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성인기 가와사키병에 합병된 관상동맥 질환에서의 관상동맥 우회술
송현,김상필,류상완,Song, Hyun,Kim, Sang-Pil,Ryu, Sang-Wan 대한흉부심장혈관외과학회 1999 Journal of Chest Surgery (J Chest Surg) Vol.32 No.9
가와사키병은 1967년 일본에서 처음 발표된 이후 전세계적으로 그 발생이 알려져 왔다. 소아 환자에서 치료받지 않는 경우 약 20%에서 관상동맥류가 발생하며, 그 중 2-3%에서 관상동맥협착이 발생한다고 알 려져 있다. 아직까지 성인에서는 가와사키병의 발생에 대한 보고가 많지 않은 상태이다. 본 증례는 43세 여자환자로 20여년 전 앓았던 것으로 생각되는 가와사키 늉\ulcorner의해 관상동맥류 및 협착증이 발생하여 좌 측 내유동맥, 우 위대망동맥, 대복재정맥을 이용하여 관상동맥 우회술을 시행하였으며, 수술후 5개월간 추적중 양호한 상태이다. The Kawasaki disease has been reported worldwide since the first description in 1967 in Japan. Approximately 20% of the children with untreated Kawasaki disease are believed to develop coronary artery aneurysm of which 2-3% progress to coronary artery stenosis. The Kawasaki disease rarely affects adults and accordingly, there have been only a few cases reported in literatures. The present case describes a successful surgical treatment of a 43-year-old female patient with coronary artery aneurysm and stenosis, which resulted from an episode of the Kawasaki disease that occurred 20 years earlier. The patient was well at 5 months followup.
송현,박계현,김웅한,전태국,Song, Hyun,Park, Kyeh-Hyeon,Kim, Woong-Han,Jun, Tae-Gook 대한흉부심장혈관외과학회 1994 Journal of Chest Surgery (J Chest Surg) Vol.27 No.9
From January 1983 to December 1992, There were 1441 papers in the Korean Journal of Thoracic and Cardiovascular Surgery. Among these papers, 783[54.3%] were original article or clinical analysis and 652[45.2%] were case reports. A total of 319 papers contained some statistical analysis. In 150 cases[47.0%] of these 319 papers, the statistical description was insufficient. Of the correctly described papers, 115[68%] had more than one statistical error. Of course, in many cases the errors were not considered to be severe, but they were often sufficient to raise doubts about some inferences. We suggest that authors should be more careful when they describe and apply statistical methods. If possible, authors should interpret results with statistical specialists. And we also suggest that our society have more extensive statistical refereeing system. This would at least prevent the worst errors from appearing in print. The last suggestion is elementary instruction in statistical methods during preclinical training.
송현,백완기,안혁,채헌,김종환,Song, Hyun,Baek, Wan-Ki,Ahn, Hyuk,Chae, Hurn,Kim, Chong-Whan 대한흉부심장혈관외과학회 1992 Journal of Chest Surgery (J Chest Surg) Vol.25 No.2
From April 1977 to March 1991, 44 patients have undergone excision of intracardiac myx-omas, 36 cases were located in the left atrium[81.6%], 3 cases in the right atrium[6.6%], 2 cases in the right ventricle[4.5%], 3 cases in the left ventricle[6.6%], There were 32 female and 12 male. The mean age of patients was 39.6$\pm$12.3 years[ranged 11 to 67 years]. The major preoperative symptoms included exertional dyspnea in 35[79.6%], palpitation in 23[52.3%], syncopal episodes in 9[20.4%], and signs of systemic illness; low-grade fever, weight loss, arthralgia, headache and so on. The diagnosis was made by echocardiography alone in 7[15.9%], and by combination of angiography and echocardiography in 37[84.1%]. The weight of the tumor ranged from 15 to 115gm[mean weight, 47.6$\pm$27.6gm], and the volum of the tumor was 129.1cm3[$\pm$149.0]. Follow-up time ranged from 0.6 to 9 years[mean follow-up, 65$\pm$3.22 years]. There were no early and late deaths during the follow-up period. Tumor recurred in one patient with left atrial myxoma 8 years later, who underwent successful reoperation. Postoperative complications occurred in 12 patients: episodes of sup-raventricular arrhythmia in 7, convulsion in 2, wound problem in 2, tricuspid valve regurgitation in 1, massive bleeding in 1, and intubation granuloma in one. In conclusion, surgical excision of the myxoma can be considered curative with excellent long-term result.
우위대망동맥을 이용한 관상동맥 우회술 100례의 임상적 고찰
송현,임한중,이현우,정종필,신제균,김종욱,박종빈,이재원,송명근,Song, Hyun,Lim, Han-Jung,Lee, Hyun-Woo,Jung, Jong-Pil,Shin, Je-Kyoun,Kim, Jong-Ook,Park, Jong-Bin,Lee, Jae-Won,Song, Meong-Gun 대한흉부심장혈관외과학회 2000 Journal of Chest Surgery (J Chest Surg) Vol.33 No.8
Background: In an effort t enhance long term patency of coronary bypass grafts, utilization of arterial conduits have been on an icrease. With the same objective, we have been using the right gastroepiploic artery(RGEA)in coronary artery bypass procedures since 1998. The current paper has been undertaken with the aim of assessing the apropriateness, problems, and short term results of using the RGEA as an arterial graft conduit by studying the postoperative clinical results of 100 patients than received coronary artery bypass grafting (CARG) with this artery. Material and Method: Between May of 1998 and May of 1999, an analysis of the mortality, postoperative myocardial infarction, and the need for IABP insertion as a result of low cardiac output were made between 100 consecutive patients undergoing CABG with the RGEA. Result: There was one postoperative death due to cerebral infarction. Postoperative complications/morbidity comprised myocardial infarction in 2, cerebral infarct in 3, reoperation due to bleeding in 1, mediastinitis in 1, and low cardiac output syndrome necessitating IABP in 3 patients. Complicatons related to harvesting of the arterial grafts were not experienced in any of the patients. Conclusion: The results of the current data show that utilization of the RGEA in CABG is not associated with increased mortality/morbidity and demonstrates satisfactory short term results suggesting the usefulnessof this conduit as an arterial graft.
성인 동맥관 개존증의 임상적 고찰 : 개심술과 결찰술과의 비교
송현,김성호,안혁,채헌,김종환,Song, Hyun,Kim, Sung-Ho,Ahn, Hyuk,Chae, Hurn,Kim, Chong-Whan 대한흉부심장혈관외과학회 1991 Journal of Chest Surgery (J Chest Surg) Vol.24 No.1
Methods for the operative management of patent ductus arteriosus are now well established, and in the vast majority of children the circulatory shunt can be safely and effectively abolished by dividing the ductus or by closing it in continuity with ligatures and transfixing sutures. In adults, however, closure of patent ductus arteriosus may pose important technical problems, particularly when there are associated pulmonary hypertension, calcification, aneurysm and infective endocarditis. Under these circumstance, division or ligation is unusually hazardous because the diseased vessels often fracture or tear when sutures are placed in them. Then we closed the patent ductus arteriosus by use of cardiopulmonary bypass in 18 patients and ligated the ductus via thoracotomy in 18 patients from Jan. 1986 to May 1990. And we compared the results between two different methods. We concluded that ligation of ductus had a problem of rupture and transpulmonary internal suture closure of PDA had a problem of injury of recurrent laryngeal nerve.
송현,제형곤,나루토 마쯔다,이재원,송명근,Song, Hyun,Je, Hyoung-Gon,Matsuda, Naruto,Lee, Jae-Won,Song, Meung-Gun 대한흉부심장혈관외과학회 2001 Journal of Chest Surgery (J Chest Surg) Vol.34 No.5
심장에서 발생하는 모셀혈관종은 극히 드문 양성 종양이다. 본원에서는 호흡곤란을 주소로 내원한 13세 남자 환자에서,심포음파상 중등도의 혈류 폐쇄를 초래하는 우심실내 종괴를 확인한 후, 우심방을 통해 완전 절제하여 조직검사상 모세 혈관종을 발견하였기에 문헌고찰과 더불어 증례보고하는 바이다.
송현,이영순 한국재활심리학회 2017 재활심리연구 Vol.24 No.4
본 연구는 외상 후 성장 과정을 이해하기 위해 구조적 모형을 설정하고 이를 검증하고자 하였다. 선행연구를 바탕으로 정서인식명확성, 정서적 자기노출, 사회적 지지, 의도적 반추, 심리적 수용, 그리고 외상 후 성장과 주관적 안녕감의 관계를 바탕으로 구조적 모형을 설정하였다. 이를 위해 대학생 535명을 대상으로 설문을 실시하였고, 설문에 성실히 응답하지 않았거나 외상사건 경험이 없다고 보고한 설문을 제외한 후 443명의 자료를 분석하였다. 연구모형 검증을 위해 SPSS를 활용한 기초통계분석과 AMOS를 활용한 구조방정식 모형 검증 및 분석을 실시하였다. 모형검증 결과, 연구모형에서 유의하지 않은 경로를 제거한 수정모형을 최종모형으로 선정하였다. 분석 결과는 다음과 같다. 첫째, 정서인식명확성은 정서적 자기노출, 심리적 수용에 정적인 영향을 미쳤으며, 정서적 자기노출은 사회적 지지에 정적인 영향을 미쳤다. 사회적 지지는 의도적 반추, 심리적 수용, 외상 후 성장과 주관적 안녕감에 정적인 영향을 미쳤고, 의도적 반추는 외상 후 성장에 정적인 영향을 미쳤다. 그리고 심리적 수용은 외상 후 성장과 주관적 안녕감에 정적인 영향을 미쳤고, 외상 후 성장은 주관적 안녕감에 정적인 영향을 미쳤다. 둘째, 정서인식명확성과 외상 후 성장, 주관적 안녕감의 관계에서 정서적 자기노출, 사회적 지지, 의도적 반추와 심리적 수용은 매개효과를 나타내었다. 마지막으로 본 연구의 의의와 한계, 그리고 후속연구를 위한 제언에 대해 논의하였다.