통상성 간질성 폐렴(UIP)과 비특이성 간질성 폐렴(NSIP) 환자의 폐포상피세포에서 세포 사멸(Apoptosis)의 비교

문인성,박정웅,정성환,하승연 대한결핵 및 호흡기학회 2001 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.93 No.0

이식장기 부족의 해결방안

文仁成 대한의사협회 1996 대한의사협회지 Vol.39 No.1

대퇴동맥-슬동맥 우회술의 임상분석

문인성,박장상,고용복,이훈효,김승남 대한혈관외과학회 1997 Vascular Specialist International Vol.13 No.1

The femoropopliteal arterial bypass is one of the most widely used vascular procedures for arterial reconsturctions of infrainguinal region. We performed 71 femoropopliteal bypass operations in 54 patients from January 1993 to December 1995 at the Dept. of surgery, Kangnam St. Mary's Hospital in Catholic University Medical College. We reviewed these patients retrospectively with admission and out paient charts with following results. 1) Most of patients were male in 50(92.6%) with peak incidence in the seventh decade 29(53.7%). 2) The etiologies were artherosclerosis obliterans(ASO) in 92.6% and thromboangitis obliterans(TAO) in 7.4%. 3) The associated diseases were 31 hypertensions (57.4%), 18 diabetes mellitus(33.3%), 3 chronic renal failures(5.6%), 2 abdominal aortic aneurysms(3.7%) and 2 cerebrovascular accidents(3.7%). 4) We used PTFE(polytetrafluoroethylene) synthetic graft in 65 cases and autogenous saphenous vein in 7 cases for graft material. 5) The inflow procedures were performed simultaneously in 36 cases(50.7%), which were 26 aortobifemoral bypasses, 7 iliofemoral bypasses, 2 AAA(abdominal aorta aneurysm) repairs and 1 aortobiliac bypass. The additional outflow procedures were performed in 6 cases; 4 Taylor's patches and 2 Miller's cuffs. 6) The primary patency rate at six months 93.3%, one year 87.3%,two years 68.3%, three years 48.8% and the secondary patency rate at six months was 93.8%, one year 87.3%, two years 71.2%, three years 61.1. 7) The complications after bypass were 6 wound problems, 3 major amputations, 1 lymphatic leakage, but there were no death cases. Even though our primary patency rate of the femoropopliteal bypass was somewhat poorer than that of reported foreign data, we could find secondary patency rate was acceptable with others by aggressive vascular approaches. After femoropopliteal bypass, even consecutive below knee vascular reconstruction, poor vasculatures were seemed to be the leading cause to major amputations and toe amputations. Further clinical study should be followed in the future.

Management of Vascular Trauma in Special Situation

문인성 대한외과학회 1997 대한외과학회 학술대회 초록집 Vol.1997 No.11

염증성 동맥류 12예의 임상적 고찰

문인성,박장상,고용복,김중연,김용귀 대한혈관외과학회 1997 Vascular Specialist International Vol.13 No.2

Department of Surgery, Catholic University Medical College, Seoul, Korea The optimal management of inflammatory aneurysm is still a matter of controversy, especially in surgical aspect. The disease is a infrequent entity and without surgical intervention, usually lead to uncontrolled sepsis or catastrophic hemorrhage. We report 12 cases of inflammatory aneurysms those admitted and were managed at Kangnam St. Marys hospital during 6 years from April, 1991 through April, 1997. The medical records and dermographical datas of these patients were reviewed. Of these 12 patients, ten were male and three were female in age range from 37 through 80 years with a mean of 60 years. The diagnosis was mainly based on operative findings with aids of radiological and microbiological evidences. The number of location of involved arterial segments were 4 of thoracic aorta, 1 of suprarenal abdominal aorta, and 7 of infrarenal abdominal aorta including 2 of common iliac arteries. The main symptoms of these patients were abdominal or chest pain in 11 according to the location of the involved arterial segments, back pain in 6, fever and chillness in 8. The incidence of suspicious infected microorganisms of the patients, not of the credible direct cause of aneurysm itself, were 3 of Salmonellosis in Widal test, 2 of tuberculosis in AFB or sputum culture, 2 of G(-) bacilli in blood culture, and 1 of syphilis in FFA-ABS . 8 patients were operated by substituting the diseased arterial segments with artificial graft and 4 patients were medically managed. Of the 8 patients operated, one died within 48 hours after operation by sepsis. 7 patients were discharged by ambulation. In the 4 medically treated patients, one expired in hospital and three were discharged hopelessly. 7 patients those discharged after operation has been managed in out-patient department.

PTFE 인공혈관 주위의 이소성 골형성으로 인한 하지동맥폐쇄의 경험

문인성,박장상,고용복,김용귀,성상욱,김승남 대한혈관외과학회 1997 Vascular Specialist International Vol.13 No.2

The ectopic bone formation is a condition in which mature lamellar bone is formed in tissues that do not normally ossify, which was first described by Riedel in 1883. It has been observed at sites of chronic infection, hemorrhage, fibrous scamng or contracture. The pathophysiology of ectopic bone formation is not clearly identified but has complex and multifaceted causes, which resulted to differentiate the non-circulating pluripotent mesenchymal cells to osteoblastic stem cells. The local environment conditions of trauma, disruption of soft tissues and periostium, bone debris, hematoma, damaged muscle, uncommitted fibroblasts are suspected to be one of the causes of this condition. Comparing to simple soft tissue calcification, the ectopic bone has all the morphologic and biochemical characteristics of orthotopic bone, which is subjected to turnover and even has the ability for bone marrow formation. A case of late occlusion in a femoro-post. Tibial PTFE graft about 5 months after vascular reconstruction due to ectotopic bone formation, which is confirmed by pathology around the graft is presented. After excision of the ectopic bone around the inflow vascular anastomosis site with re-vascularization, the patient was free from the ischemic leg symptoms. We reported a case of occlusion of vascular anastomosis site by ectopic bone formation with review of literature.

폐쇄성 동맥질환에서의 지체 절단

문인성,박장상,고용복,전병무,송동희 대한혈관외과학회 1995 Vascular Specialist International Vol.11 No.1

Advances in vascular surgical techniques and increase in the number of vascular surgical reconstructions have not reduced the number of major lower limb amputations over the past decades. Consequently, amputation at the above and below-knee level continues to be a necessary part of the management of patients with end stage peripheral vascular disease. The amputation including rehabilitation is one of the vascular procedures with high cost especially for patients who suffered for a long time. And it must be a primary responsibility of vascular specialists to reduce the necessity for amputation to a minimum. The purpose of this study is to examine the follow-up on our amputation patients to relation between amputation level and disease proper characteristics. A retrospective review is made for 67 cases of vascular amputations which were carried out in 921 patients of chronic occlusive arterial disease of extremities during 10 years from 1985 to 1994. 1) The total number of major amputation was 67 cases with peak incidence in forties in men, however it affects almost men between 30 years and 60 years of age. 2) In 45 patients(78%), various operations such as lumbar sympathectomy, arterial bypass surgery and amputations had been performed previously. 3) In 67 patients, 34 patients were classified as TAO (thromboangitis obliterans) and 30 patient was ASO (atherosclerosis obliterans). There were l6 A-K (above knee) amputation, 38 B-K (below knee) amputation and 13 metatarsal amputations. 4) The time interval between first diagnosis and amputation was 4.5 months in ASO and 15.7 months in TAO. And it 49 patients(73%) had been received the vascular bypass surgery within the 6 months, previously. 5) The amputation rate was not affected by the vascular procedures. 6) In 22 patients(32%), the reamputation was performed mostly within 1 year. More aggressive treatment of claudicants may effect a reduction in amputation rates, but for the present, the most realistic chance of reducing further the need for amputation is to ensure optimal management of those with already established critical ischemia.

심부정맥 혈전증의 진단과 치료

문인성 대한외과학회 1999 대한외과학회 학술대회 초록집 Vol.1999 No.11

In memory of Yong Bok Koh

문인성 대한이식학회 2020 Korean Journal of Transplantation Vol.34 No.4

복부 대동맥 가동맥류를 동반한 Bechet씨병 : 4예 4 case report

문인성,박장상,고용복,박삼곤 대한혈관외과학회 1994 Vascular Specialist International Vol.10 No.1

Behgets disease is a multisystemic disorder characterized by vasculitis. The clinical triad of relapsing uveitis with recurrent oral and genital ulceration was descibed by Hulusi Behget, a Turkish dermatologist, in 1937. It's etiology remains unknown. Later, it was realized that there may be some other systemic manifestation of the disease at the time of diagnosis, including vascular lesions, central nervous system involvement, arthritis, pulmonary and gastrointestinal involvement. Behqets disease may also begin with the manifestation of vascular involvement instead of the classical triad of symptoms. Behcets disease is of interest to not only dermatologists and ophthalmologists but also to physicians of virtually every other specialty because it is a systemic disease that spares no organ in the body. Although vascular lesions are not listed among the criteria for diagnosis of Behqets disease, up to 25-35% of patients develop vascular complications and probably an even greater proportion of patient may have small vessel vasculitis as the pathological basis of systemic manifestation. Here, we report 4 cases of Behqet disease, involuing dbdominal aorta and its main branches with review of literature.