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Original Article
The Comparison of Coronary Arterial Dimensions Measured by Cross-sectional Echocardiography with Values Obtained by Coronary Angiography in Kawasaki Disease
Mi Jin Jung, Jung Yun Choi, Shung Il Noh, Yong Soo Yun, I Seok Kang
Clin Exp Pediatr. 1992;35(8):1102-1106.   Published online August 15, 1992
In order to assess accuracy of cross-sectional echocardiographic measurements of coronary arterial dimension, measured values of coronary arterial dimensions by cross-sectional echocardiography were compared with the angiographic results. Twenty eight patients with Kawasaki diseas (male: female= 3:1, age range, 7 months-8 years) were studied by both coronary arteriography and crossleft anterior descending coronary artery, and left circumflex coronary artery) were...
Case Report
Two Cases of Anomalous Origin of the Right Pulmonary Artery from the Ascending Aorta
Yong Won Park, Chung Il Noh, Jung Yun Choi, Yong Soo Yun, Yong Jin Kim, Joon Ryang Rho, Kyung Pil Suh
Clin Exp Pediatr. 1992;35(7):995-1000.   Published online July 15, 1992
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...
Original Article
Permanent Epicardial Pacing in Pediatric Patients
I Seok Kang, Chung Il Noh, Jung Yun Choi, Yong Soo Yun
Clin Exp Pediatr. 1992;35(7):933-941.   Published online July 15, 1992
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...
Short-Term Results of Arterial Switch Operation for Transposition of Great Arteries
Yong Soo Yun, Yong Won Park, Chul Il Noh, Jung Yun Choi, Yong Jin Kim, Joon Ryang Rho, Kyung Pil Suh
Clin Exp Pediatr. 1992;35(6):795-803.   Published online June 15, 1992
The operative results of 50 cases who underwent arterial switch operation from January, 1986 to March, 1991 were evaluated. The results were summarized as follows ; 1) Three main combined cardiac defects of ASO cases were PDA(60%), VSD(56%) and ASD(46%), and most common type of VSD was perimembranous(64.3%) and most frequent pattern of coronary artery was usual pattern of TGA (84%). 2)...
Color Doppler Echocardiographic Evaluation of Residual Ductal Flow After Surgical Ligation
I Seok Kang, Hyun Kwack, Chung Il Noh, Jung Yun Choi, Yong Soo Yun
Clin Exp Pediatr. 1992;35(5):602-606.   Published online May 15, 1992
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 muscular ventricular septal defect and multiple ventricular septal defects in some congenital heart diseases.
Young Hwi Kim, Ki Soo Kim, Chung Il Noh, Jung Yun Choi, Yong Soo Yoon, In One Kim, Kyung Mo Yeon
Clin Exp Pediatr. 1991;34(6):779-786.   Published online June 30, 1991
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...
Effect of immune globulin on the prevention of coronary artery aneurysm in Kawasaki disease.
Mi Jin Jung, Chung Il Noh, Jung Yun Choi, Yong Soo Yun
Clin Exp Pediatr. 1991;34(5):668-676.   Published online May 31, 1991
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...
Clinical analysis on fetal and neonatal arrhythmia.
Young Ah Lee, Chung Il Noh, Jung Hwan Choi, Jung Yun Choi, Yong Soo Yun, Chong Ku Yun
Clin Exp Pediatr. 1991;34(4):507-514.   Published online April 30, 1991
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 :...
Cardiac Tumor in Children.
Eun Jung Bae, Young Hwue Kim, Jung Yun Choi, Yong Seung Hwang, Hyo Seop Ahn, Yong Soo Yun
Clin Exp Pediatr. 1990;33(11):1540-1547.   Published online November 30, 1990
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...
Congenital Pericardial Defect, A Report of Two Cases.
Young Sook Lee, Chang Youn Lee, Young Hwue Kim, Jung Yun Choi
Clin Exp Pediatr. 1990;33(5):680-683.   Published online May 31, 1990
This report describes two confirmed cases of partial pericardial defect which presented in complete- ly different way. The first case was referred with the chief complaint of chest pain. This case showed typical chest X-Ray and echocardiographic findings. In view of frequent chest pain, this case was operated on and the defect was closed with patch. In the second case, defect was incidentally found...
Clinical Consideration of Coarctation of the Aorta.
Jong Woon Choi, Kyung Hee Park, Jung Yun Choi, Yong Soo Yoon
Clin Exp Pediatr. 1990;33(5):651-657.   Published online May 31, 1990
A retrospective analysis of clinical findings in 98 patients with coarctation of the aorta who visited Department of Pediatrics of Seoul National University Hospital from 1980 till 1988 was performed. 1) The most common age group was under 1 year of age (58 case; 59.2%), and male-to-female ratio was 1.58:1. 2) The common symptoms and signs were dyspnea/ tachypnea, hepatomegaly and chest wall retraction. Congestive heart failure...
The Anatomy of Pulmonary Artery Determined by Angiography in Ventricular Septal Defect and Pulmonary Atresia.
Jung Yun Choi, Young Hwue Kim, Yong Soo Yun
Clin Exp Pediatr. 1989;32(12):1678-1685.   Published online December 31, 1989
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...
The Collaborative Clinical Analysis of 985 Cases of Rheumatic Fever and Rheumatic Carditis in Children for 10 Years(1978~1987) in Korea.
Sung Ho Cha, Sang Young Jeong, Du Bong Lee, Kyong Su Lee, Sang Bum Lee, Tae Chan Kwon, Young Chang Tockgo, Chang Sung Sohn, Keun Chan Sohn, Young Jin Hong, Chan Young Kim, Chang Yee Hong, Yong Soo Yun, Jung Yun Choi, Chang Hwi Kim, Chul Ho Kim, Tae Ju Hwang, Jae Suk Ma, Chan Uhul Joo, Kyoo Hwan Rhee, Hahng Lee
Clin Exp Pediatr. 1989;32(12):1621-1631.   Published online December 31, 1989
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...
Studies on Arrhythmias in School Children.
Young Hwue Kim, Hann Tchah, Ki Soo Kim, Chung Il Noh, Jung Yun Choi, Young Soo Yun, Chang Yee Hong
Clin Exp Pediatr. 1989;32(8):1093-1097.   Published online August 31, 1989
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...
Clinical Characteristics of Ventricular Tachycardia on 24 hour ECG in Children.
Ki Soo Kim, Young Hwue Kim, Chung Il Noh, Jung Yun Choi, Yong Soo Yoon, Chang Yee Hong
Clin Exp Pediatr. 1989;32(7):958-964.   Published online July 31, 1989
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....
Urinary Tract Anomalies in Congenital Heart Disease.
Chang Youn Lee, Young Seo Park, Hae Il Cheong, Jung Yun Choi, Young Soo Yun, Yong Choi, Kwang Wook Ko, In One Kim, Kyung Mo Yeun, Kwang Myung Kim, Hwang Choi
Clin Exp Pediatr. 1989;32(6):804-808.   Published online June 30, 1989
A variety of urinary tract anomalies were detected in 1,569 children with congenital heart disease during their cardiac evaluation with cardiac cineangiography in the Department of Pediatrics, Seoul National University Children’s Hospital within a period from October 1985 to April 1988. The incidence, nature and course of these urinary tract anomalies were analyzed and the results were as follows; 1) The number of male children...
Clinical Observation on Amiodarone Treatment for Critical Arrhythmia in Children.
Ki Soo Kim, Chung Il Noh, Jung Yun Choi, Yong Soo Yoon, Chang Yee Hong
Clin Exp Pediatr. 1989;32(6):765-772.   Published online June 30, 1989
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...
Clinical Study on Asplenia and Polysplenia Syndrome.
Jung Yun Choi, Yong Soo Yun, Chang Yee Hong
Clin Exp Pediatr. 1989;32(5):653-658.   Published online May 31, 1989
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...
A Clinical Observation on Infective Endocarditis in Childhood.
Kyung Ae Yoon, Hoan Jong Lee, Young Yull Koh, Jung Yun Choi, Yong Soo Yun, Chang Yee Hong
Clin Exp Pediatr. 1989;32(1):11-19.   Published online January 31, 1989
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...
Study on Diagnostic Methods for Spleen in Complex Heart Disease.
Jung Yun Choi, Yong Soo Yun, Chung Il Noh, Chang Yee Hong, Kyung Mo Yeon, In One Kim
Clin Exp Pediatr. 1988;31(7):833-840.   Published online July 31, 1988
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,...
Estimation of Pressure Difference Between Right and Left Ventricle in Ventricular Septal Defect with Doppler Echocardiography.
Myung Chul Cho, Byung Kiu Park, Woo Sung Park, Chung Il Noh, Jung Yun Choi, Yong Soo Yoon, Chang Yee Hong
Clin Exp Pediatr. 1988;31(3):315-321.   Published online March 31, 1988
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...
Clinical Study on the Hypoplastic Right Heart Syndrome.
Sejung Sohn, Soon Ung Kang, Chung Il Noh, Jung Yun Choi, Yong Soo Yun, Chang Yee Hong, Dug Ha Kim, Jong Lin Rhi
Clin Exp Pediatr. 1987;30(3):281-290.   Published online March 31, 1987
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...
Clinical Observation of Truncus Arteriosus.
Sang Kyu Park, Young Soo Kim, Sejung Sohn, Chung Il Noh, Jung Yun Choi, Yong Soo Yun, Chang Yee Hong
Clin Exp Pediatr. 1987;30(1):45-54.   Published online January 31, 1987
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...
Clinical Evaluation of Congenital Heart Disease in Down Syndrome.
Sang Kyu Park, Young Hoon Kim, Son Moon Shin, Chung Il Noh, Jung Yun Choi, Yong Soo Yun, Cang Yee Hong, Kyoo Wan Choi, Shin Yong Moon
Clin Exp Pediatr. 1986;29(10):1095-1103.   Published online October 31, 1986
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...
Clinical Studies on Ventricular Septal Defect with Septal Aneurysm.
Jae Kon Ko, Jung Yun Choi, Yong Soo Yun, Chang Yee Hong, Kyung Mo Yeon
Clin Exp Pediatr. 1986;29(5):504-509.   Published online May 31, 1986
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....
Clinical Studies on Congenitally Corrected Transposition of the Great Arteries.
Byong Kwan Son, Chung Il Noh, Jung Yun Choi, Yong Soo Yun, Chang Yee Hong
Clin Exp Pediatr. 1986;29(3):287-295.   Published online March 31, 1986
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.
Sejung Sohn, Jung Yun Choi, Yong Soo Yun, Chang Yee Hong, Je G Chi
Clin Exp Pediatr. 1986;29(2):186-202.   Published online February 28, 1986
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...
Prognosis of Complete Transposition on the great Arteries.
Jung Yun Choi, Soon Ung Kang, Son Moon Shin, Chung il Noh, Yong Soo Yun, Chang Yes Hong, Joon Ryan Rho, Chong Whan Kim, Kyung Phill Suh
Clin Exp Pediatr. 1985;28(12):1177-1183.   Published online December 31, 1985
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...
Plasma Renin Activity (PRA) in Peripheral Vein and Renal Veins in Normotensive Children.
Chong Ku Yun, Hae Il Cheong, Chung Il Noh, Jung Yun Choi, Yong Choi, Kwang Wook Ko, Kyung Mo Yeon
Clin Exp Pediatr. 1985;28(6):555-563.   Published online June 30, 1985
PRA in peripheral vein, both renal veins and both inferior vena cava (JVC) both proximal and distal to the drainage of the both renal veins was measured in 80 normotensive children with no renal disease undergoing routine cardiac catheterization due to congenital heart disease which did not cause significant hemodynamic changes in most of them. And we presented the results...
Comparative Study on Quantitation of Left to Right Shunts in Ventricular Septal Defect Using Oximetry and Radionuclide Method.
Chang Yee Hong, Jung Yun Choi, Se Won Park, Yong Soo Yun, Chang Soon Koh
Clin Exp Pediatr. 1985;28(4):340-344.   Published online April 30, 1985
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...