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비정상적인 쇄골하동맥을 가진 만성 대동맥류 박리증 환자에서 시행한 전대동맥궁 치환술
오홍철 순천향대학교 순천향의학연구소 2020 Journal of Soonchunhyang Medical Science Vol.26 No.2
The aberrant subclavian artery is a rare vascular malformation, the aberrant vessel may arise from the proximal descending aorta. Reports of aortic dissection or aortic aneurysm in patients with aberrant subclavian artery have been reported to be rare. Author report a successful total aortic arch replacement under selective antegrade brain perfusion using an occlusion catheter rather than right axillary artery cannulation in a patient with chronic aortic aneurysmal dissection with aberrant subclavian artery.
이석열,오홍철,전철우,이승진,이철세,이길노,조현득 대한흉부외과학회 2008 Journal of Chest Surgery (J Chest Surg) Vol.41 No.3
We report here on two cases of a 48-year old woman and a 46-year-old man who both presented with broncholithiasis and obstructive pneumonitis. Removal of the broncholithiasis failed with bronchofibroscopy, and so right middle lobectomy of the lung were done in the 2 patients. The histopathologic diagnosis was thoracic actinomycosis associated with broncholithiasis. Thoracic actinomycosis associated with broncholithiasis is a very rare condition, so we report here on these two cases of thoracic actinomycosis associated with broncholithiasis.
홍영광,장원호,오홍철,박영우 대한심장혈관흉부외과학회 2022 Journal of Chest Surgery (J Chest Surg) Vol.55 No.6
The innominate artery is an uncommon site for an aneurysm, and tracheal compression caused by an innominate artery aneurysm is a very rare occurrence. An innominate artery aneurysm can cause catastrophic complications, such as rupture or thromboembolism. The most common surgical approach for open repair is median sternotomy with cardiopulmonary bypass, but cerebral ischemic injury and thromboembolism can occur during surgery. We present the case of a male patient who had an isolated giant innominate artery aneurysm causing tracheal compression, which was successfully managed by surgical repair.
간경화를 가지고 있는 여호와의 증인 환자의 수술 중 실혈관리를 위한 Tranexamic Acid와 Hemocoagulase의 동반 사용 예
유재화,김건태,오홍철 순천향대학교 순천향의학연구소 2020 Journal of Soonchunhyang Medical Science Vol.26 No.2
A 78-year-old Jehovah’s Witnesses women with hepatitis B viral liver cirrhosis scored as Child-Pugh A was scheduled for debulking operation of peritoneal carcinomatosis due to right ovarian cancer. Despite the need for preoperative strategies for correction of anemia and coagulopathy due to the risk of significant intraoperative hemorrhage, preoperative management was missing. In ad- dition, she exhibited preoperative hemoglobin, hematocrit levels, and platelet count of 10.5 g/dL, 33.6%, and 85,000/μL, respec- tively. To minimize intraoperative blood loss, we used the combination of tranexamic acid and hemocoagulase, intraoperative blood loss counted about 700 mL, and the immediate postoperative hemoglobin was 9.0 g/dL. She recovered well without any anemic complications or thromboembolic events.
장원호,염욱,오홍철,한정욱,김현조 대한흉부외과학회 2010 Journal of Chest Surgery (J Chest Surg) Vol.43 No.5
Lymphorrhea is a common complication after inguinal dissection for exposure of the femoral artery. Injury of the lymphatics occurs frequently because they are anatomically close to blood vessels. Uncontrolled lymph drainage increases postoperative morbidity, and wound infection may follow. Despite current treatment options, lymphorrhea after inguinal dissection is still difficult to manage and results in a prolonged hospital stay. A vacuum-assisted closure device was used in a 72-year-old woman who had lymphorrhea after vascular surgery by groin incision. Vacuum-assisted control for lymphorrhea resulted in earlier closure of the wound and reduced the length of hospital stay. 임파루는 대퇴부 절개를 이용한 혈관 수술시 흔히 발생하는 합병증이다. 임파선은 해부학적으로 혈관과 매우 가깝게 위치하기 때문에 혈관 노출 과정에서 드물지 않게 손상된다. 임파액을 적절하게 배액시키지 않으면 환자가 다른 합병증으로 이환되는 원인으로 작용할 수 있으며, 흔히 창상 감염을 야기한다. 이에 대한 다양한 치료법이 보고되었음에도 임파루는 치료하기 어렵고 결국에는 재원기간을 연장 시킨다. 서혜부 절개를 이용한 혈관 수술을 받은 72세 여자환자에게서 수술후 임파루가 발생하였으며 창상에 음압 요법을 시행하였다. 조기에 적절한 배액이 되었고, 창상 치유가 원활하여 창상 봉합이 가능하였기에 재원기간을 단축할 수 있었다.