비관통성 흉부 손상에 의한 기도 파열 -1례 보고-

소동문 대한흉부심장혈관외과학회 1995 Journal of Chest Surgery (J Chest Surg) Vol.28 No.8

Tracheal rupture by a blunt trauma is an uncommon injury, and its clinical presentations are variable. It is a kind of the modern hazard. Herewith, we report a successful management of the tracheal rupture. A 22 year-old female was transferred from other hospital 4 hours after a car crash. Physical examination, simple chest X-ray, Chest CT and fiberoptic bronchoscopy revealed rupture of the membranous portion of the trachea about 5cm in length extending to the right main bronchus. Ruptured membraous portion of the trachea was sutured directly with absorbable suture. Her postoperative course was uneventful, and follow-up fiberoptic bronchoscopy revealed intact membranous portion of the trachea.

L-Carnitine을 함유한 전해질 혼합 음료가 단련한 흰쥐의 지구력 운동능력 및 글리코겐 절약 효과에 미치는 영향

소동문,원은경,최건식,박정선,김남익,김영일,이진주,연동수 대한스포츠의학회 2000 대한스포츠의학회지 Vol.18 No.2

It has been hypothesized that the increased fatty acid oxidation and carnitine trunover associated with endurance training could produce a relative carnitine deficiency in rats and for free fatty acid(FFA) oxidation and turnover during submaximal exercise. Thus, the present study was undertaken to investigate the influence of carnitine containing electrolyte beverages on endurance performance and muscle and liver glycogen sparing effects of endurance trained rats. Rats were trained on the treadmill for 4 weeks and seperated into control, electrolyte, carnitine and carnitine-electrolyte groups that they were supplied with water, electrolyte balanced beverage, carnitine(70mg/kg) in the water and carnitine in electrolyte balanced beverage for 4 weeks trained period, respectively. The exercise test for maximal running time(MRT) were measured on treadmill at 1.8 kilometer per hour (KPH) and 14% grade. The exercise test for measuring glycogen sparing effect of carnitine is consisted of running up 14%grade at 1.8 KPH for 0, 15, 30, 60 or 90 min. At the end of run, rats were sacrificed for the measurement of plasma FFA and glycerol, blood glucose and lactate concentration, and muscle of liver glycogen contents. The results are summarized as follows. 1. MRT of carnitine and carnitine electrolyte groups were significantly higher compared to the control. But there was no significant difference in MRT between control and electrolyte groups. 2. In carnitine and carintine electrolyte groups, the slow muscle glycogen contents after 30, 60, 90 min exercises, the fast muscle glycogen content after 90 min exercise were significantly higher compared to the control. 3. In carnitine and carnitine electrolyte groups, the liver glycogen contents after 60 and 90 min exercises were significantly higher compared to the control. 4. The plasma FFA and glycogen concentrations presented a nonsignificant trend toward higher values in carnitime and carnitine electrolyte groups than in the control. 5. There were no significant differences in blood glucose and lactate concentrations between carnitine of carnitine electrolyte group and the control. These results suggest that carnitine increase endurance performance of trained rats and increment of endurance performance was attributed to enhanced fat utilization and muscle and liver glycogen sparing effects of carnitine.

좌심실 부전증에서의 IABP 치험 - 5예 보고-

소동문 대한흉부심장혈관외과학회 1988 Journal of Chest Surgery (J Chest Surg) Vol.21 No.1

From July 1986 to June 1987, five patients were underwent IABP [intra aortic balloon pulsation] because of sever left heart failure in spite of maximum medication. These patients were reviewed as prophylactic IABP [1 patient], During operation [3 patients] and postoperative IABP [1 patients]. All patients were showed stable hemodynamic status with improved LV function during and after IABP. there was no IABP related complication or mortality. Advanced disease needs more effective methods of mechanical circulatory assistance and heart replacement.

폐에 발생한 경화성 혈관종 -3예 보고-

소동문 대한흉부심장혈관외과학회 1989 Journal of Chest Surgery (J Chest Surg) Vol.22 No.1

Sclerosing hemangiomas of the lung are uncommon benign tumors. Although their histologic appearances are distinct and well-defined, their histogenesis is uncertain. Liebow and Hubbell reported seven cases of unusual pulmonary lesions which they named sclerosing hemangiomas in 1856. Similar cases had previously been reported under different names: Xanthoma, pulmonary histiocytoma, Xanthofibroma. We have experienced 3 cases of sclerosing hemangioma of lung at the Department of Thoracic and Cardiovascular Surgery, Yonsei University, college of Medicine, Seoul, Korea during a period of December 1985 through September 1988. This report is an early result of surgical treatment of three patients with pulmonary sclerosing hemangioma and their pathologic findings.

죽상 경화성 대동맥-장골 동맥 혈관 질환의 외과적 치료

소동문,이철주 최신의학사 1995 最新醫學 Vol.38 No.8

자기 삼첨판막에 발생한 고립성 심내막염의 외과적 치료 -1예보고-

홍준화,소동문,정조원,홍창호 대한흉부심장혈관외과학회 1999 Journal of Chest Surgery (J Chest Surg) Vol.32 No.12

Native valve endocarditis (NVE) without preexisting structural valve or congenital cardiac malformation especially in pediatric group is rare. A case of isolated tricuspid valve endocarditis in a 7-year-old child without any cardiac malformation is described. This child had suffered from fever and productive cough for 3 weeks. Blood culture grew Staphylococcus aureus. Fever was not controlled even with proper antibiotic treatment. Transthoracic echocardiogram and lung perfusion scan revealed a large vegetation on the tricuspid valve with multiple embolism Surgical procedures included vegetectomy partial cusps resection and pericardial patch valvuloplasty. Th patient was in NYHA class I during follow up.

농흉에 있어서 비데오 흉강경을 이용한 늑막박리 및 배농술

류한영,소동문,이철주,최호 아주대학교 의과학연구소 1996 아주의학 Vol.1 No.1

A thoracic empyema is a collection of pus in the pleural space. The most effective treatment of empyema thoracis remains debated. Among the contending therapies, a technique of irrigation for the management of empyema has been described. Initial thoracoscopy under general anesthesia enabled full debridement and division of loculi within the empyema cavity with direct vision. So we employed thoracoscopic debridement and irrigation in a select group of patients with empyema, excluding those with complications, severely debilitated patients, and those with bronchopleural fistula. In particular we chose patients in the second phase of fibropurulent empyema for inclusion. All cases except one with lung cancer were completely resolved. Our results indicate that thoracoscopic debridement and drainage as a first-line measure for second phase empyema thoracis is a safe and relatively atraumatic procedure.

경피적 혈관봉합술 후 발생한 대퇴동맥 내막염 -1예 보고-

홍준화,최진욱,문종환,소동문 대한흉부외과학회 2006 Journal of Chest Surgery (J Chest Surg) Vol.39 No.11

경피적 혈관 봉합기는 혈관 조혈술 및 중재시술 후에 환자와 의사의 불편을 덜 수 있는 비교적 안전하고 간편한 방법으로 알려져 있으나 몇몇 합병증이 보고되고 있다. 본원에서는 경피적 혈관 봉합기를 사용하여 지혈을 받은 후 대퇴동맥 혈관내막염이 발생한 62세 남자 환자를 적절한 항생제 치료 및 자가 대복재정맥을 이용한 혈관 재건술로 성공적으로 치료하였기에 보고하는 바이다.

흉벽의 임파관종

김영진,이철주,소동문,김정태,강준규,홍준화 대한흉부심장혈관외과학회 1999 Journal of Chest Surgery (J Chest Surg) Vol.32 No.9

흉벽의 임파관종은 전 세계적으로 매우 드물게 보고 되어있다. 본원에서는 16세의 여자환자로 우측 상부 후측방 흉벽에 반복적으로 나타나는 거대 종괴를 주소로 내원한 임파관종 환자를 치험하였다. 진단은 이학 적 검사와 흉부 핵자기공명 촬영, 동위원소 임파관 촬영술을 실시하였으며 조직검사로 확진하였다. 치료는 외과적 완전 절제를 하였으며 술후 반복적 림프액의 유출로 수술부위에 vibramycin을 주사하였다. Lymphangioma(or cystic hygroma) of the chest wall is rare case. We experienced one such case in a 16-year-old girl who complained of a large recurrent mass on her right upper post erolateral chest wall which had developed several years ago. The diagnosis was made following a physical examination, chest magnetic resonance imaging(MRI), and radio isotope (RI) lymphangiogrphy and was confirmed by a histopathological examination. We performed total excision of the lesion followed by a repeated sclerosing therapy with intralesional injection of Vibramycin.

대동맥판막 폐쇄부전증을 동반한 대동맥판막 상부 협착증

김정태,이철주,소동문,한정선 대한흉부심장혈관외과학회 1999 Journal of Chest Surgery (J Chest Surg) Vol.32 No.6

대동맥판상부 협착증은 발살바동 상부에서부터 협착이 존재하는 비교적 흔치않은 선천성 질환이다. William 증후군없이 선천적으로 대동맥판 상부 협착증과 대동맥 좌관상판엽의 형성부전으로 인한 대동맥판 폐쇄부전증으로 진단받은 39세 여자환 悶“\ulcorner대동맥판막 치환술 및 Vascutek graft를 이용한 판탈롱 대동맥성형술을 시행 하였다. 환자의 술후경과는 좋았고 술후 9일째 퇴원하였다. Supravalvular aortic stenosis is an uncommon, congenital narrowing of the ascending aorta which originates just distal to the level of the ostium of the coronary artery. We conducted a successful surgical treatment in a 39 year- old female patient with a congenital supravalvular aortic stenosis and aortic regurgitation who did not show signs of William's syndrome. After we performed an inverted Y-shaped aortotomy toward the noncoronary sinus and right coronary sinus, pantaloon shaped prosthetic patch(Vascutek, Ino, USA) was used to repair the narrowing sinotubular junction. The aortic valve was replaced concommittently using Sorin Bicarbon 19mm. Her postoperative course was uneventful. The patient discharged at 9th postoperative day in good health.