The authors have experienced a case of persistent fetal circulation associated with hypocalcemia. The baby was delivered with full-term by repeated cesarean section. He showed marked dyspnea 4 hours after birth and thereafter cyanosis appeared. So artificial ventilator had been applied combined with tolazoline administration. The patient was treated successfully and discharged on 28th hospital day without complications. We present one case of persistent fetal... |
The two dimensional echocardiographic technique for detecting coronary artery aneurysms was performed in 62 cases with mucocutaneous lymphnode syndrome. Of 62 patients with MCLS, coronary artery aneurysms were detected as large echo-free space in 8 patients. It was found that coronary artery aneurysms usually developed during the acute stage of the illness, and regressed gradually thereafter. Most aneurysms disappeared in 6 months. Therefore, Echocardiography is... |
Aortography and echocardiography by countercurrent injection into the radial artery performed for the detail diagnosis of PDA in newborns. The results were as follows: 1) Aortography by countercurrent injection via ridial artery affords an easy, safe and simple bedside means for the diagnosis of PDA without retrograde arterial catheterization, which is occasonally complicated by thrombosis of the artery in small infant.... |
In selected cases, early corrective surgery is indicated in the management of infants with moderate or large ventricular septal defects. The risks of any surgical procedure in infancy are acknowledged to be great and should be avoided if possible. However, these surgical risks are justified when the patients have intractable congestive heart failure, marked growth retardation, recurrent prolonged lower respiratory... |
We experienced a case of coarctation of the aorta with aneurysmal dilatation which was located in aortic arch, who was a 13 year old male.On physical examination on admission, pulses were weak in right radial artery and in both femoral artery. Blood pressure measured 100/70 mmHg in right arm, 100/70 mmHg in left arm, 130/110 mmHg in right leg and 130/110... |
Unilateral Absence of Pulmonary Artery(UAPA) is a rare disease. It is characterized by no specfiic cardiopulmonary symptoms in general. We experienced a case of UAPA in a 9 year-old female patient with the chief complaint of abnormal chest Xray finding. Lung perfusion scan, cardiac catheterization with pulmonary and aortic angiography confirmed the diagnosis of right side UAPA. |
This study is a report of two cases of vascular ring that were experienced at Yonsei University in 1983 and 1985. The first case was a one-month-old female patient with a double aortic arch and PDA. The main pulmonary artery was connected to the anterior arch by PDA. The anterior arch was larger in diameter than the posterior arch and the descending... |
This is a case report of Interrupted aortic arch combined with large ventricular septaldefect and patent ductus arteriosus. This 5 years old girl, she was complained of frequent upper respiratory infections, exertional dyspnea from 6 months age. The diagnosis was confirmed by cardiac catheterization and angiocardiography. Pressure of main pulmonary artery was 80/50 (63) mmHg, and that of descending aorta was 75/45(60)mmHg (Qp... |
I year 11 month old boy had large ventricular septal defect(Kirklin type I) with pulmonary hypertension and Eisenmenger syndrome, so operation was not indicated at that time. I year and 3month later pulmonary infundibular stenosis was developed and pulmonary artery pressure and resistence were decreased. Operation (patch repair) was performed successfully. A brief review of natural course of ventricular septal... |
Tetralogy of Fallot is one of the most common cyanotic congenital heart disease. It consists of four features anatomically pulmonic stenosis or atresia, ventricular septal defect, overriding aorta, and right ventricular hypertrophy. One hundred and ninety one cases of Tetralogy of Fallot were confirmed by cardiaccatheterization at Severance Hospital. These were observed on general feature, cardiac catheterization findings and outcome... |
Patent Ductus Arteriosus is one of the most common congenital heart diseases. The symptoms and clinical findings in patients with typical patnet ductus arteriosus are well recognized. That not all patient with ductus arteriosus have the typical clinical findings is well documented. Since the poor prognosis of untreated patent ductus arteriosus and good results of surgical intervention are fairly well... |
Acute renal failure is a serious complication after open heart surgery which involve total body perfusion but the reported incidence of the complication has varied widely. We have experienced a case of acute renal failure with hemoglobinuria following an open heart surgery for correction of ventricular septal depect, which was comfirmed by cardiac catheterization. Kidney biopsy shows a typical change... |
One hundred and eighty nine cases of ventricular septal defect, which was confirmed by cardiac catheterization at Severance Hospital, were observed on clinical, hemodynamic, electrocardiogr sphic findings and their correlation, during the period from January, 1964 to December, 1979. The six hundred and forty one cases of congenital heart disease under fiften years old received cardiac catheterization during this period.... |
Congenital hypoplasia of the right ventricular myocardium, also known as parchment heart or Uhl's anomaly, is a rare congenital heart defect. It was first described in Oslers principles and Practice of Medicine in 1905 and reviewed by Segall We found 29 reported cases, but there was no reported case in Korea. Recently, we experienced a case of Uhls anomaly associated... |
The clinical studies were performed on 757 patients who had been admitted to Severance Hospital from May, 1964 to June, 1975 with the diagnosis of congenital heart disease. The following results were obtained; 1. Among 757 patients, cardiac catheterization was performed on 367 patients. 2. Four hundred and thirty eight patients were male and 319 were female. Over half of... |
Bifid sternum is a congenital midline malformation resulting from disturbance of normal fusion and the defects allows a herniation of the pericardium covered only by the subcutaneous tissue and skin. A case of congenital cleft sternum in 8 month old male infant was presented. There was marked paradoxical motion with respiration in the area of the defect and a long... |
The clinical studies were performed on 58 patients who had been admitted to Severance hospital from Jaunary, 1969 to December, 1974 with the diagnosis of Guillain-Barre Syndrome. The following results were obtained: 1.Forty two cases were male and 16 cases female. The age ranged from 6 months to 43 years old with the peak incidence of 3 to 6 years. The... |
Ivemark’s syndrome is rare disease and characterized by congenital absence of the spleen as sociated with characteristic group of anomalies of the cardiovascular and gastroenteric systems. We had experienced 4 cases of Ivemark’s yndrome: Case 1 had asplenia, situs inversus, dextrocardia, ASD, and pulmonary stenosis; Case 2 had asplenia, bilobulated liver, centraly located stomach but deviated to right side, single... |
This is a clinical study of 88 cerebral palsy cases, visited pediatric department of Severance Hospital from Feb. 1970 through Jun. 1974. We observed following results; 1)Spastic paralysis is 59 cases (67.0%) that subdevides into diplegia 26 cases (29. 6%), quadriplegia 25 cases (28.4%), paraplegia 5 cases (5.7%), hemiplegia 2 cases (2.3%), and monoplegia 1 cases (1.4%). Athetosis is 11... |
A total of 33 children with tracheostomy were observed after admission in Severance Hospital during the past 10 years and 3 months from January 1958 to March 1973. 1. Sex incidence was 20iiiale to 13female, and complications occured in 17 cases. 2. The age and complication rate relationship showed that about 70% of the patients were under 5... |
Epidermolysis bullosa hereditaria is an uncommon skin disease which is manifest at birth or in infancy. It is characterized by blister formation occuring spontaneously or after friction or slight trauma. Recently, we experienced a case of epidermolysis bullosa hereditaria in one day old newborn infant, who was developed bullae on the neck, abdomen, both extremities and buttock. A brief review of literature was made. |
This paper presents the clinical study of 31 cases under 15 years of age who had been admitted to Severance Hospital and Wonju Union Christian Hospital from January, 1964 to December, 1968 with the diagnosis of Guillain Barre syndrome. 1. Twenty one cases were male and 10 cases female. The age ranged from 3 months to 15 years with the peak incidence of 3 to... |
Growth is a manifestation of life in the young and its rate and quality are importantly related to the general health and welfare of the individual. Because of this important relationship, parents and pediatrician must have intimate knowledge of the phenomenon of growth. Infancy is the period of most rapid extrauterine growth. There are factors influencing growth such as genetic factors, trauma, nutritional factors,... |