활로 4징증의 외과적 완전교성 수술에 관한 임상적 고찰

임승평,외2인 대한순환기학회 1979 Korean Circulation Journal Vol.9 No.2

폐부엽에 발생한 기관지성낭종 (1례 보고)

임승평 대한흉부심장혈관외과학회 1979 Journal of Chest Surgery (J Chest Surg) Vol.12 No.1

A case of bronchogenic cyst arising from an accessory lobe in a 7-month old baby was encountered at Seoul University Hospital. On exploration, right lung consisted of 4 lobes and a huge cyst was confined to an accessory lobe, which had no bronchial connection. The cyst was filled with jelly-like thick mucus; inner surface was glistening and smooth. Microscopically, the cyst was lined with pseudostratified columnar epithelium. Bronchogenic cyst, moreover, which arising from an accessory lobe is very rare and interesting. And so, case report and review of literature was made.

근육형 심실중격 결손증 (치험 2예)

임승평 대한흉부심장혈관외과학회 1979 Journal of Chest Surgery (J Chest Surg) Vol.12 No.2

The muscular variety of congenital ventricular septal defect [Type IV VSD] comprises from 2 to 18% of the total number of patients and has multiple defects. It is difficult to diagnose by usual angiographic study. Out of 116 cases of isolated ventricular septal defects repaired at this hospital in 20 years period from 1959 and to May 8, 1979, 2 cases had muscular defect which was treated through vertical right ventriculotomy without any problems. Single defect was found in both cases and in one case PDA was associated with Type IV VSD.

심실중격결손증 수술후 발생한 Aspergillus 심내막염

임승평 대한흉부심장혈관외과학회 1979 Journal of Chest Surgery (J Chest Surg) Vol.12 No.3

A 15-year-old boy having a small VSD was readmitted with clinical manifestations of acute endocarditis and aortic regurgitation one month after open heart surgery. In spite of vigorous treatment with broad-spectrum antibiotics, high fever persisted. Pseudomonas aeruginosa was isolated just one time among several blood cultures. Progressive pulmonary infarction due to embolization. Progressive congestive heart failure and D.I.C. caused patient`s death. Aspergillus was found in autopsy specimen.

개심술 치험 10례 보고

임승평 대한흉부심장혈관외과학회 1983 Journal of Chest Surgery (J Chest Surg) Vol.16 No.1

This report is concerned to our experience of 10 cases of open heart surgery under the extracorporeal circulation at the Department of Thoracic and Cardiovascular Surgery, Capital Armed Forces General Hospital during the period between May, 1982 and February, 1983. 1. Six cases were male and two cases were female. Age was varied from 21 years to 50 years and mean age was 34 years. 2. The cases included 2 Ventricular Septal Defects, 1 Atrial Septal Defect, I Tetralogy of Fallot and 6 acquired valvular heart diseases. 3. The surgical managements were 3 primary repairs for Ventricular Septal Defects and Atrial Septal Defect, I total correction for Tetralogy of Fallot and 6 mitral valve replacements with bovine xenograft by Ionescu-Shiley combining 3 Tricuspid annuloplasties [ De Vega method ] and 1 deauricularization of left atrial appendage for acquired valvular heart diseases. 4. The average cardiopulmonary bypass time was 37 minutes for acyanotic congenital heart diseases and 92 minutes for cyanotic heart disease and acquired valvular heart diseases. And the average aortic cross clamping time was 19 minutes for the former and 70 minutes for the latter. 5. Postoperatively, there were 1 hemolytic anemia, 1 congestive heart failure, 1 hemolytic jaundice and 1 thermal burn as complications, but there was no operative mortality. 6. All patients received valve replacement were recommended anticoagulation with Persantin and Aspirin.

중증 근무력증의 외과적 치료

임승평,박경신 충남대학교 의과대학 지역사회의학연구소 1992 충남의대잡지 Vol.19 No.2

Myasthenia Gravis is an autoimmune disorder characterized by weakness and fatigue of the voluntary muscle after exercise. Thymectomy has been an important treatment modality in this disease after the successful case of Blalock in 1939. From November 1985 to August 1991, We performed thymectomy on 17 patients with myasthenia gravis by median sternotomy at the department of thoracic and cardiovascular surgery, Chungnam National University Hospital. With the mean follow-up period of 35 months. we have got the results as follows : 1) Among 17 cases, 9 were female and 8 were male, the mean age was 40.7 years. 2) Thymectomy was performed through the median sternotomy incision in all cases 3) According to the pathologic report, 4 had normal thymus, 3 had thymic hyperplasia, 3 had thymic fatty involution, 4 had thymoma, 3 had malignant thymoma 4) After thymectomy, complete remission was occurred in 3 case, asymptomatic in 10 cases, improvement was occurred in 4 cases, no one was died or worse. 5) There was no perioperative or late death after thymectomy, but minor complications, 2 cases of pleural effusion and a case of wound dehiscence, were developed.

휴벽에 발생한 원발성 연골육종

임승평,서경필,Im, Seung-pyeong,Suh, Kyung-Pill 대한흉부심장혈관외과학회 1980 Journal of Chest Surgery (J Chest Surg) Vol.13 No.2

A 36 years old male patient underwent en bloc excision of the primary chondrosarcoma arising from 8th, 9th and 10th ribs of the chest wall. The tumor was 11.5 x 7.5 x 6.5 cm in size and was 320 gram in weight. After en bloc excision of the tumor, the defect of the chest wall was reconstructed with pedicle muscle flap and using compression dressing for 2 weeks, there happened no respiratory problem. And so we made a case report and review of literature.

비청색증 선천성 심장질환의 임상적 고찰 : 심실중격결손증 42예 분석 Analysis of 42 Cases of Ventricular Septal Defect

임승평 충남대학교 의과대학 지역사회의학연구소 1985 충남의대잡지 Vol.12 No.2

A clinical analysis was Performed on 42 cases of ventricular septal defect experienced at Department of Thoracic and Cardiovascular Surgery, Chungnam National University Hospital daring 2.5 years period from April, 1983 to September, 1985. Of the 42 patients of ventricular septal defect, 29 patients were male and 13 patients were female and and ages ranged 1.4 years to 23 years old with the average age of 9.3 years. The chief complaints on admission were dyspnea on exertion (66.7%), frequent respiratory infection (59.5%%) and palpitation (16.7 %). Electrocardiographic findings were as follows: LVH 16(38.1%), BVH 12(28.9%) and RVH 4(9.5%). Cardiac catherizations were performed in 42 patients and mean Q_p/Q_s was 1.9 and mean systolic pulmonary artery pressure was 51.9 mmHg. 16 associated cardiac anomalies were found in 14 patients; Patent Foramen Ovale 5, Atrial Sectal Defect 3, Patent Ductus Arteriosus 3. Aortic Regurgitation 2, Mitral Regurgitation 1, Double Outlet Right Ventricle 1 and Left Superior Vena Cava 1. In anatomical classification by Kirklin, Type Ⅰ constituted 10 cases(23.8%), Type Ⅱ 30(71.4%) and Type Ⅲ 2(4.8%). Mean extracorporeal circulation time was 55.4min. and mean aortic cross clamping time was 36.7min. and varied by closing method and associated anomalies as in cases of primary closure closure, 37.5min. and 23.7min. and in cases of patch closure, 73.2min and 49. 8min., respectively. Postoperative complications were wound infecton 4, respiratory failure 3, residual shunt 3, epididymitis 1 and overall mortality rate was 4.8%(2 cases).

개심술후 감염예방에 대한 TIENAM^�의 임상 효과

임승평 충남대학교 의과대학 지역사회의학연구소 1992 충남의대잡지 Vol.19 No.1

A comparative study for the prophylactic effect of TIENAM was performed on 20 patients receiving cardiac value replacement. There were statistical differences in leukocyte counts between control group and experimental (TIENAM using) group, especially on the operative day and on the fifth postoperative day. In experimental group, leukocyte count returned to normal range within three days after operation however, it remained out of normal range even beyond the fifth postoperative day in control group. There was no statistical significance in renal function study(BUN, Cr.) between two groups. There was no significant clinical side effect relating to TIENAM, except for a mild, transient erythema around the injection site.

심방중격결손증의 외과적 치료

임승평 충남대학교 의과대학 지역사회의학연구소 1986 충남의대잡지 Vol.13 No.1

Twenty five patients with atrial septal defect operated on from May, 1983 to January, 1986, at the Department of Thoracic and Cardiovascular Surgery, Chungnam National University Hospital, were analysed retrospectively. Among the 25 patients of atrial septal defect, 7 were male and 18 were female. Their ages ranged from 4.6 years to 52.5 years old with the mean of 14.5 years. The main clinical symptoms on admission were exertional dyspnea (84%), frequent respiratory infection (76%), palpitation (52%), easy fatigability (24%). Electrocardiographic findings were as follows: Regular sinus rhythm (100%), RVH (56%), RBBB (24%) and first degree A-V block (4%). Hemodynamic study was performed in all cases and mean pulmonary systolic arterial pressure was 36.1±12.6mmHg. and mean Qp/Qs was 2.3±0.6. All 25 patients were operated on under direct vision using extracorporeal circulation. 21 cases were secundum type defect and a single hole was found in 20 cases. 10 associated cardiovascular anomalies were found 8 patients.: ventricular septal defect in 3, patent ductus arteriosus in 1, partial anomalous pulmonary venous drainage in 2, mitral regurgitation in 1, tricuspid regurgitation in 1, anomalous left atrial septation in 1 and valvular pulmonary stenosis in 1. The defects closed directly in 21 cases and with patches in 4. Postoperative complications were wound infection 2, arrhythmia 2, bleeding 1, intracardiac patch detachment 1, pneumothorax 1, urethral injury 1 and hoarseness 1. But there was no operative mortality,