1.Anesthetic management for neonate with giant cystic hygroma involved upper airway: A case report.
Hyunzu KIM ; Hyuk Soo KIM ; Jung Tak OH ; Jeong Rim LEE
Korean Journal of Anesthesiology 2011;60(3):209-213
Significant differences exist between neonatal and adult airways. Anesthetic management of the airway may be challenging in neonate and young infant with large neck mass because these patients are at risk for sudden complete airway occlusion resulting in hypoventilation and hypoxemia. We experienced a 30-day-old baby presented with large cystic hygroma on the left side of neck. This mass was infiltrated in pharynx and large enough to disturb swallowing and breathing, and was not reduced despite of sclero-therapy. Therefore he was decided to get surgical removal. During the gaseous induction with sevoflurane, spontaneous respiration was maintained because difficulty was encountered with intubation. Intraoperatively, the endotracheal tube was dislodged unexpectedly because vigorous surgical traction. Postoperatively the baby was extubated 2 day after operation, and suffered from transient facial nerve palsy and continuous discharge from surgical wound. He was administered ICU for a long time.
Adult
;
Anoxia
;
Deglutition
;
Facial Nerve
;
Humans
;
Hypoventilation
;
Infant
;
Infant, Newborn
;
Intubation
;
Lymphangioma, Cystic
;
Methyl Ethers
;
Neck
;
Paralysis
;
Pharynx
;
Respiration
;
Traction
2.Outcomes of Nonpledgeted Horizontal Mattress Suture Technique for Mitral Valve Replacement.
Gun Jik KIM ; Jong Tae LEE ; Young Ok LEE ; Joon Young CHO ; Tak Hyuk OH
The Korean Journal of Thoracic and Cardiovascular Surgery 2014;47(6):504-509
BACKGROUND: Most surgeons favor the pledgeted suture technique for heart valve replacements because they believe it decreases the risk of paravalvular leak (PVL). We hypothesized that the use of nonpledgeted rather than pledgeted sutures during mitral valve replacement (MVR) may decrease the incidence of prosthetic valve endocarditis (PVE) and risk of a major PVL. METHODS: We analyzed 263 patients, divided into 175 patients who underwent MVR with nonpledgeted sutures from January 2003 to December 2013 and 88 patients who underwent MVR with pledgeted sutures from January 1995 to December 2001. We compared the occurrence of PVL and PVE between these groups. RESULTS: In patients who underwent MVR with or without tricuspid valve surgery and/or a Maze operation, PVL occurred in 1.1% of the pledgeted group and 2.9% of the nonpledgeted group. The incidence of PVE was 2.9% in the nonpledgeted group and 1.1% in the pledgeted group. No differences were statistically significant. CONCLUSION: We suggest that a nonpledgeted suture technique can be an alternative to the traditional use of pledgeted sutures in most patients who undergo MVR, with no significant difference in the incidence of PVL.
Endocarditis
;
Heart Valves
;
Humans
;
Incidence
;
Mitral Valve*
;
Suture Techniques*
;
Sutures
;
Tricuspid Valve
3.Mid-Term Outcomes of Single-Port versus Conventional Three-Port Video-Assisted Thoracoscopic Surgery for Primary Spontaneous Pneumothorax.
Hanna JUNG ; Tak Hyuk OH ; Joon Yong CHO ; Deok Heon LEE
The Korean Journal of Thoracic and Cardiovascular Surgery 2017;50(3):184-189
BACKGROUND: The benefits of video-assisted thoracoscopic surgery (VATS) have been demonstrated over the past decades; as a result, VATS has become the gold-standard treatment for primary spontaneous pneumothorax (PSP). Due to improvements in surgical technique and equipment, single-port VATS (s-VATS) is emerging as an alternative approach to conventional three-port VATS (t-VATS). The aim of this study was to evaluate s-VATS as a treatment for PSP by comparing operative outcomes and recurrence rates for s-VATS versus t-VATS. METHODS: Between March 2013 and December 2015, VATS for PSP was performed in 146 patients in Kyungpook National University Hospital. We retrospectively reviewed the medical records of these patients. RESULTS: The mean follow-up duration was 13.4±6.5 months in the s-VATS group and 28.7±3.9 months in the t-VATS group. Operative time (p<0.001), the number of staples used for the operation (p=0.001), duration of drainage (p=0.001), and duration of the postoperative stay (p<0.001) were significantly lower in the s-VATS group than in the t-VATS group. There was no difference in the overall recurrence-free survival rate between the s-VATS and t-VATS groups. CONCLUSION: No significant differences in operative outcomes and recurrence rates were found between s-VATS and t-VATS for PSP. Therefore, we cautiously suggest that s-VATS may be an appropriate alternative to t-VATS in the treatment of PSP.
Drainage
;
Follow-Up Studies
;
Gyeongsangbuk-do
;
Humans
;
Medical Records
;
Operative Time
;
Pneumothorax*
;
Recurrence
;
Retrospective Studies
;
Survival Rate
;
Thoracic Surgery, Video-Assisted*
4.Delayed Ascending Aorta Replacement in Blunt Chest Trauma with Aortic Injury
Shin Ah SON ; Gun Jik KIM ; Young Woo DO ; Tak Hyuk OH
Journal of the Korean Society of Traumatology 2018;31(1):24-28
Ascending aortic injury after blunt chest trauma is an emergency condition that requires urgent diagnosis and treatment. The authors report the case of a patient with traumatic ascending aortic injury who received ascending aorta replacement under cardiopulmonary bypass after failure of primary repair.
5.Endovascular Salvage for Traumatic Midthoracic Aortic Rupture with Left Diaphragmatic Injury
Shin Ah SON ; Tak Hyuk OH ; Gun Jik KIM ; Deok Heon LEE ; Kyoung Hoon LIM
Journal of the Korean Society of Traumatology 2018;31(2):66-71
Patients with traumatic aortic rupture rarely reach the hospital alive. Even among those who arrive at the hospital alive, traumatic aortic rupture after high-speed motor vehicle accidents leads to a high in-hospital mortality rate and is associated with other major injuries. Here, we report a rare case of descending midthoracic aortic rupture with blunt diaphragmatic rupture. Successful management with emergency laparotomy after an immediate endovascular procedure resulted in a favorable prognosis in this case.
6.Staged Management of a Ruptured Internal Mammary Artery Aneurysm.
O Young KWON ; Gun Jik KIM ; Tak Hyuk OH ; Young Ok LEE ; Sang Cjeol LEE ; Jun Yong CHO
The Korean Journal of Thoracic and Cardiovascular Surgery 2016;49(2):130-133
The rupture of an internal mammary artery (IMA) aneurysm in a patient with type 1 neurofibromatosis (NF-1) is a rare but life-threatening complication requiring emergency management. A 50-year-old man with NF-1 was transferred to the emergency department of Kyungpook National University Hospital, where an IMA aneurysmal rupture and hemothorax were diagnosed and drained. The IMA aneurysmal rupture and hemothorax were successfully repaired by staged management combining endovascular treatment and subsequent video-assisted thoracoscopic surgery (VATS). The patient required cardiopulmonary cerebral resuscitation, the staged management of coil embolization, and a subsequent VATS procedure. This staged approach may be an effective therapeutic strategy in cases of IMA aneurysmal rupture.
Aneurysm*
;
Embolization, Therapeutic
;
Emergencies
;
Emergency Service, Hospital
;
Endovascular Procedures
;
Gyeongsangbuk-do
;
Hemothorax
;
Humans
;
Mammary Arteries*
;
Middle Aged
;
Neurofibromatosis 1
;
Resuscitation
;
Rupture
;
Thoracic Surgery, Video-Assisted
7.Part 8. Cardiopulmonary resuscitation education: 2015 Korean Guidelines for Cardiopulmonary Resuscitation.
Hyuk Jun YANG ; Gi Woon KIM ; Gyu Chong CHO ; Yang Ju TAK ; Sung Phil CHUNG ; Sung Oh HWANG
Clinical and Experimental Emergency Medicine 2016;3(Suppl 1):S66-S68
No abstract available.
Cardiopulmonary Resuscitation*
;
Education*
8.Traumatic Right Pulmonary Artery Rupture after Accidentally Being Stepped on the Chest
Shin Ah SON ; Chae Min BAE ; Tak Hyuk OH ; Young Woo DO ; Yangki SEOK ; Joon Yong CHO
The Korean Journal of Thoracic and Cardiovascular Surgery 2019;52(5):380-383
Traumatic pulmonary artery rupture is a rare, life-threatening injury. Currently, no strict guidelines for its management exist. Herein, we report a successful surgical repair of a right pulmonary artery rupture caused by being stepped on.
Cardiopulmonary Bypass
;
Pulmonary Artery
;
Rupture
;
Thorax
9.Traumatic Right Pulmonary Artery Rupture after Accidentally Being Stepped on the Chest
Shin Ah SON ; Chae Min BAE ; Tak Hyuk OH ; Young Woo DO ; Yangki SEOK ; Joon Yong CHO
The Korean Journal of Thoracic and Cardiovascular Surgery 2019;52(5):380-383
Traumatic pulmonary artery rupture is a rare, life-threatening injury. Currently, no strict guidelines for its management exist. Herein, we report a successful surgical repair of a right pulmonary artery rupture caused by being stepped on.
10.Cardiac Perforation Caused by Bone Cements as a Complication of Cement Augmented Pedicle Screw Fixation Using the Fenestrated Pedicle Screw: A Case Report
Seong Wook HONG ; Tak-Hyuk OH ; Jae Min JEON ; Young-Seok LEE ; Kyoung-Tae KIM
Korean Journal of Neurotrauma 2020;16(2):337-342
Cement-augmented fenestrated pedicle screw fixation is becoming more popular for osteoporotic patients. Although several reports have been published on leakage-related problems with bone cement, no cases of cardiac perforation after cement-augmented pedicle screw fixation have been reported. We present a case of cardiac perforation after cement-augmented fenestrated pedicle screw fixation. A 67-year-old female was admitted to our hospital with complaints of dyspnea and chest pain after lumbar surgery. She had been treated with L4–5 lumbar interbody fusion and percutaneous pedicle screw fixation with bone cement augmentation seven days earlier for degenerative spondylolisthesis. The right chest pain was observed a day after the surgery; she was treated conservatively but it did not improve for 7 days after surgery. Chest computed tomography (CT) revealed a hemothorax and a large sharp bone cement fragment that perforated the right atrium. Bone cement can be removed with thoracotomy surgery. We have to be aware of cement leakage through the normal venous drain system around the vertebral body. We also have to consider a detailed cardiac workup, which may include chest CT or echocardiography, if a patient complains of chest pain or dyspnea after cement augmentation.