite rare, however, CAC combined with aneurysms in young adults have been infrequently reported in patients with a past history of a Kawasaki disease in child. We report an autopsy case showing CAC and aneurysm in the absence of macroscopically identified atherosclerotic lesions in a healthy 23-year-old man. The autopsy examination revealed aneurysmal dilatation of the right coronary artery which was connected with calcified lesion. A calcified lesion of the left anterior descending coronary artery was aslo noted. Microscopically, aneurysmal wall was non-specific except for hyalinized wall and foci of calcification. A striking histologic finding of calcified mass was ring calcification along the wall of the coronary artery. Antecedent Kawasaki disease in the past was suggestive as other reports.
Aneurysm*
;
Atherosclerosis*
;
Autopsy
;
Child
;
Coronary Vessels*
;
Dilatation
;
Humans
;
Hyalin
;
Mucocutaneous Lymph Node Syndrome
;
Plaque, Atherosclerotic
;
Strikes, Employee
;
Young Adult*
3.A Study for Hemodynamic Mechanism of Myocardial Infarction following Aortic Dissection.
Young Jik LEE ; Ji Shin LEE ; Jong Tae PARK
Korean Journal of Legal Medicine 1997;21(1):97-104
Aortic dissection may be considered the result of a discrepancy between the strength of the aortic wall and the intramural pressure. And factors that predispose to aortic dissection may include systemic hypertension, cystic medial necrosis, Marfan's syndrome, atherosclerosis, disease of aortic valve, pregnancy, giant cell arteritis, hyperthyrosis, disease of aortic valve, pregnancy, giant cell arteritis, hyperthyroidism, and blunt chest trauma. A few of aortic dissection may extend retrograde toward the aortic valve and involve the coronary arteries. Coronary artery occlusions due to mural dissection are an uncommon but well documented cause of myocardial infarction. Although rare, extramural hematoma compressing the coronary artery is another cause of myocardial infarction. At autopsy of 43 years old male who had no critical external wound, pericardial sac was distended and contained 400ml of dark red and clotted blood. Examination of the aorta revealed only minute atherosclerosis, intact aortic valve, and patent coronary ostia. 0.5cm sized aortic rupture was noted at the 3.5cm distal to the aortic valve. DeBakey type II aortic dissection was found to involve the ascending aorta and brachiocephalic trunk. Three intimal tears were 1.5cm, 8cm. 11.5cm distal to the aortic valve and two false lumens which had intact area between them extended 3.5cm distal to the third intimal tear and proximally in a retrograde fashion to the aortic root. Microscopically, sections of aorta showed relatively intact arrangement of smooth muscle and elastic fibers, except mild vascular ectasia and scattered several foci of the small sized aggregation of foamy histiocytes, and there was no evidence of cystic medial degeneration in aorta. Sections of both coronary arteries did not show mural dissection or atherosclerosis. Sections of right atrium and sinus node showed inflammatory reaction, extensive replacement of myocardium by active fibrous tissue consistent with infarction. There was no histologic evidence of myocardial infarction in the walls of other chambers or septum of the heart. We believe that extramural compression of the artery to sinus m\node by the dissecting hematoma was the cause of myocardial infarction involving the right atrium and the sinus node.
Adult
;
Aorta
;
Aortic Rupture
;
Aortic Valve
;
Arteries
;
Atherosclerosis
;
Autopsy
;
Brachiocephalic Trunk
;
Coronary Vessels
;
Dilatation, Pathologic
;
Elastic Tissue
;
Giant Cell Arteritis
;
Heart
;
Heart Atria
;
Hematoma
;
Hemodynamics*
;
Histiocytes
;
Humans
;
Hypertension
;
Hyperthyroidism
;
Infarction
;
Male
;
Marfan Syndrome
;
Muscle, Smooth
;
Myocardial Infarction*
;
Myocardium
;
Necrosis
;
Pregnancy
;
Sinoatrial Node
;
Thorax
;
Wounds and Injuries
4.A Case of Atropie Blanche Accompanied by Cryoglobulinemia.
Tae Young YOUN ; Jai Il YOUN ; Yoo Shin LEE
Korean Journal of Dermatology 1985;23(2):253-257
We report a case of atrophie blanche which was accompanied by cryoglobulinemia. The patient, 17-year-old female, have had recurrent painful ulcerations and ivory-white atrophic scars with telangiectases surrounded by hyperpigmentation. On histological examination, vessel wall thickening and hyalinization of the intima, partial vascular occlusion, vascular proliferation and mild perivascular chronic inflammatory cells infiltration and hemorrhage in the upper dermis were noted. The patient had been treated with dipyridarnol(Persantin) and acetylsalicylic acid hut the lesions had been waxed and waned.
Adolescent
;
Aspirin
;
Cicatrix
;
Cryoglobulinemia*
;
Dermis
;
Female
;
Hemorrhage
;
Humans
;
Hyalin
;
Hyperpigmentation
;
Telangiectasis
;
Ulcer
5.The Clinical Coures of Mild Neonatal Hydronephrosis.
Jong Ho PARK ; Young Tae LEE ; Jae Seop SHIN
Korean Journal of Urology 2000;41(7):872-877
No abstract available.
Hydronephrosis*
6.A case of catamenial hemoptysis.
Yang Soo SHIN ; Young Tae KIM ; Kyu Wan LEE
Korean Journal of Obstetrics and Gynecology 1992;35(10):1533-1536
No abstract available.
Hemoptysis*
7.Median sternotomy for simultaneous bilateral bullectomy.
Young Tae KWAK ; Dong Ki HAN ; Shin Yeong LEE
The Korean Journal of Thoracic and Cardiovascular Surgery 1992;25(7):763-768
No abstract available.
Sternotomy*
8.Extraosseous Tuberculosis of the Extremities
Key Yong KIM ; Young Tae KIM ; Who Shin CHO
The Journal of the Korean Orthopaedic Association 1980;15(2):242-247
Extraosseous tuberculosis of the extremities is relatively rare even in the wide spread incidence of bone and joint tuberculosis. And few reports about extraosseous tuberculosis of the extremities have been published in the literatures. Eight cases of the extraosseous tuberculosis of the extremities were experienced at the Department of Orthopaedic Surgery, National Medical Center, from 1975 to Sep. 1979. Five out of 8 extraosseous tuberculosis were tenosynovitis and the others were bursitis in location. All cases were surgically excised and combined with antituberculous chemotherapy, and primarily cured.
Bursitis
;
Drug Therapy
;
Extremities
;
Incidence
;
Tenosynovitis
;
Tuberculosis
;
Tuberculosis, Osteoarticular
9.Lhermitte-Duclos Disease in a Sudden Death: An autopsy case.
Tae Jung KWON ; Tae Seung KIM ; Han Young LEE ; Shin Mong KANG
Korean Journal of Pathology 1994;28(1):73-78
Lhermitte-Duclos disease of the cerebellum manifests itself as a slowly growing mass formed by abnormal neurons that appear more malformative than tumoral. Although most cases show satisfactory clinical evolution, several cases, not recognized in life, died abruptly, usually from respiratory arrest. We recently experienced a 19 year old male, who died suddenly during alcohol drinking. At autopsy, the cerebellum revealed thickening of the folia over two limited areas. Microscopically, the lesion was characterized by proliferation of abnormal neuronal cells with excessive myelination of their axons, disappearance of Purkinie cells and greatly reduced white mater. Theories regarding the pathogenesis of Lhermitte-Duclos disease were reviewed and discussed.
10.The Relationship of Mitral Valve Area Measured by 2-Dimensional Echocardiography with the M-Mode Measurements in Mitral Valvular Stenosis.
Sung Pyo SON ; Tae Won JUNG ; Youn Ho KIM ; Yung Woo SHIN ; Young Kee SHIN
Korean Circulation Journal 1983;13(2):295-302
Mitral valvular orifice area is important for the evaluation of prognosis and treatment of patients with mitral valvular stenosis. Until recently, Gorlin's formula using cardiac catheterization has been utilized in the measurement of mitral valve area, but it is invasive and impractical to examine repeatedly. Recently 2-Dimensional echocardiography appeared to be a practical and useful substitute in measurement of valve area and also it is economical and has no risk to patients. In 31 patients with mitral valvular stenosis examined at the echocardiography room of Busan national University Hospital from March 1982 to March 1983, we measured the mitral valve area with 2-Dimensional echocardiography and evaluated its relationship with the left ventricular functions measured on M-mode echocardiogram. Among many parameters on M-mode measurements EF slope, excursion amplitude and the ratio of left atrial dimension to aortic root dimension were rather helpful for the assessment of severity of mitral valvular stenosis than other parameters. And each relationship with the valve area showed correlation coefficient of 0.60, 0.05 and -0.58, respectively.
Busan
;
Cardiac Catheterization
;
Cardiac Catheters
;
Constriction, Pathologic*
;
Echocardiography*
;
Humans
;
Mitral Valve*
;
Prognosis
;
Ventricular Function, Left