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김원 ( Weon Kim ),정명호 ( Myung Ho Jeong ),박옥영 ( Ock Young Park ),염주협 ( Ju Hyup Yeon ),김주한 ( Ju Han Kim ),류제영 ( Jay Young Rhew ),안영근 ( Young Keun Ahn ),조정관 ( Jeong Gwan Cho ),박종춘 ( Jong Chun Park ),간정채 ( 대한내과학회 2002 대한내과학회지 Vol.63 No.5
Recently the incidence of coronary artery diseases in young patients has been increased in Korea, which may be related with the changes in dietary habits, stress and smoking.This report presents an 18-year-old male patient who suffered from acute non-ST elevation myocardial infarction. He had a history of 1.5 pack-years smoking, but no other risk factors. Depression of ST segments more than 3 mm in V1-6, I and aVL was documented on a twelve-lead electrocardiogram. Two-Dimensional echocardiography revealed hypokinetic anteroseptal wall motion, and myocardial SPECT demonstrated severe, reversible perfusion defects in the anteroseptal wall. A diagnostic coronary angiogram and an intravascular ultrasound revealed total occlusion in the proximal left anterior descending coronary artery due to heavy atheromatous plaque. The lesion was treated successfully by a coronary balloon and stent. He has no major adverse cardiovascular event on nine-month clinical follow-up after discharge.(Korean J Med 63:572-576, 2002) Key Words : Myocardial infarction, Adolescence, Stents
Five-year Clinical follow-up after Revascularization for Chronic Total Coronary Artery Occlusion
Woo Seok Park,Myung Ho Jeong,Eun Suk Shin,Ju Hyup Yum,Seung Hyun Lee,Young Joon Hong,Ock Young Park,Ju Han Kim,Weon Kim,Young Keun Ahn,Jeong Gwan Cho,Jong Chun Park,Jung Chaee Kang Korean Society of Critical Care Medicine 2005 Acute and Critical Care Vol.20 No.1
BACKGROUND: Chronic total occlusion (CTO) has been considered as an unsuitable lesion for percutaneous coronary intervention (PCI) because of technical difficulty and low success rate. Owing to technical advances and increased operator's experience, PCI has been attempted in a large number of patients with CTO in recent years, but there are few long-term follow-up reports for PCI to CTO. METHODS: We analyzed 83 patients (59.7+/-9.2 years, 28 female) with CTO on diagnostic coronary angiogram at the Heart Center and Coronary Care Unit of Chonnam National Hospital from January 1996 to July 1997. The patients were divided into two groups according to revascularization by PCI or CABG (coronary artery bypass graft): the revascularized group (received PCI or CABG, Group I) and non-revascularized group (Group II). RESULTS: PCI was tried in 46 patients and successful in 33 patients (71.7% of the success rate). Eleven patients (13.3%) were treated with the coronary artery bypass graft (CABG) and 31 (37.3%) patients were medically treated. During 5-year clinical follow-up 11 patients died [13.1%; cardiac death 6 (7.1%), non-cardiac death 5 (6.0%)] and the major adverse cardiac events occurred to 24 (28.6%) patients. Cardiac death occurred to one patient of the Group I and 5 patients of Group II (p=0.06). The mean survival time was significantly different (57.8+/-9.2 months in Group I and 50.9+/-19.5 months in Group II, p=0.038). CONCLUSIONS: Revascularization for CTO prolonged the mean survival time of the patients on long- term clinical follow-up.
개방성 분쇄 함몰 두개골절 환자의 수술결과 및 임상양상
김성민,김상규,안명수,신동훈,조용준,김영옥,송준호,한영민,황우철,안무업,황장희,오세문 대한외상학회 1999 大韓外傷學會誌 Vol.12 No.2
Background : Compound comminuted depressed skull fractures(CCDsF) are common results of forceful blows to the head, especially when the applied force is focal. These lesions are relatively common injuries, and the management constitutes a significant portion of emergency surgery in any neurosurgical unit. To improve the surgical outcomes and to prevent the complications of these lesions, the authors retrospectively analyzed the clinical manifestations, the surgical results, and the prognostic factors related to the outcome. Materials and Methods: We reviewed retrospectively the 102 of 104 patients with CCDsF, who underwent emergency operations at the Neurosurgical Department of Hallym University Hospital from January 1992 to December 1998, with a mean follow-up period of 7.6 months. We evaluated the common clinical manifestations, the surgical methods and results, the complications, and the outcome. Hospital data were obtained from medical records and X-ray films. The χ2 -test and the Fisher-test were used for statistics and p <0.05 was taken as the measure of statistical significance. Results: The ages of the patients varied from 2 to 80 years(mean=26.5 ±19.0), and the peak age of incidence was the third decade in 23.6%; there were 88(86.3%) males and 14(13.7%) females. Motor vehicle accident was the leading cause of injury(61.8%). The initial Glasgow Coma Scale(GCS) on admission was 13-15 in 74.6% of the cases, 9-12 in 12.7%, and 3-8 in 12.7%; initial pupil responses were normal in 88.2%. The frontal area was the most common site(60.8%), followed by the parietal region(20.6%). Of the 102 patients, 50(49%) had dural lacerations, and 71(69.6%) had intracranial hematomas. A total resection of the fragmented depressed skull bones and foreign materials was the most common operative procedure(78.4%), while the others were surgically treated using primary repair of the fractured fragments. The outcome was favorable in 88.2% of the cases and the mortality rate was 8.8%. The outcome was correlated with the initial degree of GCS(p <0.05) and with the initial pupil response(p <0.05), but associated intracranial hematoma did not correlate with the final outcome(p >0.05). The most common postoperative complication was infection in 6.8% of the cases, followed by seizure in 5.8%. Conclusion : Compound comminuted depressed skull fracture should be managed urgently with surgical therapy. Therefore, the adequate initial management and proper application of surgica methods are essential in order to improve the outcome and to achieve the better surgical results.$quot;