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Extensive Primary Cardiac Lymphoma Diagnosed by Percutaneous Endomyocardial Biopsy
진정연,이재학,맹일호,정수연,황희정,윤호중,정미향,김진진,김지현,이재범 한국심초음파학회 2009 Journal of Cardiovascular Imaging (J Cardiovasc Im Vol.17 No.4
Primary cardiac lymphoma (PCL) is an extranodal non-Hodgkin’s lymphoma exclusively located in the heart and/or pericardium. It is rare in immunocompetent patients and represents 1.3% of primary cardiac tumors and 0.5% of extranodal lymphomas. The clinical behavior is aggressive and the early symptoms are cardiac failure, syncope, arrhythmia, or pericardial effusion. Although echocardiography, computed tomography (CT) scan, magnetic resonance image (MRI) are the mainly used imaging techniques to detect cardiac tumors, pathologic examination is always required to confirm the diagnosis. Diagnosis of PCL is difficult due to non-specific clinical manifestations and requires invasive approach to get histopathologic evidence. While surgery with systemic chemotherapy or in combination with irradiation has been attempted, the only effective treatment is chemotherapy. However, the prognosis remains poor. We report on a 42-year-old woman who is diagnosed histopathologically as PCL by cardiac catheterization assisted percutaneous endomyocardial biopsy and treated successfully by anthracycline based chemotherapy. Primary cardiac lymphoma (PCL) is an extranodal non-Hodgkin’s lymphoma exclusively located in the heart and/or pericardium. It is rare in immunocompetent patients and represents 1.3% of primary cardiac tumors and 0.5% of extranodal lymphomas. The clinical behavior is aggressive and the early symptoms are cardiac failure, syncope, arrhythmia, or pericardial effusion. Although echocardiography, computed tomography (CT) scan, magnetic resonance image (MRI) are the mainly used imaging techniques to detect cardiac tumors, pathologic examination is always required to confirm the diagnosis. Diagnosis of PCL is difficult due to non-specific clinical manifestations and requires invasive approach to get histopathologic evidence. While surgery with systemic chemotherapy or in combination with irradiation has been attempted, the only effective treatment is chemotherapy. However, the prognosis remains poor. We report on a 42-year-old woman who is diagnosed histopathologically as PCL by cardiac catheterization assisted percutaneous endomyocardial biopsy and treated successfully by anthracycline based chemotherapy.
진정연,윤호중 연세대학교의과대학 2014 Yonsei medical journal Vol.55 No.4
Purpose: The effect of radiofrequency catheter ablation (RFCA) on left atrial (LA) volume and function in patients with paroxysmal atrial fibrillation (PAF) has not been extensively studied. The aim of this study was to evaluate the long-term impact of RFCA on LA volume and function in patients with PAF. Materials and Methods: A total of 90 patients with drug-refractory PAF who had sinus rhythm on the initial echocardiogram were examined at baseline, 3 months and 1 year afterablation. We measured LA volume index, LA ejection fraction (LAEF; maximal--minimal LA volume/maximal LA volume), and LA active emptying fraction (LAAEF; mid-diastolic--minimal LA volume/mid-diastolic LA volume). Results: After 12±1 months, 78 patients returned, and 61 patients (78%) had sinus rhythm. After 3 months, the LA maximal volume indices decreased (from 33±13 to 28±12 mL/m2; p<0.001). But, LAEF and LAAEF also decreased (from 48±13 to 39±12; p<0.001, from 27±13 to 19±11; p<0.001). After 1 year, LA volumes, LAEF, and LAAEF remained similar at 3 months. In patients without atrial fibrillation (AF) recurrence, LAEF and LAAEF decreased after 3 months (from 50±12 to 40±11; p<0.001, from 29±13 to 22±11; p<0.001) and did not change after 1 year. However,in patients with AF recurrence, those who did not have decreased levels after 3 months had significantly decreased after 1 year (from 43±14 to 34±11; p=0.026, from 22±12 to 15±10; p=0.012). Conclusion: Successful RFCA of PAF decreased LA volume and function at 3 months. At one year, LA volume and function was remained unchanged in successfully ablated patients whereas LA function in patientswith AF recurrence worsened.
수중대향충돌 처리를 통한 β-키토산 나노섬유 필름의 기계적 강도 향상
장세연 ( Seyeon Jang ),김중권 ( Joong-kwon Kim ),진정호 ( Jungho Jin ) 한국키틴키토산학회 2020 한국키틴키토산학회지 Vol.25 No.3
본 연구에서는 ACC 처리를 통한 β-키토산의 나노섬유화가 용해성, 결정 및 화학 구조, 기계적 특성에 어떤 영향을 미치는지 알아보았다. ACC pass 횟수가 증가함에 따라 β-키토산 응집체가 점차 와해되어 나노섬유로 존재하는 것을 확인하였으며, 이에 따라 β-키토산의 증가된 표면적으로 인해 AA와 반응할 수 있는 -NH2의 밀도가 증가하여 수용액의 신속한 제조가 가능하였다. β-키토산은 ACC 처리 과정에 의해 결정 구조 및 화학 구조가 변하지 않았으나, 약산성의 AA 수용액에 용해되면서 결정성이 다소 감소하였다. 또한 β-키토산의 나노섬유화가 이루어짐에 따라 β-키토산 필름은 장력하에서 발생하는 ChiNF 간의 상호작용에 의해 높은 강도와 낮은 연신율을 나타내었다. 뿐만 아니라 β-키토산과 ChiNF 50P를 1:1로 혼합한 필름을 제작함으로써 연신율과 인장 강도 조절의 가능성을 제시하였다. Squid pen-derived β-chitosan nanofibers (ChiNF) were obtained using an aqueous counter collision (ACC) method - a typical top-down process to produce nanofibers of natural polymers - according to different number of ACC treatments (pass) as a variable. Transparent free-standing β-chitosan films were solvent-casted from aqueous acetic acid (AA) solutions of ChiNF, raw β-chitosan powder as well as their mixture, of which dissolution time, X-ray diffraction (XRD), Fourier transform infrared (FT-IR) spectroscopy, and tensile test results were compared to reveal the basic structure-property relationship. The ACC-derived β-chitosan ChiNF retained the crystalline and chemical structure of the raw β-chitosan with a slight decrease in the crystallinity index. In addition, the mechanical properties of the free-standing β-chitosan films could be tuned according to the relative amount of ChiNF and β-chitosan raw powder.
전기방사 키틴 나노섬유로 강화된 실크 피브로인 기반 투명 복합 필름
장세연 ( Seyeon Jang ),송명오 ( Myeong-oh Song ),강석주 ( Seok Ju Kang ),진정호 ( Jungho Jin ) 한국키틴키토산학회 2021 한국키틴키토산학회지 Vol.26 No.1
본 연구에서는 전기방사 공정을 이용해 제작한 키틴 멤브레인에 실크 피브로인 수용액을 함침하여 투명한 키틴-실크피브로인 복합체 필름을 제작하였다. 키틴과 실크 피브로인의 복합화에 따라 화학 및 결정구조, 광학적 특성, 기계적 특성이 어떻게 달라지는지 알아보았다. 키틴-실크 피브로인 복합체 필름에서는 키틴 멤브레인과 실크 피브로인 필름의 특징적인 peak들이 복합화되어 나타나는 것을 확인하였다. 키틴 멤브레인은 0%(파장: 550 nm)의 투과도를 나타내지만, 키틴과 유사한 굴절률을 갖는 실크 피브로인을 키틴 멤브레인 내부에 고르게 함침함으로써 89%(파장: 550 nm)의 투과도를 갖는 투명한 복합체 필름을 형성할 수 있었다. 또한 키틴-실크 피브로인 복합체는 키틴과 실크 피브로인 사이의 상호작용과 실크 피브로인의 β-sheet 형성에 의해 단일 실크 피브로인 필름보다 높은 강도와 연신율을 가지는 것을 확인하였다. Here, we introduce transparent chitin-silk fibroin composite film, which shows excellent optical and mechanical properties. We fabricated transparent chitin-silk fibroin composite film by impregnating the chitin membranes with an aqueous silk fibroin solution. Chitin membrane is simply produced by an electrospinning process. The chitin-silk fibroin composite film was analyzed by Fourier transform infrared (FT-IR) spectroscopy, X-ray diffraction (XRD), UV-vis spectrometry, and tensile test. It was confirmed through the SEM image that the chitin membrane was completely impregnated with an aqueous silk fibroin solution. The chitin membrane impregnated with an aqueous silk fibroin solution has a transmittance of 89%. Moreover, the mechanical properties of the chitin-silk fibroin composite films were improved compared to the silk fibroin film.
Tricuspid and pulmonary valve endocarditis associated with double-chambered right ventricle
명진철,진정연,최진호,나영민,박준형 고신대학교(의대) 고신대학교 의과대학 학술지 2015 고신대학교 의과대학 학술지 Vol.30 No.1
We report a rare case of tricuspid valve and pulmonary valve endocarditis associated with a double-chambered right ventricle in an adult female with pulmonary artery aneurysm and septic pulmonary embolism by Streptococcus mitis. She was treated with aggressive antibiotic therapy followed by debridement of the infective lesion of tricuspid valve, pulmonary valve replacement using xenograft and resection of obstructing muscular bundles in right ventricle.