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김의현,오용구,임진우,채종률,이민희,최윤건 대한내과학회 1988 대한내과학회지 Vol.35 No.4
An aneurysm of the sinus of Valsalva is relatively rare. From May 1986 to April 198S, we found three patients with this pathology at our institution. In all patients, diagnosis was suspected by echocardiography before cardiac catheterization and angiography. The final diagnosis was confirmed at surgery. This case report describes the echocardiographic findings in our patients with a rcview of the literature about echocardiographic manifestations of sinus of Valsalva aneurysms with or without rupture. Echocardiography is useful in detecting abnormalities of the aortic root and provides important information prior to cardiac catheterization and surgery. One patient had a 60 mmHg peak systolic pressure gradient between the right ventricle and pulmonary artery; the obstruction was caused in part by the bulging of the sinus of Valsalva aneurysm into the right ventricular outflow tract as well as by infundibular pulmonic stenosis. The corrective surgery was performed without complication and the postoperative course was uneventful.
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이민희(Min Hee Lee),채종률(Jong Ryul Chae),최윤건(Yoon Gun Choi),장필식(Pil Sik Jang),박형근(Hyoung Gun Park) 대한내과학회 1988 대한내과학회지 Vol.35 No.3
N/A The clinical features and laboratory findings of 123 patients with histologica]ly confirmed Hashimoto's thyroiditis were examined from April 1984 to December 1987 at the Masan Koryo General Hospital. The results were as follows: 1) All 123 patients with Hashimoto's thyroiditis were women and the age distribution showed the peak incidence between the second and fourth decades (Average of 35 years). 2) Eighty-four cases (68.3%) had a moderately diffuse goiter, 106 cases (86.2%) firm and 98 cases (79.7%) had symmetrical swelling of the glands. Thirty-Seven cases (30.1%) were palpated as nodular surfaced thyroids. 3) All 123 patients could be divided into three groups according to the thyroid function test on initial visits, i. e. euthyroid 59 cases (48.0%); hypothyroid, 49 cases (39.8%) and hyperthyroid, 15 cases (12.2%), 4) The positive rate for antithyroglobulin and antimicrosomal antibody were 30.8% and 74.5%. The difference in the titer of antibodies according to the thyroid function status could not be observed. 5) One hundred thyroid scans were studied and classified into the following groups: 48 cases (48%) showed diffuse enlargement with inhomogeneous uptake, 18 cases (18%) showed diffuse enlargement with increased uptake, 16 cases (16%) showed normal appearance, 13 cases (13%) showed cold areas, and 5 cases (5%) showed both lobes faintly visualized. 6) The thyroid needle biopsy is considered as a safe, important diagnostic tool for differential diagnosis and for determining the prognosis. 7) With thyroid hormone therapy, goiters were reduced and various symptoms were improved in the hypothyroid group.
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