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- 저자 : 원수연(Soo Yeon Won) (검색결과 5 건)
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이면성 심초음파도에 의한 관상동맥 우회로술후 좌심실 국소 벽운동의 변화
원수연(Soo Yeon Won),전일문(Il Mun Jeon),박명선(Myoung Seon Park),장명규(Myoung Kyu Jang),유재규(Jae Kyu Ryu),정진원(Jin Won Jeong),박양규(Yang Kyu Park),박옥규(Ock Kyu Park),최종범(Jong Bum Choi) 대한내과학회 1993 대한내과학회지 Vol.45 No.6
N/A Objectives: Studies on the effect of Coronary Artery bypass Graft Surgery (CABG) on segmental left ventricular wall motion have yield conflicting results. So we assessed changes of segmental left ventricular wall motion in patients with coronary artery disease after CABG and advantage of 2dimensional echocardiography on evaluating its effectiveness. Methods: 20patients with coronary artery disease (12unstable angina pectoris, 8 acute myocardial infarction) were studied with 2-dimensional echocardiography before and early 8.3±3.3 (mean±SD) and late 204.5±105.9 days after CABG. The changes in segmental wall motion were assessed quantitatively by assigning a segmental wall motion score recommended by ASE (1: normal, 2: hypokinesia 3: akinesia, 4: dyskinesia, 5: aneurysm) to each of 16echocardiographically defined segments by 45-degree rotating apical 4-plane views (8 in basal, 8 in apical). Results: 1) The mean left ventricular segmental wall motion score did not change significantly (1, 10±0.37, l.25±0.47, 1.12±0.40; befror, early and late after CABG respectively). 2) There was a significant change in septal wall motion at early postoperative study [37 (46%) of the 80septal segments; 1.14±0.41, 1.59±0.59(p<0.001): before and early after CABG respectively], and the worsening segments were nearly normalized at late postoperative study [24(92%) of 26segments]. 3) The segments with normal motion preoperatively remained normal late postoperatively [169(99%) of 171normal segments preoperatively]. 4) Most of the preoperative abnormal segments [23(96%) of 24segments] were in patients with acute MI and a half of them (11segments) were normalized at late postoperative study. 5) While the anterior or anteroseptal preoperative abnormal segments were usually improved postoperatively, the posterior or inferior abnormal segments were not changed significantly. Conclusion: A part of the abnormal segmental left ventricular wall motion in coronary artery disease can be improved after CABG and 2-dimensional echocardiography may be beneficial to assessing not only the changes of segmental left ventricular wall motion motion quantitatively but also the effectiveness of CABG.
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전일문,원수연,박명선,정진원,박양규,박옥규 圓光大學校 醫科學硏究所 1993 圓光醫科學 Vol.9 No.1-2
Single coronary artery is rare and occur in 0.03% to 0.4% of the population. In about 40% of the reported cases it is associated with other congenital anomalies. The prognosis for patients with a single coronary' artery varies from excellent with no decrease in life expectancy to sudden death. Single coronary artery may contribute to angina because a relatively small proximal vessel may either become diseased or make distal coronary arterial lesions more hemodynamically significant by reducing coronary blood flow. We report a case of single coronary artery originated from left single coronary ostium in a 37-year-old male with atypical chest pain.
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김학철,송승렬,장명규,강정성,원수연,전일문 대한내과학회 1994 대한내과학회지 Vol.46 No.2
Esophageal duplication is rare congenital malformation of the gastrointestinal tract, and it may occur at any level in the esophagus, but more frequently in the lower third. There are 2 types of it, cystic and tubular, the former is more common than the latter, and some- times its also classified as communicating type or non-communicating type whether the accessory lumen has opening to the esophagus or the adjacent structure or not. The clinical symptoms are variable according to the location, the type of esophageal dulication. We experienced an asymtomatic case considered as partial tubular duplication of esophagus that had two longitudinal folds those were not changed during the degluttination and connected the two orifices in the lower esophagus. So we report one case of partial tubular duplication of esophagus with review of the literatures.
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피부 병변 및 전신임파선증을 동반한 급성 골수성 백혈병 환자 1 예
이용구,송승렬,박명선,유재규,강정성,원수연,전일문,장명규 대한내과학회 1993 대한내과학회지 Vol.45 No.6
We describe a patient with acute myelogenous leukemia who demonstrated striking leukemia infiltration in back and large cervical, axillary and inguinal 1ymphadenopathy, A 62-year-old man had visited to our hospital with complaints of sore throat, cervical lymphadenopathy and multiple nodules on the skin. Skin biopsy specimen showed diffuse dermal, subcutaneous and fat infiltration of abnormal cells that appeared to be leukemic cell in nature. Bone marrow biopsy and aspiration specimen showed findings of acute monocytic leukemia. Treatment was initiated with combination chemotherapy (Thioguanine, Daunorubicin and Cytarabine) and radiation therapy. We report one case of acute monocytic leukemia patient who had multiple leukemia infiltration on the skin and generalzed lymphadenopathy.
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박명선,정진원,박양규,최종범,유재규,박옥규,장명규,원수연,전일문 대한내과학회 1994 대한내과학회지 Vol.47 No.1
Chylopericardum is particularly uncommon and usually secondary to intrathoracic operation, chest trauma, primary or metastatic tumors, chronic inflammation and congenital lymphatic anomaly which cause obstruction of the lymphatic drainage. However, primary chylopericardium unrelated to trauma or chylothorax is a rare condition and its etiology remains obscure in most cases. We have experienced a 69-year-old female patient with primary chylopericardium who was treated with repeated pericardiocentesis, pericardiectromy, and thoracic duct ligation. So we report a case of primary chylopericardium with a review of literature.
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