We experienced a case of primary aldosteronism due to adrenal adenoma. The patient was 45-year old female, whose main complaints were weakness, headache, and fatigue. By use of abdominal CT scan, ultrasonogram, adrenal angiogram and by result of clinical laboratory findings, we conculuded the diagnosis of adrenal adenoma, and confirmed it by surgical and pathologucal findigs. The clinical sympyoms disappeared after left adrenalectomy, and laboratory findings of renin, aldosterone, electrolutes were normalized but hypertension persisted, so she has been managed by antihypertensives.
Adenoma ; Adrenalectomy* ; Aldosterone ; Antihypertensive Agents ; Diagnosis ; Fatigue ; Female ; Headache ; Humans ; Hyperaldosteronism* ; Hypertension* ; Middle Aged ; Renin ; Tomography, X-Ray Computed ; Ultrasonography

We successfully closed the isolated patent ductusarteriosus(PDA) in 2 female patients using the Rashkind Double-Disc Occlusion system. nonsurgical closure of PDA usin plug was introduced by Porstmann in 1968 through transfemoral artery catheter and using umbrella by Rashkind in 1977 througth venous site. There has been continued improvement and simplification of the equipment as well as in the implantation technique. Nowaday, a multicenter study was conducted to test the safety and effectiveness of this interventioal method in States. Successful closure rate was high but some problems were reported such as embolization, abnormal deployment and residual shunt. Residual shunt was visualized by aortography in our both cases immediately after intervention but continuous murmur could not be heard in both cases. Oxygen step-up disappeared immediately after occluder implantation in both cases. Complete occlusion was expected with thrombus in near future.
Aortography ; Arteries ; Catheters ; Ductus Arteriosus, Patent* ; Female ; Humans ; Oxygen ; Thrombosis

We define acute respiratory failure(ARF) as present whenever the ratio of arterial oxygen tension (PaO2) and inspired oxygen concentrarion(FiO2) is below the normal predicted range for the patient's age and/or the arterial carbon dioxide tension(PaCO2) is above 45 in the absence of respiratory compention for metabolic alkalosis. Adult respiratory distress syndrome(ARDS) which is associated with shock, trauma, infection, inhalation of toxic gas, aspiration of gastric content and drugs etc, first received wide-spread attention in 1967. ARDS is a descriptive term that is characterized by a combination of refractory hypoxemia and severly decreased lung compliance. Numerous specific incidents or illnesses may be complicated by, or associated with ARDS. Early diagnosis and improvement in physiological therapy including PEEP therapy have been successful in treating the early and mild episodes of ARDS. This report describes three cases of ARF following anesthesia and reviews the literature.
Adult ; Alkalosis ; Anesthesia* ; Anoxia ; Carbon Dioxide ; Early Diagnosis ; Humans ; Inhalation ; Lung Compliance ; Oxygen ; Respiratory Insufficiency* ; Shock

Aneurysms of the coronary arteries are rare. They may be due to atheroselerosis, mucocutaneous lymph node syndrome, mycotic emboli, syphilis or trauma and occasionally they are congenital. The prognosis appears to be poor and death can occur suddenly from rupture of the aneurysm, peripheral coronary embolism or bacterial endocarditis. Recently surgical treatment has been successful. In a 5 year old patient with ventricular septal defect, two aneurysmal sacs located at the cardiac crux and just posterior to it was proved by coronary angiography and MRI, and successfully excised at operation.
Aneurysm* ; Child, Preschool ; Coronary Angiography ; Coronary Vessels* ; Embolism ; Endocarditis, Bacterial ; Heart Septal Defects, Ventricular ; Humans ; Magnetic Resonance Imaging ; Mucocutaneous Lymph Node Syndrome ; Prognosis ; Rupture ; Syphilis

No abstract available.
Humans

The congenital diverticulum of ventricle is a rare cardiac malformation arising from the left or right ventricle, the former being more common. Ventricular diverticulum is usually associated with other anomalies including intracardiac, midline thoracic, diaphragmatic and abdominal wall defect. The authors experienced a case of congenital diverticulum of left ventricle in nine month-old female infant. Left Blolock-Taussig shunt operation was done and total correction will be done later. Thereafter we presented a case with brief review of the related literatures.
Abdominal Wall ; Diverticulum* ; Female ; Heart Ventricles ; Humans ; Infant ; Pulmonary Atresia*

No abstract available.
Diatomaceous Earth* ; Follow-Up Studies* ; Pneumoconiosis*

No abstract available.
Chelating Agents* ; Lead Poisoning*

PURPOSE: Challenge of asthmatic patients by means of inhalation of allergens may produce both an early and a late asthmatic reaction. This Study was designed to understand th late-phase asthmatic reaction animal models of asthma and to using facilitate basic pathophysiologic research relevant to this clinical disorder. METHODS: We examined light microscopic and transmission electron microscopic pulmonary morphology of experirnentally allergen-induced asthmatic model of Sprague-Dowley rat to get more precise and time-ordered morphologic changes. The animals were sensitized and induced by ovalbumin with aluminum hydroxide and Pertussis vaccine as adjuvants. RESULTS: The morphologic changes of early reaction were identified in the group sacrificed at 15 minute after induction. The major change was noted in bronchial epithelium revealed as cytologic vacuolization and desquamation into the lumina. There were no identifiable changes in bronchial smooth muscle and no increased infiltration of eosinophils in the lung. The late reaction was identified in the group sacrificed at 4 hours after induction. The major changes were increased infiltration of eosinophils in the bronchial and bronchiolar mucosa and submucosa, increased deposition of collagen beneath the bronchial subepithelial basement membrane, and morphologic changes of bronchial smooth muscle layer. The thickness of the bronchial smooth muscle layer were increased and the smooth muscle cell showed nuclear contraction, increased numbers of mitochondria near the nuclei, irregular distribution of actin filaments in the cytoplasm and focal ballooning of the cytoplasm. Smooth muscle was the most pronounced in the group sacrificed 1 week after induction. The group of sensitization only revealed no identifiable morphologic changes compared with the control group. The group of induction only showed increased infiltration of eosinophils and increased numbers of perinuclear mitochondria in smooth muscle cells, and which features were similar but milder than sensitization and induction group. CONCLUSION: This study will help us to understand time-ordered precise histologic changes of allergic airway inflammation.
Actin Cytoskeleton ; Allergens ; Aluminum Hydroxide ; Animals ; Asthma ; Basement Membrane ; Collagen ; Cytoplasm ; Eosinophils ; Epithelium ; Humans ; Inflammation ; Inhalation ; Lung ; Mitochondria ; Models, Animal ; Mucous Membrane ; Muscle, Smooth ; Myocytes, Smooth Muscle ; Ovalbumin ; Pertussis Vaccine ; Rats*

Preoxygenation is routine preior to induction of general anesthesia for the purpose of maintaining oxygenation during laryngoscopy and tracheal intubation. A common method of preoxygenation is 3~5 minutes of 100% O2 breathing. In some emergency states, ther may not be adequate time for a full 3~5 min of preoxygenation. REcently, Gold and some others showed that four maximally deep inspirations of 100% O2 within 30 seconds are as effective as 5 minutes of inhaltion of 100% O2 for increasing the PaO2. We compared the changes of arterial blood gas between a group which took deep breaths for 1 minute with 100% O2 and a group breathing spontaneously for 5 minutes with 100% O2.
Anesthesia, General ; Emergencies ; Humans ; Intubation ; Laryngoscopy ; Oxygen ; Respiration