We evaluated the incidence of residual ductal flow with color Doppler echocardiography and associated clinical findings in 63 patients who had undergone surgical ligation for isolated PDA, The interval between surgery and color Doppler echocardiographic evaluation ranged from 2 days to6.6 years(mean 7 months). In 40 patients, color Doppler echocardiographic studies were done within 1month after surgery. In 8 of... |
The one-hundred thirty five cases with Kawasaki disease who wre diagnosed and treated at the department of pediatrics, Seoul National University Children뭩 Hospital from September 1984 to December 1990, were investigated for clinical pattrns and laboratory correlations. The results were as follows; 1) Most patients (86%) were under 4 years of the age. 2) boys wee more prevalent than girls, as a ratio... |
Thirty one cases of tuberous sclerosis were seen at the Dept, of Pediatrics, Seoul National University Children’s Hospital. Thirteen cases (41.9%) were diagnosed before 1 year of age and the sex ratio was 2.9:1 with male prefonderance The clinical epileptic manifestations were seen in 28 patients (90.3%), of whom generalized tonic clonic seizures were associated in 12 cases (42.8%) and infantile spasm in 9 cases... |
A reversible syndrome resembling systemic lupus erythematosus is induced by hydralazine which has been used in treatment of hypertension or congestive heart failure. The incidence of the lupus syndrome induced by hydralazine was estimated at 6.8% in adults (Cameron, 1984) but there was few reports in children. A 9 year old girl had arthralgia, fever, splenomegaly, pleurisy and oral ulcer after 62 months of hydralazine... |
We compared the efficacy of each modality of treatment group in reducing the frequency of coronary artery aneurysm in children with Kawasaki syndrome. Group 1 (26 cases)-aspirin alone: Group 2 (26 cases)-intravenous gamma globulin, 400 mg per kilogram of body weight per day for five consecutive days, plus aspirin; Group 3 (21 cases)-intravenous gamma globulin, single dose of 2.0 g per kilogram of body... |
저자들은 최근 5년 8개월 동안 서울대학교병원 소아과에서 경험한 태아 및 신생아기의 심부정맥 24 례에 대하여, 이들의 심전도, 심초음파도, 24시간 심전도 소견 및 임상 기록을 통하여,부정맥의 유 형과 여러 연관 요소에 대한 임상적 분석을 시행하였다. 발견된 부정맥은 심실조기수축 7례, 심방조 기수축 5례,상실성 빈맥 7례,동성서맥 2례, 심방조동 1례, 지속적인 1도 방실 블록 1례, 심실 빈맥 1례였다. 심장 이상은 10례(2 ASD : 4례, PDA : 1례,ASD+VSD :... |
Primary cardiac tumor is very rare and has been a medical curiosity but is potentially curable by current management with improvements of the imaging apparatus and the surgical technique. Metastatic cardiac tumor is also very rare and is more difficult to diagnose than primary ones because of lack of specific symptoms. Twelve cases of cardiac tumor, collected from 1978 to 1989 at the Department... |
Thirty seven cases of ventricular septal defect and pulmonary atresia in normally connected heart, diagnosed at Seoul National University Children’s Hospital from October 1987 to May 1989 were studied to determine the source of pulmonary blood flow, pulmonary artery anatomy and their sequential changes. Also was studied the relationship between major aortopulmonary collateral artery (MAPCA) and intra parenchymal pulmonary arteries and central pulmonary artery... |
Acute rheumatic fever and rheumatic carditis were still important disease of the acquired heart disease in children and adults, in spite of improving socioeconomic status in Korea. Recently, many outbreaks of acute rheumatic fever have been reported in the papers from developed countries. We should be aware of such outbreaks of acute rheumatic fever and should pay attention to their treatment of the patients... |
Uriary mass screening program for the detection of proteinuria had been performed for a school- age population in the city of Seoul since 1981. Annually, about half million students, who comprised 3 different age group, corresponding to the averages of 11,14, and 17 years, had been examined. A systematic clinical evaluation was designed for students with proteinuria identified in the mass screening through ’87... |
The clinical characteristics of sixteen cases of asplenia and four cases of polysplenia were studied at Seoul National University Hospital from October 1986 to February 1988. Cardiac anomalies were confirmed by echocardiography and cardiac catherization. Splenic status was confirmed by abdominal aortography in most cases. Mean age of asplenia was 1 year 10 months and that of polysplenia was 8 years 6 months. Male-Female... |
Fifty.Six cases with infective endocarditis who were admitted to Department of Pediatrics, Seoul National University Hospital from January 1979 to December 1986 were reviewed. All the cases were confirmed bγ clinical findings, blood culture and echocardiographic findings. The incidence of infective endocarditis was 0.25/ 1,000 admissions. Male to female ratio was 1.2:1. All the cases had heart defect that was congenital heart disease in... |
PRA’s in peripheral vein, both renal veins, and inferior vena cava (IVC) were measured in 25 normotensive children without renal disease undergoing cardiac catheterization for their underlying cyanotic congenital heart disease. And we presented the results as reference values/ranges of PRA in children. 1) There was no significant difference in PRA between both side renal veins at any absolute PRA levels with a mean ratio (RT/LT)... |
Thirty one cases of congenital heart disease with suspicious splenic anomaly were prospectively studied at Seoul National University Children’s Hopsital from October, 1986 to February, 1988 in order to determine the sensitivity and the specificity of various non-invasive diagnostic methods for splenic status. In most cases, splenic status was confirmed by abdominal aortography. Each case had chest X-ray, abdominal X-ray, bronchus tomography, electrocardiogram, echocardiography,... |
Aortic valve stenosis was relieved by balloon dilatation during cardiac catheterization on 9 children aged 1 month to 15 years. Aortic valve diameter was estimated by two dimensional echocardiography to assist in the choice of balloon size. Before dilatation the transaortic systolic pressure gradients ranged from 60 mmHg to 177 mmHg, (mean: 91 ±38 mmHg). There were signifeant reduction in the transaortic systolic pressure... |
We studied the incidence of the arrhythmia in 10 children with congenitally corrected transposition of the great arteries diagnosed during the period from May 1986 to July 1987. Patient age ranged from 1 to 15 years. On the 12 leads surface electrocardiogram, there were complete atrioventricular block in one child and wide P wave in two. On the 24-hour electrocar- diogram, there were sinus... |
Pulmonary valve stenosis was relieved by balloon dilatation during cardiac catheterization on 58 children aged 8 months to 15 years, mean 6.2 years. Pulmonary valve diameter was estimated by two-dimensional echocardiogrphy to assist in the choice of balloon size. Before dilatation the transpulmonary systolic pressure gradients ranged from 15 mmHg to 250 mmHg. There were significant reduction in the transpulmonary systolic pressure gradients immediately after... |
A clinical observation was made on 12 cases of the hypoplastic right heart syndrome who were admitted to the department of Pediatrics, Seoul National University Hospital from January 1978 to May 1986. The -results were as follows; 1) The ratio of female to male was 1:1 and, according to the anatomic classification by Khoury, 6 cases were in type 1, 4 cases in type II... |
This is the report on 10 cases of truncus arteriosus, experienced at the Seoul National University Hospital, during past 7 years from Jan. 1979 to Dec. 1985. The results of observations were as follows; 1) There were 6 males and 4 females, and according to Collett and Edwards’ classification, 5 cases were in type 1, 4 case were in type II and 1 case... |
The association of congenital heart disease in patients with Down syndrome has been recognized for nearly 100 years. A wide variety of congenital heart diseases have been identified in these patients. This is the report of clinical evaluation of 105 patients with congenital heart disease in Down syndrome, experienced at the Seoul National University Hospital, during past 6 years from Jan. 1980... |
Ninety-nine cases of ventricular septal defect with septal aneurysm which were confirmed by angiocardiography and 2-D echocardiography during the period of 2 years from 1983 to 1984 at SNUH were studied and analyzed. The summary of the findings are as follows: 1) Septal aneurysm was found in 99(26.9%) of 368 cases of total VSD and in 38.2% among membranous VSD.... |
The clinical studies were performed on 29 congenitally corrected transposition of£the great arteries (C-TGA) confirmed by cardiac catheterization and angiocardiography at the Department of Pediatrics, Seoul National University Hospital, from Oct. 1957 to Dec. 1984. The results are as follows; 1) There were 29 cases of C-TGA, representing 0.7% of a total of 4,096 CHD patients. The male: female ratio was 3.1 :... |
Cardiac malposition refers to any position of the heart other than a left-sided heart in a situs solitus individual. Authors analyzed the clinical, radiological, operative and autopsy findings of 69 patients with cardiac malpositions by segmental approach to describe the internal cardiac anatomy and their arterial connections. 1) Male to female sex ratio was 1.23 : 1 and 68% of cases were under... |
Sixty five cases of complete transposition of the great arteries were diagnosed at Seoul National University Hospital from August 1980 to August 1984. Among them, 44 cases visited our hospital before 1 year of age and 21 cases after 1 year of age. Sex ratio was 3.3 : 1. Type III (with ventricular septal defect) was more prevalent in our... |
In 80 children with isolated ventricular septal defect, quantitation of left to right shunts was performed using oximetry and rdionuclide angiocardiography(RNA). The radionuclide angiocardiograms were acquired and analized by a gamma camera interfaced to a digital computer system. Pulmonary to systemic f!ow(Qp/Qs) ratios were calculated by analysis of pulmonary time-activity histograms using a gamma variate model. A comparison of the... |
A heart disease screening program was performed on 15,685 primary school children in Seoul City from the first to sixth grade to estimate the prevalence of heart diseases. Among the 15,685 children examined, 45 were confirmed to have heart disease (2.9/1,000) Out of the 45 children, 38 had congenital heart disease(2.4/1,000) and 7 had rheumatic heart disease(0.4/1,000) and the ratio... |
Anomalous origin of one pulmonary artery from the ascending aorta is a rare congenital malformation. It happens as the result of abnormal development of the 6th aortic arch. Anomalous origin of right pulmnary artery is more frequent than left. It is frequently associated with P.D.A., V.S.D. and T.O.F. In this malformation, congestive heart failure develops in early life and once the... |
Idiopathic Hypertrophic Subaortic Stenosis is a primary disease of cardiac muscle that is probably congenital, is often genetically transmitted, and is characterized by asymmetric septal hypertrophy, systolic anterior motion of anterior mitral valve and disorganization of cardiac muscle cells. The authors experienced 3 cases of Idiopathic Hypertrophic Subaortic Stenosis which were confirmed by echocardiography, cardiac catheterization and angiocardiography. The literatures... |
Among the double outlet right ventricle, S.D.L. type with subpulmonic ventricular septal defect is extremely rare. We experienced 10 year old girl who had S.D.L. type of double outlet right ventricle with subpulmonic mitral valvular insufficiency and LV-RA canal. The literature were reviewed. |
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