대동맥 교약증 수술 1례

송요준 대한흉부심장혈관외과학회 1973 Journal of Chest Surgery (J Chest Surg) Vol.6 No.1

A 16 years old Korean boy was admitted with chief complaints of exertional dyspnea, precordial pain, and headache. His brachial and femoral arterial pressure were 180/100 mmHg and 120/95 mmHg respectively. Aortogram by Seldinger technique revealed postductal adult type coarctation and marked dilation of the poststenotic aortic portion. With arfonad 40mg infusion during clamping, resection of the coarctation segment, and end-to-end anastomosis of the aorta maximal brachial arterial pressure was maintained below 180 mmHg. Postopertive course was uneventful and the patient was discharged two weeks after operation. Precordial pain and headache diasappeared. Brachial and fernoral arterial pressure were 140/80 mmHg and 110/90 mmHg at the time of discharge.

후두개절제환자에서 시술한 인두위문합술 -1예 보고-

송요준,김종환,Song, Yo-Jun,Kim, Chong-Whan 대한흉부심장혈관외과학회 1974 Journal of Chest Surgery (J Chest Surg) Vol.7 No.2

The patient was 21-year old male who had gastrostomy and tracheostomy after swallowing lye-stuff in July 1971. He could restore his normal voice and breathing after removal of his destructed epiglottis obstructing his upper airway two years later. Pharyngogastrostomy was performed in Nov 1973. The esophagus which was totally obliterated in its full length was removed and the stomach was brought high up to the level of pharynx where it was anastomosed to the posterior wall of pharynx. His postoperative course was temporarily complicated by aspiration of small food into trachea which could be completely relieved with training, and he is doing his normal life quite well on the follow-up.

원발성 폐 암육종

송요준,이남수,김형묵,이대일,Song, Yo Jun,Lee, Nam Soo,Kim, Hyung Mook,Lee, Dale 대한흉부심장혈관외과학회 1976 Journal of Chest Surgery (J Chest Surg) Vol.9 No.2

A 45-year-old male was admitted to Department of Thoracic Surgery, Korea University Hospital with the chief complaints of cough and high fever of two months duration. His chest roentgenogram revealed homogenous ill-defined increased density in right lower lung, and bronchogram showed the abrupt cut-off sign of the proximal portion of the right intermediate bronchus. Preoperative evaluation of this patient revealed no contraindication of the pulmonary surgery. So Radical Right pneumonectomy was performed under the preoperative impression of lung cancer. And post-operative course was uneventful. Pathologic examination of the resected lung revealed Carcinosarcoma without regional lymphnode metastasis.

승모판막 이식수술 -5예 보고-

송요준 대한흉부심장혈관외과학회 1974 Journal of Chest Surgery (J Chest Surg) Vol.7 No.2

The mitral valve replacement with Beall prosthetic valve was performed on three patients, and double valve replacement. aortic and mitral valve, was performed in this department.1) The preoperative studies about the first case were compatible with mitral steno-insufficency.The diseased mitral valve was replaced with the medium sized Beall prosthetic valve under the cardiopulmonary hypass using hypothermic hemodilution technique. The total perfusion time was eighty minutes. Immediate postoperative course was smooth, but this patient was died of asphyxia due to tracheomalacia complicated after tracheostomy 3 months after operation. Autopsy on this patient revealed that no thrombus and no ball variance could be found, and endothelization on the valve cuff was satisfactory. 2) The preoperative studies on the second case were compatible with mitral insufficiency. The diseased mitral valve was replaced with the medium sized Beall prosthetic valve under the cardiopulmonary bypass using hypothermic hemodilution technigue. The total perfusion time was 123 minutes. This patient was discharged in good condition and follow-up study after 16 months revealed the patient had enjoyed healthy life. 3) The preoperative studies about the third case were compatible with aortic insufficiency and mitral stenoinsufficiency. The diseased valves were replaced with type 2 sutureless Magovern aortic valve and the medium sized Beall mitral prosthesis under cardiopulmonary bypass using hypothermic hemodilution technIque and coronary artery perfusion. The total perfusion time was 155 minutes. This patient was discharged in good condition, but thromboembolism was developed 2 months after discharge. 4) The preoperative studies about the fourth case were compatible with mitral insufficiency. The diseased mitral valve was replaced with the medium sized Beall prosthetic valve. The total perfusion time was 132 minutes. The atrioventricular block developed just after operation but converted to normal sinus rhythmn on the third postperative day. The preoperative NYHA functional classification IV was converted to Class 1 or 11 at the time of discharge and this patient enjoyed healthy life. Attendum; The fifth case, nineteen years old male with mital insufficiency underwent Beall valve replacement and his course was uneventful 2 weeks after operation.

식도암의 외과적 요법

송요준 대한흉부심장혈관외과학회 1973 Journal of Chest Surgery (J Chest Surg) Vol.6 No.2

Seventy-eight cases of the esophageal cancer were treated in this department during the period from July 1959 to August 1973. Esophageal carcinoma was more frequent in men then in women by a ratio of five to one, and the peak incidence occurred in the sixth decade. Dysphagea was tile most common symptoms in 82 per cent of our cases. The tumor was located mostly in the middle and the lower one third [88.4%] The histological diagnosis was made in 52 cases. The squamous cell carcinoma was tile commonest [67. 8%], and the rest was the adenocarcinoma in the lower one third [32. 2%]. Forty-seven cases were operated on and resection was feasible in twenty-seven patients with 5 cases of hospital mortality.

활로 4징증의 근치수술후의 원격 방실전도 차단

송요준 대한흉부심장혈관외과학회 1978 Journal of Chest Surgery (J Chest Surg) Vol.11 No.3

There appears some conduction defects frequently after total correction of Tetralogy of Fallot. Common defect is right bundle branch block due to surgical intervention. We experienced complete A-V block which occured 3 months later after total correction of Tetralogy of Fallot in a 8 year old boy. The patient was completely free of any A-V block after the operation for 3 months, and sudden onset of A-V block with coupled premature ventricular contractions resulted him in shock state during the attack of severe bronchopneumonia for 4 days prior to the second visit. Emergency implantation of Cordis demand type temporary pacemaker was necessary to control the complete heart block with bradyarrhythmia and frequent ventricular fibrillation. Permanent cardiac pacemaker was implanted two weeks later as indicated with Cordis Stanicor lambda demand pacemaker, and the patient was discharged uneventfully on the 8th post implantation day with the heart rate of 72/min. Another 3 months after the implantation, the patient was transported to this hospital as dead on arrival after an accidental fall from a 2 meter height, and all possible cardiopulmonary resuscitation was performed for 60 minutes at the emergency room in vain. Autopsy was done to find out the cause of sudden death and the etiology of complete heart block. Microscopic focal infarctions with scar formation were noted along the course of conduction system in the interventricular septum, which might be the main cause of complete heart block during the attack of severe bronchopneumonia complicated with acute bacterial endocarditis. The tip of the pacemaker wire was slipped from the granulation scar at the apex of the right ventricular cavity, and this might be the direct cause of pacing failure and death.

기관지 확장증의 수술요법

송요준 대한흉부심장혈관외과학회 1971 Journal of Chest Surgery (J Chest Surg) Vol.4 No.2

Forty-seven cases of bronchiectasis were admitted in this department, of which 38 cases were reviewed. Pulmonary tuberculosis was the most frequent associated disease and encountered in 42% in this series. Preoperative bronchogram performed in 38 cases revealed left lung involvement in 21 cases,right lung in 14 cases, both lungs in 3 cases, and multilobar involvement in 10 cases. Various types of pulmonary resection were performed on 32 patients. Complication developed in 3 cases [9.4%]. One patient died of intraoperative hypoxia on the second post-operative day. Second case was Complicated with hydrothorax, and third case was with hemothorax. In 81% of this series, the result was satisfactory and 3 cases [10%] showed slight improvement of symptoms, and 2 cases show no improvement. The mortality rate was 3 percent(1case).

심장내막상결손증의 외과적 치료: 2예 보고

송요준 대한흉부심장혈관외과학회 1974 Journal of Chest Surgery (J Chest Surg) Vol.7 No.1

Repair of incomplete endocardial cushion defect was accomplished in two cases in September 1973 in this department. In each case a low atrial septal defect and a cleft of mitral septal cusp were found. Interrupted suture repair on the cleft mitral cusp and closure of the atrial septal defect with dacron patch were done successfully. Rigg-Kyvsgaard bubble oxygynator and Sigma motor were utilized for extracorporeal circulation. Follow up study, six months after discharge, revealed satisfactory results.

제 24 차 학술대회 : 15. 한국잡견의 동소성 동종간이식에 있어서 혈중 전해질 및 간기능검사상의 변화

송요준 대한외과학회 1972 대한외과학회 학술대회자료집 Vol.- No.-

제 23 차 학술대회 : 39. 부갑상선 낭포 1례

송요준,홍준호,김수태,안긍환,김용일 대한외과학회 1971 대한외과학회 학술대회자료집 Vol.- No.-