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증례 : 소화기 ; 심장재동기화 시술 중 심장정맥굴 박리에도 조율유도를 삽입한 1예
금동성 ( Dong Sung Kum ),정석환 ( Suk Hwan Chung ) 대한내과학회 2011 대한내과학회지 Vol.80 No.3
심장재동기화치료는 증상 있는 심한 심장기능상실 환자에서 유용한 한 치료법이지만 심장정맥굴을 통한 조율유도 삽입과 관련되어 합병증이 발생할 수 있다. 저자들은 심장재동기화치료를 위해 심장정맥굴 조율유도를 삽입하던 중 심장정맥굴 박리가 발생하였지만 성공적으로 조율유도 삽입한 1예를 경험하였기에 보고하는 바이다. Cardiac resynchronization therapy is effective in selected patients with symptomatic left ventricular dysfunction. Coronary sinus dissection is a relatively uncommon, but much feared, complication that may occur during placement of the left ventricular pacing lead. A 68-year-old man was transferred to our hospital for treatment of severe heart failure. He developed coronary sinus dissection after balloon dilatation during the procedure for cardiac resynchronization therapy. Nevertheless, we successfully placed the left ventricular pacing lead in the coronary vein. We present the case with a review of the literature. (Korean J Med 2011;80:333-336)
미래도시 건설을 위한 친환경 교차로 인공터널건설, 일반도로의 자동차 전용도로화 및 장대교량 주탑의 빌딩화에 의한 교통, 환경, 경제성의 제고
조태준(Taejun Cho),김성수(Sung-Soo Kim),신태송(Tae-Song Shin),한석희(Shocky Han),금동성(Dong-Sung Kum) 한국구조물진단유지관리학회 2009 한국구조물진단학회 학술발표회논문집 Vol.2009 No.1
Traffic congestion in metropolitan area begets tremendous economic and environmental problems, which delays domestic and global developments significantly. The suggested artificial tunnel over canals, roads, and railways provides new spaces for green rest place, transfer parking place for the proposed cable way or light rail transit (LRT), foot bridges and commercial area without price for land. Especially, the additional U-turn and left turn ramp on each side of artificial tunnel change the current general road to "A Drive Way" like a free way, which cut down the time, economic expenses of the current roads drastically. The above invention will be connected to the another invention, building structures in long span bridges, through a cable way or LRT in order to develop for cultural amenities, tourist attractions, or commuting purposes in our upcoming future city.
증례 : 순환기 ; 경요골 동맥 관상동맥 조영술 시 생긴 이상성 우측 빗장밑 동맥의 합병증 1예
정석환 ( Suk Hwan Chung ),금동성 ( Dong Sung Kum ) 대한내과학회 2011 대한내과학회지 Vol.80 No.2S
우측 요골 동맥을 이용한 관상동맥 조영술은 환자의 편이성 등 여러 가지 장점 때문에 많이 시행되는 술식이다. 그러나 여러 장점에도 불구하고 우측 요골 동맥을 이용한 관상동맥 조영술에 따르는 여러 가지 합병증 역시 있을 수 있다. 이상성 우측 빗장밑 동맥을 가진 환자의 경우 이로 인한 시술상의 어려움, 시술의 실패 등은 잘 알려져 있으나, 시술 후에 생긴 우측 빗장밑 동맥 박리는 많이 알려져 있지 않다. 본 증례는 흔하지 않은 합병증을 경험했기에 이에 대한 증례 보고를 하는 바이다. Right transradial coronary catheterization is very popular and performed by many clinicians with few complications. An aberrant right subclavian artery (arteria lusoria) arising from the descending thoracic aorta is an uncommon congenital variant. Here, we present the case of a patient with an aberrant right subclavian artery dissection after right transradial coronary catheterization, which is a rare complication. We diagnosed the complication by chest CT, which showed the dissection of the aberrant right subclavian artery. Dissection of an aberrant right subclavian artery is a rare complication of right transradial coronary angiograph. (Korean J Med 2011;80:S157-S160)
미래도시 건설을 위한 친환경 교차로 인공터널건설, 일반도로의 자동차 전용도로화 및 장대교량 주탑의 빌딩화에 의한 교통, 환경, 경제성의 제고
조태준 ( Taejun Cho ),김성수 ( Sung-soo Kim ),신태송 ( Tae-song Shin ),한석희 ( Shocky Han ),금동성 ( Dong-sung Kum ) 한국구조물진단유지관리공학회 2009 한국구조물진단유지관리공학회 학술발표대회 논문집 Vol.13 No.1
Traffic congestion in metropolitan area begets tremendous economic and environmental problems, which delays domestic and global developments significantly. The suggested artificial tunnel over canals, roads, and railways provides new spaces for green rest place, transfer parking place for the proposed cable way or light rail transit (LRT), foot bridges and commercial area without price for land. Especially, the additional U-turn and left turn ramp on each side of artificial tunnel change the current general road to "A Drive Way" like a free way, which cut down the time, economic expenses of the current roads drastically. The above invention will be connected to the another invention, building structures in long span bridges, through a cable way or LRT in order to develop for cultural amenities, tourist attractions, or commuting purposes in our upcoming future city.
특발성 호산구증가증 : 근육통 증후군 1예 myalgia syndrome
금동성,문창훈,김성현,이성원,권혁찬,김재석,김효진 대한내과학회 2003 대한내과학회지 Vol.64 No.2
호산구증가증-근육통 증후군은 주로 L-tryptophan 복용과 관련이 있는 병이지만 최근에는 L-tryptophan 복용과 무관한 증례가 보고되는데, 저자들은 국내에서는 보고된 바가 거의 없는 환자 1예를 치험하였기에 문헌 고찰과 함께 보고하는 바이다. We report the case of a 47-year-old female who developed idiopathic eosinophilia myalgia syndrome following complete remission of non-Hodgkin's lymphoma. she had been diagnosed extranodal marginal zone B cell lymphoma of nasal cavity and treated with CHOP chemotherapy and radiotherapy. Se complained fever, myalgia and the complete blood count showed markedly elevated eosinophil count. Non-Hodgkin's lymphoma was confirmed in complete remission state by PNS CT, nasal septum biopsy and bone marrow biopsy. The patient showed eosinophilia in peripheral blood, myositis in electromyography and muscle biopsy consistent with eosinophilia-myalgia syndrome. The symptoms were improved and the eosinophilia count was decrease after prednisolone medication. We report a case of idiopathic eosinophilia-myalgia syndrome with a review of the literature. (Korean J Med 64:225-229, 2003)
Desmoplastic small round cell tumor 1예
정석환,이상엽,금동성,김성현,권혁찬,김재석,김효진 대한내과학회 2003 대한내과학회지 Vol.65 No.5
결합조직형성 소원형세포암은 젊은 남자의 복강에 발생하는 드문 종양으로 비교적 최근에 독립된 질환으로 분류되었으며, 아직 표준화된 치료법이 없는 실정이다. 저자들은 다발성 간내종괴로 내원한 59세 여자 환자에서 조직검사 시행 후 결합조직형성 수원형세포암으로 진단하고 다제복합화학요법후 종괴의 현저함 감소를 보인 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Desmoplastic small round cell tumor (DSRCT) is a rare neoplasm that develops in the abdominal cavity in young people. Microscopically, nets of small undifferentiated cells within a desmoplastic stroma are observed and immunohistochemical studies show polyphenotypic differentiation with expression of epithelial, neural and muscle markers. A specific chromosomal translocation, t(11:22)(p13:q12) has been documented in DSRCT and is increasingly used to confirm the diagnosis. We had experienced a 59-year-old female with right upper quardrant pain for 1 month. On abdominal computerized tomography, multiple demarcated intrahepatic mass lesions were found, but other organs metastasis or abnormal lymph node enlargement and fluid collection were not found. Fine needle aspiration biospy of hepatic mass was performed and DSRCT was diagnosed by H&E and immunohistochemical staining. She was treated with cyclophosphamide, etoposide, doxorubicin and cisplatin. After three cycles of chemotherapy, computerized tomography demonstrated distinct shrinkage of tumor. At present, she continues in the state of partial remission for 15months after chemotherapy was started.