복부 대동맥 가동맥류를 동반한 Bechet씨병 : 4예 4 case report

문인성,박장상,고용복,박삼곤 대한혈관외과학회 1994 Vascular Specialist International Vol.10 No.1

Behgets disease is a multisystemic disorder characterized by vasculitis. The clinical triad of relapsing uveitis with recurrent oral and genital ulceration was descibed by Hulusi Behget, a Turkish dermatologist, in 1937. It's etiology remains unknown. Later, it was realized that there may be some other systemic manifestation of the disease at the time of diagnosis, including vascular lesions, central nervous system involvement, arthritis, pulmonary and gastrointestinal involvement. Behqets disease may also begin with the manifestation of vascular involvement instead of the classical triad of symptoms. Behcets disease is of interest to not only dermatologists and ophthalmologists but also to physicians of virtually every other specialty because it is a systemic disease that spares no organ in the body. Although vascular lesions are not listed among the criteria for diagnosis of Behqets disease, up to 25-35% of patients develop vascular complications and probably an even greater proportion of patient may have small vessel vasculitis as the pathological basis of systemic manifestation. Here, we report 4 cases of Behqet disease, involuing dbdominal aorta and its main branches with review of literature.

PTFE 인공혈관 주위의 이소성 골형성으로 인한 하지동맥폐쇄의 경험

문인성,박장상,고용복,김용귀,성상욱,김승남 대한혈관외과학회 1997 Vascular Specialist International Vol.13 No.2

The ectopic bone formation is a condition in which mature lamellar bone is formed in tissues that do not normally ossify, which was first described by Riedel in 1883. It has been observed at sites of chronic infection, hemorrhage, fibrous scamng or contracture. The pathophysiology of ectopic bone formation is not clearly identified but has complex and multifaceted causes, which resulted to differentiate the non-circulating pluripotent mesenchymal cells to osteoblastic stem cells. The local environment conditions of trauma, disruption of soft tissues and periostium, bone debris, hematoma, damaged muscle, uncommitted fibroblasts are suspected to be one of the causes of this condition. Comparing to simple soft tissue calcification, the ectopic bone has all the morphologic and biochemical characteristics of orthotopic bone, which is subjected to turnover and even has the ability for bone marrow formation. A case of late occlusion in a femoro-post. Tibial PTFE graft about 5 months after vascular reconstruction due to ectotopic bone formation, which is confirmed by pathology around the graft is presented. After excision of the ectopic bone around the inflow vascular anastomosis site with re-vascularization, the patient was free from the ischemic leg symptoms. We reported a case of occlusion of vascular anastomosis site by ectopic bone formation with review of literature.

염증성 동맥류 12예의 임상적 고찰

문인성,박장상,고용복,김중연,김용귀 대한혈관외과학회 1997 Vascular Specialist International Vol.13 No.2

Department of Surgery, Catholic University Medical College, Seoul, Korea The optimal management of inflammatory aneurysm is still a matter of controversy, especially in surgical aspect. The disease is a infrequent entity and without surgical intervention, usually lead to uncontrolled sepsis or catastrophic hemorrhage. We report 12 cases of inflammatory aneurysms those admitted and were managed at Kangnam St. Marys hospital during 6 years from April, 1991 through April, 1997. The medical records and dermographical datas of these patients were reviewed. Of these 12 patients, ten were male and three were female in age range from 37 through 80 years with a mean of 60 years. The diagnosis was mainly based on operative findings with aids of radiological and microbiological evidences. The number of location of involved arterial segments were 4 of thoracic aorta, 1 of suprarenal abdominal aorta, and 7 of infrarenal abdominal aorta including 2 of common iliac arteries. The main symptoms of these patients were abdominal or chest pain in 11 according to the location of the involved arterial segments, back pain in 6, fever and chillness in 8. The incidence of suspicious infected microorganisms of the patients, not of the credible direct cause of aneurysm itself, were 3 of Salmonellosis in Widal test, 2 of tuberculosis in AFB or sputum culture, 2 of G(-) bacilli in blood culture, and 1 of syphilis in FFA-ABS . 8 patients were operated by substituting the diseased arterial segments with artificial graft and 4 patients were medically managed. Of the 8 patients operated, one died within 48 hours after operation by sepsis. 7 patients were discharged by ambulation. In the 4 medically treated patients, one expired in hospital and three were discharged hopelessly. 7 patients those discharged after operation has been managed in out-patient department.

심부정맥 혈전증의 진단과 치료

문인성 대한외과학회 1999 대한외과학회 학술대회 초록집 Vol.1999 No.11

The Management of AAA (abdominal aortic aneurysm) : Comparison of Long-term or Mid-term Results Endovascular vs Open Surgical Repair

문인성 대한외과학회 2003 대한외과학회 학술대회 초록집 Vol.2003 No.11

폐색성 혈전 혈관염(버거씨 병)

文仁成 대한의사협회 1998 대한의사협회지 Vol.41 No.6

In memory of Yong Bok Koh

문인성 대한이식학회 2020 Korean Journal of Transplantation Vol.34 No.4

장골정맥 압박증후군 4 예 보고

문인성,박장상,김용귀,문석일,고용복 대한혈관외과학회 1998 Vascular Specialist International Vol.14 No.2

Iliac vein compression syndrome is a rare clinical condition in which left common iliac vein is anatomically compressed between right common iliac artery and the fifth lumbar vertebrae or pelvic brim. Patients usually have marked edema of the left leg. Although the actual incidence is unknown, this syndrome most affects women in the second to fourth decade of life. We report 4 cases of iliac compression syndrome treated by surgical intervention during the last fifteen-year period. Among them, two women have suffered from chronic intermittent swelling and pain of left leg, and two men had acute or subacute symptoms. The fibrous web in the entrance of left iliac vein into vena cava existed in one case. Including this one, two were treated by transposition of iliac artery or vein with thrombectomy. One was decompressed the arterial compression by mobilization or adhesiolysis of the surrounding vessles with thrombectomy. To the last one in which the distal common iliac vein was compressed by tortous dilated left internal iliac artery, transsection and ligation of the internal iliac artery was performed. All patients have experienced improved left leg condition after operation. except the last one in which suffered from thrombosis of left popliteal vein after the iliac decompression.

정형외과적 손상과 동반된 동맥손상

문인성,고용복,이용각 대한외과학회 1983 Annals of Surgical Treatment and Research Vol.25 No.11

심부대퇴동맥 성형술의 임상적 의의

문인성,박장상,고용복,진선호 대한혈관외과학회 1996 Vascular Specialist International Vol.12 No.1

The profunda femoris arterial system is known to be the principal blood supply of the thigh and the primary collateral network in the iliac and superficial femoral occlusive disease. Usually, profundaplasty was performed not only as an adjunct to inflow procedure, such as aorto-bifemoral, femoro-femoral, axillo-femoral bypass surgery especially in preexisting occlusion of the superficial femoral artery to ensure long term graft patency, but also as an alternative inflow artery for distal lower limb bypass surgery. We had a retrospective clinical analysis in 48 cases of profundaplasty from January 1991 to November 1995 at Kangnam St. Mary's Hospital with following result. 1) The endarterectomy with deep femoral artery dilatation in 39 cases, roof patch angioplasty in 9 cases were performed. 2) There were 42 male and 6 female patients with their age from 25 to 83 years. 3) The stenosis or occlusion site confirmed by arteriography were in iliac artery, 35 cases(72.9%) and in femoral artery, 13 cases(27.1%). 4) The combined disease were ischemic heart disease in 22 cases(45.8%), hypertension in 16 cases(33.3%), diabetic mellitus in 8 cases(16.7%). 5) We observed improvement of ischemic pain and patency of blood flow in the most patients. 6) Major amputation were performed in 5 patients(10.4%), re-operation were performed in 2 patients(4.1%). We could lowering the level of amputation in 2 cases. In summary, in spite of short period of follow-up, the profundaplasty seems to be an effective means of treatment in patients of distal artery occlusion for symptomatic relief and even prevent major amputation in selected cases. The clinical follow-up should be needed in the future.