Purpose : The association of the tetralogy of Fallot(TOF) with the complete form of atrioventricular septal defect(AVSD) is rare cardiac malformation.The predominant clinical findings in both groups of cases were those associated with tetralogy of Fallot, but certain features need to be emphasized, however. Methods : Forteen(2%) out of 659 patients with tetralogy of Fallot seen at the department of pediatrics, Seoul... |
Purpose : We performed this study in order to evaluate the outcome of the mechanical valve replacement in the right side of the heart in children. Methods : Retrospective analysis of the clinical records of 26 patients who had undergone a right sided valve replacement between October 1986 and September 1992 at Seoul National University Children뭩 Hospital. Results : Twenty six children... |
Purpose : The relative incidence of fetal cardiac anomalies and associated extracardiac anomalies in Korean fetuses were studied. Methods : Findings in fetal echocardiography and autopsy were reviewed using 129 fetuses with cardiac anomalis detected at a gestational period under 38 weeks from 1991 Jan. to 1994 June. Results : The most common fetal cardiac anomaly was isolated atrial septal defect(28 cases... |
Purpose : To evaluate the appropriateness of the transcatheter occlusion with Rashkind um-brella occlusion device Methods : Among the 54 cases who had been tried transcatheter closure of patent ductus ar teriosus from January, 1992 till December, 1993 at Seoul National Univerity Children's Hospital, the first follow-up evaluation with Doppler echocardioram were done in 43 cases at the mean i-nterval of... |
We report four cases of unilateral pulmonary vein atresia without associated congenital intracardiac anomalies to illustrate a part of the clinical and radiological characteristics and its diagnosis. Pulmonary vein atresia was in right side in all cases. Narrowing of contralateral pulmonary vein and pure red cell anemia were combined in one cases. In four cases, initial presentations were hemoptysis and... |
We reviewed 26 cases of Cardiac rhabdomyoma in children which were diagnosed between 1986 and 1991 in Seoul National University Children's Hospital. Twenty-two cases were associated with tuberous sclerosis. Total tumor count was 58 and mean tumor count per patient was 2.23. Their Cardiac rhabdomyoma were diagnosed from fetal period through 12 years after birth. Median age was 9.5 months.... |
In order to assess the growth of the mitral valve, tricuspid valve, and the aortic and pulmonary pathways in the normal human fetus, 181 fetal echocardiograms taken from 127 pregnant women (some women had repeated examinations) were analysed. Diameters were measured from cross sectional images and were correlated with gestational period. The diameter ratios of tricuspid valve/mitral valve, aorta/main pulmonary artery,... |
In order to determine the normal values of coronary arterial dimensions in children, eighty eight children without any cardiovascular diseases were studied with cross-sectional echocardiography. Age ranged from 1 day to 15 years. Four sites (proximal right coronary artery, left main, left anterior descending, and left circumflex coronary artery) were selected to measure the dimensions. The right coronary artery was measured... |
Anomalous origin of the pulmonary artery from the ascending aorta is a rare congenital cardiovascular anomaly which usually involves the right pulmonary artery. Because congestive heart failure and the pulmonary vascular obstructive changes develop early in life, early diagnosis and surgical correction are essential. We experienced two cases of anomalous origin of the right pulmonry artery from the ascending aorta; aorticopulmonary septal... |
From September 1982 to July 1991, 40 infants and children aged 3 days to 13 years(mean 3.1 years) underwent implantation of 45 cardiac pacemakers using epicardial leads(40 primary implants, 5 re-implants). Nineteen patients required pacing for surgically acquired heart block, 1 for surgically acquired sinus node dysfunction, 11 for congenital complete atrio-ventricular(AV) block, 7 for nonsurgical sinus node dysfunction, and... |
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... |
Acute tachyarrhythmia in infancy and childhood may be life-threatening if it is not treated promptly and accurately. The selection of a safe and effective pharmacologic agent is work in hand. We tried ATP (adenosine triphosphate) to pediatric patients with acute epidsodes of supraventricular tachycardia for therapeutic or diagnostic purpose and determined the safety and effectiveness of the drug. ATP was given... |
In order to find out the incidences of muscular ventricular septal defect and multiple ventricular septal defects in cases with isolated ventricular septal defect, tetralogy of Fallot, complete endocar- dial cushion defect, complete transposition of the great arteries, corrected transposition of the great arteries and double outlet right ventricle, a retrospective analysis of 620 left ventriculograms were performed. The surgical and echocardiographic findings were... |
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 :... |
Fourteen patients who had developed a chylothorax in childhood during a ten year period, from Jan. 1979 to July 1989, were reviewed by their hospital records. The chylothoraces occurred most frequently as complications of cardiothoracic surgeries in eight patients(57%). Four cases followed extrapericardial operations such as ligation of PDA and take-down of Blalock-Taussig shunt, and four cases followed intrapericardial operations such as corrective operations... |
To determine the incidence of cardiac arrhythmias of the school children, we have performed heart screening by the questionare and EKG and physical examination from September 1984 to October 1987 in Seoul. 1) The incidence of the cardiac arrhythmias was 1.27%. 2) There were 449 cases of heart diseases detected. Among these heart diseases there were congeni- tal heart diseases in 82 cases (0.31%), acquired heart diseases... |
Blood pressure measurements were done in 9,346 school children in Seoul area in May, June and September, 1987. Korin BP 103N (automated oscillometric method) was used for blood pressure measurements. The results were as follows. 1) Blood pressure increased according to both increasing age and height. 2) Mean systolic pressure (MSP) increased from 100 mmHg at 6 to 124 mmHg at 18 years of age in boys. On... |
Ventricular tachycardia (VT) is uncommon, but is in increasing tendency probably due to better case detection and longer survival of the patients with complex congenital heart disease. Widespread use of 24 hour ECG has contributed a lot to better understanding of ventricular tachycardia. Fourteen cases of ventricular tachycardia diagnosed by 24 hour ECG at Seoul National Children’ s Hospital from Feb. 1986 to Sep.... |
Sixteen cases of critical arrhythmia in children were prospectively studied at the department of pediatrics, Seoul National University Hospital, from Oct. 1986 to Apr. 1988 in order to determine the efficacy and side effect of amiodarone treatment in children. Their ages ranged from 5 months to 17 years with 2 patients younger than 1 year of age. The most frequent indication of amiodarone treatment... |
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,... |
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... |
We compared the interventricular pressure gradient with Doppler echocardiography and that measured during cardiac catheterization in 48 children who were admitted for diagnostic cardiac catheterization and angiography to the ward of Pediatrics, Seoul National University Children’s Hospital during the period of 7 months from June to December 1986. Among 48 cases of simple ventricular septal defect, 21 cases were supracristal (type I), and 27... |
Percutaneous transluminal angioplasty (PT A) was done in four children with Takayasu’s arteritis at Seoul National University Children’s Hospital in 1986. Successful results were obtained in all cases. But one child with narrowing of the innominate artery, thoracic aorta and occlusion of the left subclavian artery showed the most dramatic improvement clinically as well as radiologically because the lesions were focal. PT A is... |
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... |
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 :... |
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... |