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윤동욱,양지혁,전태국,박표원 대한흉부외과학회 2017 Journal of Chest Surgery (J Chest Surg) Vol.50 No.4
Background: The Ross/Ross-Konno procedure is considered a good option for irreparable aortic valve disease in pediatric patients because of its hemodynamic performance and potential for growth of the pulmonary autograft. This study is a review of the long-term results of our 20-year experience with the Ross and Ross-Konno operations in a single institution. Methods: Between June 1995 and January 2016, 16 consecutive patients (mean age, 6.0±5.9 years; range, 16 days to 17.4 years) underwent either a Ross operation (n=9) or a Ross-Konno operation (n=7). The study included 12 males and 4 females, with a median follow-up period of 47 months (range, 6 to 256 months). Results: T here were no c ases o f in-hospital or l ate mortality. S ix reoperations were performed in 5 patients. Four patients underwent right ventricular-pulmonary artery (RV-PA) conduit replacement. Two patients underwent concomitant replacement of the pulmonary autograft and RV-PA conduit 10 years and 8 years after the Ross operation, respectively. The rate of freedom from adverse outcomes of the pulmonary autograft was 88% and 70% at 5 and 10 years, respectively. The rate of freedom from valve-related reoperations was 79% and 63% at 5 and 10 years, respectively. Conclusion: Pulmonary autografts demonstrated good durability with low mortality. The Ross/Ross-Konno procedure is a good option that can be performed safely in pediatric patients with aortic valve disease, even in a small-volume center.
윤동욱,이상온,박표원 대한흉부외과학회 2019 Journal of Chest Surgery (J Chest Surg) Vol.52 No.2
We report the case of a female patient who underwent late reoperation following endocarditis surgery. The patient first underwent surgery at 22 years of age for endocarditis with aortic and tricuspid insufficiency. She underwent aortic root replacement with a homograft and tricuspid valve replacement with a tissue valve. Coronary artery bypass using the internal thoracic artery and ligation of the left main coronary artery were performed. Ten years later, failure of the homograft and the tricuspid valve developed. In the second operation, the patient underwent a successful Bentall operation and tricuspid valve replacement with a mechanical valve under deep hypothermia and retrograde cold cardioplegia without drainage.
비암성 통증 환자에서 아편 유사제 약물의 만성적 사용 증례 및 가이드라인 제안
윤동욱,강웅구 한국중독정신의학회 2019 중독정신의학 Vol.23 No.2
Opioid analgesics have been increasingly prescribed in recent years. In Korea, chronic opioid prescription has not common practice among physicians not treating cancer patients, and the lack of experience sometimes results in inadequate prescription and various medical and social problems. The authors have some experience with patients chronically using opioids. We have submitted a review paper to the Journal of Korean Neuropsychiatric Association (JKNPA) pertaining to chronic pain, opioid drugs, addiction, and the use of opioid medication. This paper is a “practical” version addressing the same topics, presenting cases, and guidelines. Here we present five of our patients chronically using opioid medications. Treatments seem to be successful for some patients, while not for other patients. After the case review, based on the author’s experience and existing literature, a simple guideline on the use of opioids in the treatment of chronic noncancer pain is proposed. This guideline is by no means comprehensive, and we hope in the future, that related experts would exert joint efforts to create better guidelines.
Isolated Tricuspid Regurgitation: Initial Manifestation of Cardiac Amyloidosis
윤동욱,박병조,김인숙,정동섭 대한흉부외과학회 2015 Journal of Chest Surgery (J Chest Surg) Vol.48 No.6
Amyloid deposits in the heart are not exceptional in systemic amyloidosis. The clinical manifestations of cardiac amyloidosis may include restrictive cardiomyopathy, characterized by progressive diastolic and eventually systolic biventricular dysfunction; arrhythmia; and conduction defects. To the best of our knowledge, no previous cases of isolated tricuspid regurgitation as the initial manifestation of cardiac amyloidosis have been reported. We describe a rare case of cardiac amyloidosis that initially presented with severe tricuspid regurgitation in a 42-year-old woman who was successfully treated with tricuspid valve replacement. Unusual surgical findings prompted additional evaluation that established a diagnosis of plasma cell myeloma.
윤동욱,전태국,김태호,심만식,장재석 대한흉부외과학회 2015 Journal of Chest Surgery (J Chest Surg) Vol.48 No.5
A five-month-old boy who had undergone previously transcatheter balloon atrioseptostomy at 3 days of age for complete transposition of the great arteries with ventricular septal defect and pulmonary stenosis underwent pulmonary root translocation with the Lecompte maneuver. This operation has the advantages of maintaining pulmonary valve function, preserving the capacity for growth, and avoiding problems inherent to the right ventricular to pulmonary artery conduit. This patient progressed well for 9 months postoperatively and we report this case of pulmonary root translocation with the Lecompte maneuver.
윤동욱,강웅구 대한신경정신의학회 2019 신경정신의학 Vol.58 No.3
Opioids are effective analgesics, but they are often difficult to use properly, due mainly to adverse events, such as constipation, respiratory depression, addiction, tolerance, and opioid induced hyperalgesia. In the past, the problem of opioids around the world was usually caused by drugs traded illegally, so there was no need for medical and social attention in Korea. On the other hand, with the dramatic increase in the therapeutic use of opioids, which commenced more than a decade ago, problems caused by legally prescribed drugs have emerged, and now a more serious opioid crisis is being experienced than in the days of illegal drugs. A growing number of patients are chronically prescribed opioids, and a growing number of health care providers and hospitals suffer from problems related to chronic prescription. Currently, in Korea, it is the time to pay serious attention to achieve the safe and effective use of prescribed opioids. This paper consists of the following parts. 1) A summary of the issues related to chronic pain, opioids, and problems associated with the use of opioids. 2) Some case examples the authors’ experienced. 3) Simple guidelines on the use of opioids in the treatment of chronic non-cancer pain are proposed based on the author’s experience and existing literature. These guidelines are by no means comprehensive, and hopefully in the future, related experts will join forces to develop better guidelines.