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Original Article
Surgical outcome of severe pulmonary arterial hypertension secondary to left-to-right shunt lesions
Cha Gon Lee, Su In Jeong, June Huh, I-Seok Kang, Heung Jae Lee, Ji-Hyuk Yang, Tae Gook Jun
Clin Exp Pediatr. 2010;53(2):195-202.   Published online February 15, 2010
Purpose : Despite recent advances in pulmonary hypertension management and surgery, appropriate guidelines remain to be developed for operability in congenital heart disease with pulmonary artery hypertension (PAH). Our aim was to evaluate clinical outcomes of patients with severe PAH who underwent surgical closure of left-to-right shunt lesions (LRSL) on the basis of pulmonary reactivity. Methods : We retrospectively reviewed 21...
Clinical course and prognosis of hemodynamically significant congenital heart defects in very low birth weight infants
Hye Soo Yoo, Ji Eun Kim, Soo Kyoung Park, Hyun Ju Seo, Yoo Jin Jeong, Seo Heui Chio, Soo In Jeong, Sung Hoon Kim, Ji Hyuk Yang, June Huh, Yun Sil Chang, Tae Gook Jun, I Seok Kang, Won Soon Park, Pyo Won Park, Heung Jae Lee
Clin Exp Pediatr. 2009;52(4):481-487.   Published online April 15, 2009
Purpose : This study investigated the clinical course and prognostic factor of very low birth weight infants (VLBWI) with hemodynamically significant congenital heart defects (CHDs). Methods : Medical records of 1,098 VLBWI with birth weight <1,500 g who had been admitted to the neonatal intensive care unit of Samsung Medical Center from October 1994 to December 2007 were reviewed retrospectively. The...
Epidemiologic study of Kawasaki disease in 6 months old and younger infants
Yong Won Park, Ji Whan Han, In Sook Park, Chang Hwi Kim, Sung Ho Cha, Jae Sook Ma, Joon Sung Lee, Tae Chan Kwon, Sang Bum Lee, Chul Ho Kim, Heung Jae Lee, Yong Soo Yun
Clin Exp Pediatr. 2008;51(12):1320-1323.   Published online December 15, 2008
Purpose : The aim of this study was to investigate the epidemiologic status of Kawasaki disease (KD) in infants ≤6 months of age. Methods : For the epidemiologic study of KD in Korea, data from 22,674 KD patients were collected from 1997 to 2005 on a 3-year basis by a retrospective survey. From this survey, data of 1,739 KD patients ≤6...
Relationship between depression and resilience in adolescents with congenital heart disease
Ju Ryoung Moon, Yoen Yi Jung, June Huh, I-Seok Kang, Seung Woo Park, Ji-Hyuk Yang, Tae-Gook Jun, Myung Ja Kim, Heung Jae Lee
Clin Exp Pediatr. 2006;49(5):523-528.   Published online May 15, 2006
Purpose : The purpose of this study was to investigate the relationship between depression and resilience in adolescents with congenital heart disease(CHD) and to identify the variables associated with depression. Methods : The Resilience Scale(cronbach’s α=0.92), Children's Depression Inventory(cronbach’s α= 0.72) and Maternal Behavior Research Instrument(cronbach’s α=0.88) were applied and analyzed to assess depression and resilience among 231 adolescents after...
Clinical and Epidemiologic Study of Kawasaki Disease in Children 8 Years of Age and Older
Yong Won Park, Ji Whan Han, In Sook Park, Chang Hwi Kim, Sung Ho Cha, Jae Sook Ma, Tae Chan Kwon, Sang Bum Lee, Chul Ho Kim, Heung Jae Lee, Yong Soo Yun
Clin Exp Pediatr. 2005;48(10):1139-1142.   Published online October 15, 2005
Purpose : The aim of this study was to investigate the epidemiologic and clinical profiles of Kawasaki disease(KD) in children 8 years of age and older. Methods : For the epidemiologic study of KD in Korea, data of total 15,692 KD patients were collected from 1994 to 2002 on a 3 year basis, by the retrospective survey. Among them, data of...
Follow-up in Adult after Total Repair of Tetralogy of Fallot
Gi Young Jang, Sun Young Kim, Joo Ryung Moon, Joon Huh, I-Seok Kang, Seung Woo Park, Tae Gook Jun, Pyo Won Park, Heung Jae Lee
Clin Exp Pediatr. 2003;46(7):661-667.   Published online July 15, 2003
Purpose : This study was performed to find the chief clinical problems associated with the ages of adult patients of tetralogy of Fallot(TOF) who had undergone total correction. Methods : Of the 30 patients who were registered at the Grown-Up Congenital Heart Disease (GUCH) Clinic of Samsung Medical Center for TOF, a retrospective investigation was carried out on 28 patients who...
Changes in the Outcomes of Very Low Birth Weight Infants
Shung Shin Kim, Moon Hee Kim, Jae Won Shin, Sun Young Ko, Eun Kyung Lee, Yun Sil Chang, I Seok Kang, Won Soon Park, Mun Hyang Lee, Sang Il Lee, Heung Jae Lee
Clin Exp Pediatr. 2002;45(7):828-835.   Published online July 15, 2002
Purpose : The outcomes of infants weighing less than 1,500 gm(very low birth weight infant : VLBWI) reflect recent progress in neonatal intensive care. In this study, we analyzed changes over time in survival rate and morbidity of VLBWIs during the past seven years. Methods : A retrospective review of medical records was analyzed for VLBWIs admitted to the neonatal intensive...
Clinical Lecture
Recent Advance in Congenital Heart Disease
Heung Jae Lee
Clin Exp Pediatr. 2000;43(6):733-737.   Published online June 15, 2000
Original Article
Clinical Manifestations of Dysphagia in Children
So Hee Chung, Nam Seon Beck, Munhyang Lee, Sang Il Lee, Heung Jae Lee, Jung Yun Choe, Hyun Suk Kim
Clin Exp Pediatr. 1999;42(1):60-68.   Published online January 15, 1999
Purpose : In children, dysphagia is a common cause of recurrent pneumonia and malnutrition and can be fatal. However, till now no studies were performed concerning the clinical investigation of dysphagia in Korea. Methods : In this study we evaluated the clinical manifestations of dysphagia in children with an age range between 1 month and 12 years by reviewing the...
The Clinical Study on Marfan Syndrome
Jung Sim Kim, Dong Kyu Jin, See Hwan Ko, Jee Yeon Min, I-Seok Kang, Kye Won Jeon, Yung Lan Choi, Heung Jae Lee, Seung Woo Park, Won Ro Lee, Chong Suh Lee, Sei Yeul Oh, Chang Won Ki, Han Wook Yoo, In Sook Park, Jae Kon Ko
Clin Exp Pediatr. 1998;41(10):1411-1416.   Published online October 15, 1998
Purpose : The aim of this study was to assess the involvement of several organs patients with Marfan syndrome in Korea. Also the clinical features in childhood patients with Marfan syndrome were assessed. Methods : Thirty-eight cases of Marfan syndrome were enrolled in this study. Clinical evaluations of the musculoskeletal, cardiovascular and occular system were performed in all cases. Results : The...
Acute Renal Failure in Children : Underlying Disease and Management according to Age
Eun Joung Park, Joung Sim Kim, Jai Bok Yoo, Joung Sook Sul, Si Whan Koh, Phil Soo Oh, I Suk Kang, Moon Soo Park, Heung Jae Lee, Dong Kyoo Jin
Clin Exp Pediatr. 1998;41(5):654-662.   Published online May 15, 1998
Purpose : It has been stressed that age itself as well as multiple organ failure are important prognostic factors in acute renal failure(ARF) in children. This study was performed to find out the significance of age factor and underlying disease of ARF in children. Methods : We tried to review 58 pediatric ARF cases, retrospectively, in the pediatric intensive care unit(excluding...
Constipation in Children-Colonic Transit Time and the Barr-Score
Nam-Seon Beck, I Sok Kang, Dong Kyu Jin, Munhyang Lee, Sang Il Lee, Heung Jae Lee, Bokyung Kim, Tae Sung Park
Clin Exp Pediatr. 1997;40(10):1427-1434.   Published online October 15, 1997
Purpose : We have assessed the clinical usefulness of solid maker transit technique and Barr-score in 31 patients with idiopathic constipation (male:female; 17:14, mean age; 6.7 years, range 1.4-12 years). Methods : All patients underwent full history taking and physical examination including rectal examination. On first visit to gastroenterology clinic a plain abdominal film was taken for Barr-score which evaluated by two observers without the...
Case Report
Two Cases of Nitric Oxide Inhalation for Treatment of Severe Pulmonary Hypertension after Surgical Repair of Congenital Diaphragmatic Hernia
Yun Sil Chang, I-Seok Kang, Won Soon Park, Suk Koo Lee, Hun Hahk Kim, Heung Jae Lee
Clin Exp Pediatr. 1996;39(11):1611-1619.   Published online November 15, 1996
Nitric oxide, an endothelium-derived relaxing factor, is a selective pulmonary vasodilator. We have built and settled down the delivery system of nitirc oxide gas inhalation for the first time in Korea. Two newborn babies delvelped near fatal pulmonary hypertension after surgical repair of a congenital diaphragmatic hernia. All conventional therapeutic measures failed. So we decided to attempt to use of nitric oxide gas for...
Original Article
Ten Cases of Severe Adenoviral Pneumonia in the Spring 1995
Jeong Hee Kim, Sang Il Lee, Mun Hyang Lee, I Seok Kang, Heung Jae Lee, Bo Kyung Kim, Yeon-Lim Suh
Clin Exp Pediatr. 1996;39(9):1247-1253.   Published online September 15, 1996
Purpose : In the Spring 1995, there was an outbreak of adenoviral infection, which caused four death out of ten patients with adenoviral pneumonia in our hospital. Clinical courses of ten patients with severe pneumonia were similar each other, and two were confirmed as adenoviral pneumonia by postmortem autopsy. Although not proven, we believe eight patients had adenoviral pneumonia. Therefore, we report clinical features...
Atrial Flutter Conversion in Infants and Children Using Transesophageal Atrial Pacing
Jae Kon Ko, Seoug Ho Kim, Eun Jung Bae, I Seok Kang, Heung Jae Lee
Clin Exp Pediatr. 1994;37(7):969-975.   Published online July 15, 1994
Atrial flutter is an infrequent, but potentially unstable tachyarrythmia that occurs in pediatric ages. Transesophageal atrial pacing was used for treatment of 10 episodes of atrial flutter in 7 patients. At the time of atrial flutter conversion, patients were 6 days to 14 years old. 6 patients had associated with congenital heart disease. The atrial cycle length of atrial flutter ranged from...
A Clinical Study on Hematological Findings in Children with Cyanotic Congenital Heart Disease.
Seong Ho Kim, Heung Jae Lee, Hahng Lee
Clin Exp Pediatr. 1990;33(5):642-650.   Published online May 31, 1990
Children with cyanotic congenital heart disease (CCHD) and secondary polycythemia exhibit increased susceptibility to hemorrhage or thrombosis. The hemostatic disorder manifests itself by the occurrence of excessive hemorrhage after surgery, and by increased incidence of cerebrovascular accident of a thrombotic nature during life. To assess whether the severity of polycythemia in children with CCHD is correlated with coagula- tion abnormalities, hematologic studies with preoperative and...
2 Case of Scimitar syndrome.
Jae Kon Ko, Nam Su Kim, Woong Heum Kim, Heung Jae Lee, Shi Joon Yoo
Clin Exp Pediatr. 1990;33(2):229-233.   Published online February 28, 1990
The scimitar syndrome, a rare complex anomaly, consists essentially of an anomalous pulmonary vein draining whole or part of right lung into inferior vena cava and its curved Turkish sword (scimitar) like appearance has provided the name of this syndrome. Associated anomalies are frequent, such as hypoplasia of the right lung and right pulmonary artery, abnormalities of bronchial architecture and lobation, rightward displacement of...
Studies on Type of Ventricular Septal Defect of Tetralogy of Fallot and its Clinical Significance.
Myung Kul Yum, Hee Shang Youn, Heung Jae Lee
Clin Exp Pediatr. 1989;32(3):359-365.   Published online March 31, 1989
To assess the VSD type of TOF and relationship between VSD type of TOF and pulmonary valve stenosis, small pulmonary valve annulus, and pulmonary artery anomaly, we analyzed 256 cases of surgically confirmed TOF patients. The summary of observation is as follows; 1) Four tytes of VSDs were found. The most frequent is perimembranous (PM) VSD of which incidence is 75.7% (159/210), second most...
Percutaneous Transluminal Balloon Valvuloplasty for Congenital Pulmonary Valve Stenosis.
Heung Jae Lee, Jae Kon Ko, Woong Heum Kim, Nam Su Kim, Chang yee Hong
Clin Exp Pediatr. 1988;31(7):822-832.   Published online July 31, 1988
During the period of 2 years, between January 1986 and December 1987, 36 patients, aged 2 years to 18 years, with congenital pulmonary valve stenosis(PVS) (with peak systolic transvalvar gradient over 30 mmHg) underwent percutaneous transluminal balloon valvuloplasty(TBV) at Sejong General Hospital m Korea. Of a group of 36 patients, 26 were treated successfully by the conventional balloon valve dilatation technique, and 6 were treated...
A Clinical and Laboratory Study on Infection in Childhood Leukemia.
Jung Hee Lee, Kwang Hyun Kim, In Joon Seol, Heung Jae Lee, Hahng Lee, Chong Moo Park
Clin Exp Pediatr. 1986;29(7):699-709.   Published online July 31, 1986
Acute Leukemia is the most common among malignant disease in childhood, and the loss of normal hematopoiesis by proliferation of leukemic cells and the chemotherapy result in immunosuppression and the reduction of red blood cells, normal white blood cells and platelets. The children with acute leukemia may succumb to the disease due to infections, hemorrhage, other complications, or the progression...
Case Report
A Case of Cerebral Paragonimiasis.
Jin Young Lee, Byung Chun Suh, In Joon Seol, Heung Jae Lee, Keun Soo Lee
Clin Exp Pediatr. 1985;28(10):1037-1041.   Published online October 31, 1985
The authors experienced a case of cerebral paragonimiasis with severe eosinophilia in a 13 year old female patient. Since several years ago, she frequently drank spring water with her family, especially, with her father. She came to the hospital because of speech disturbance, weakness of right upper extremity and maculopapular skin rashes of lower half of body. In her family history,...
Original Article
So-called 'Septal Aneurysm' in membranous Ventricular Septal defect.
Han Young Lee, In Hee Park, Ha Baik Lee, Heung Jae Lee
Clin Exp Pediatr. 1985;28(9):869-879.   Published online September 30, 1985
During the period of 4 years from October, 1980 to September, 1984, 28 cases with septal aneurysm in membranous ventricular septal defect were observed and evaluated at Hanyaeng University Hospital, and those were confirmed by LV angiogram and/or 2D-echocardiogram. We also correlated the findings of aneurysm of the membranous septum with clinical, electrocardiographic and hemodynamic data for use in noninvasive...
Pre-and Postoperative Evaluation of Patent Ductus Arteriosus in Children.
In Hee Park, Jung Hee Lee, In Joon Seol, Heung Jae Lee
Clin Exp Pediatr. 1985;28(7):683-694.   Published online July 31, 1985
During a period of IOV12 years, from April, 1974 to July, 1984, 92 cases under 15 years of age with isolated patent ductus arteriosus were observed and evaluated pre- and postoperatively at pediatric department, Hanyang University Hospital, and those were confirmed by cardiac catheterization and/or surgery. The summary of observation made is as follows: 1)The sex ratio of male to female...
Case Report
Fatal and Neonatal Arrhythmia: 3 cases.
Seon Ock Khang, Eui Soo Park, Heung Jae Lee, Keun Soo Lee
Clin Exp Pediatr. 1984;27(10):1000-1005.   Published online October 31, 1984
Authors experienced three cases of arrhythmia which were assumed to be present from their fetal lives. One of cases was congenital complete heart block with Adams-Stokes attacks who had the history of severe fetal bradycardia. The other two cases had benign supraventricular ectopic beats with spontaneous recovery within two months of age. Fetal tachycardia was observed in one case with multifocal...
Original Article
Clinical and Hemodynamic Characteristics of Double Chambered Right Ventricle.
Seok Chol Jeon, Seung Ro Lee, Heung Seok Seo, Sam Hyun Kim, Hurn Chae, Kun Ho Kim, Seung Jae Yang, Hahng Lee, Heung Jae Lee
Clin Exp Pediatr. 1984;27(10):982-990.   Published online October 31, 1984
During the period from May 1981 to Feb. 1984, authors experienced 15 cases of double chambered right ventricle (D.C.R.V.) at Hanyang University Hospital. Among these 15 cases of D.C.R.V., 13 cases were confirmed by open heart surgery. We analysed the physical characteristics and echocardiographic, cardiac catheterization, angiographic and operative findings. Results are as follows; 1) Authors observations suggest that right ventricular obstructing...
Echocardiographic Evaluation of Pulmonary Arterial Hypertension in Pediatric Congenital Heart disease.
Myoung Sung Moon, In Hee Park, Heung Jae Lee, Hahng Lee, Keun Soo Lee
Clin Exp Pediatr. 1984;27(10):971-981.   Published online October 31, 1984
To assess the validity of Echocardiographic criteria for pulmonary arterial hypertension we studied pulmonary valve motion in 75 congenital heart disease children. 75 patients were divided into two groups, A and B. The group A consisted of 39 patients who had normal pulmonary arterial pressure, group B consisted of 36 patients who had pulmonary arterial hypertension(pulmmonary artery mean pressure more...
Relative Incidence of Various Acute Viral Hepatitis in Childhood.
Young Hoon Song, Gwi Jong Choi, Heung Jae Lee, Keung Soo Lee
Clin Exp Pediatr. 1984;27(6):563-569.   Published online June 30, 1984
This report was conducted to estimate the relative incidence of acute viral hepatitis (all were under 15 years of age. Who were admitted to the Pediatric Department, Hanyang University Hospital during the period from March 1982 to August 1983 were evaluated. The following results were obtained. 1)The sex ratio of of male to female was 1.34 : 1. 2)The incidence...
Case Report
A Case of Familial Treacher-Collins Syndrome.
Sang Hee Cho, Hye Sun Chung, Gwi Jong Choi, Heung Jae Lee, Keun Soo Lee
Clin Exp Pediatr. 1983;26(12):1215-1219.   Published online December 31, 1983
The authors experienced a case of familial Treacher-Collins syndrome in 24 years old mother and 2 months old male baby confirmed by typical facial appearance such as antimongoloid slant, coloboma, macrostomia and micrognathia and X-ray findings. We reviewed the literatures briefly.
A Case of Meningomyelocele Combined with Arnold-Chiari Malformation.
Kyu Youp Kim, Hyeon Soo Park, Heung Jae Lee, Keun Soo Lee
Clin Exp Pediatr. 1981;24(12):1193-1196.   Published online December 15, 1981
We had experienced a case of meningomyelocele combined with Arnold-Chiari malformation. This neonate had her birth weight of 2,960 gm after 41 weeks of gestation. At birth, he noticed the Apgar Score of 0, so he was resuscitated immediately. On physical examination, he noticed large head and fist sized mass on back. Inspite of intensive care, he was expired at 2...
A Case of Acute Renal Railure After Surgical Extirpation of Solitary Kidney.
Hyeon Soo Park, Sun Hee Park, Heung Jae Lee, Chong Moo Park
Clin Exp Pediatr. 1980;23(4):316-320.   Published online April 15, 1980
The authors experienced a case of acute renal failure following nephrectomy of soliary kidney in a 9 month old girl. Her chief complaints on admission were total anuria for 10 days and gastrointestinal bleeding for 7 days. On physical examination, she were noticed drowsy mental state, generalized edema and pale appearance. Laboratory date and management;Hb 3.4mg%,BUN 150mg%,she was performed peritoneal?dialysis...