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Case Report
Isolated Unilateral Pulmonary Vein Atresia
Yun Ae Jeon, Chung Il Noh, Ho Sung Kim, Jung Yun Choi, Yong Soo Yun, Woo Sun Kim, Je Geun Chi
Clin Exp Pediatr. 1995;38(3):409-416.   Published online March 15, 1995
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...
Original Article
Esophageal Varix in Children - Endoscopic Evaluation and Clinical characteristics-
Soon Young Kim, Jeong Kee Seo
Clin Exp Pediatr. 1993;36(12):1691-1700.   Published online December 15, 1993
Fifty five children with encoscopically proven esophageal varices form Jul. 1987 to Dec. 1992 were analyzed for endoscopic and clinical characteristics. The results were as follows : 1) According to etiological classification of portal hypertension in 55 cases, 35 cases showed intrahepatic causes (64%) and cases had extrahepatic causes (36%). The most common clinical manifestation on admission was hematemesis (42%) and abdominal mass...
Case Report
A Case of Primary Pulmonary Hypertension
Sang Woo Lew, Hae Yong Lee, Hwang Min Kim, Jae Seung Yang, Jong Soo Kim
Clin Exp Pediatr. 1993;36(10):1452-1457.   Published online October 15, 1993
We have experienced a 14 year old female patient who had suffered from headache, dizziness, exertional dyspnea and chest pain during 6 months. She was diagnosed as primary pulmonary hypertension by ultrasonogram and cardiac catheterization. On the cardiac catheterization, there was elevated pulmonary artery pressure and normal pulmonary wedge pressure. We report this case with related literature review.
Original Article
Portal Hypertension in Children
Young Sook Kim, Ki Sup Chung
Clin Exp Pediatr. 1992;35(11):1528-1536.   Published online November 15, 1992
Portal hypertension assumes special interest in children due to the large variety of causes, the apparent difficulty of performing surgical portal systemic shunts because of the small size of vessels, the doubt still cast on the long term tolerance of portal systemic shunts and the theoretical possibility of spontaneous regression of varices with growth. Thirty cases of portal hypertension under...
Case Report
A Case of Leigh's Disease
Il Jung Joo, Hyun Cheol Hwang, Sang Woo Kim, Yong Seung Hwang
Clin Exp Pediatr. 1992;35(2):234-239.   Published online February 15, 1992
We experienced a case of Leigh's disease (subacute necrotizing encephalomyelopathy) in a 3-year old boy who was presented with hypertension and showed progressive respiratory arrest after giving chloral hydrate or ketamine. Almost all diagnostic tests including brain CT showed normal findings. The diagnosis could be made by MRI and TFCA (Transfemoral carotid angiography). A review of literature was also made...
Original Article
A Case of Esophageal Variceal Bleeding in a Child Secondary to Portal Hypertension Associated with Cavernous Transformation of the Portal Vein Suggesting Extrahepatic Portal Obstruction.
Sun Yang Hong, Tae Won Oh, Jeong Kook Lee, Hahng Lee, Keun Soo Lee, Seok Chol Jeon, Heung Suk Seo
Clin Exp Pediatr. 1990;33(10):1406-1412.   Published online October 31, 1990
Esophageal variceal bleeding is a rare manifestation in childhood and it usually occurs secondary to portal hypertension. We experienced a case of esophageal variceal bleeding secondary to portal hypertension associated with portal obstruction but with no evidence of liver cirrhosis in a 4-year- and-10-month-old boy who was hospitalized due to hematemesis. He was a product of fullterm normal spontaneous delivery at home unattended by...
Continous Wave Dopple Echocardiographic Prediction of Pulmonary Arterial Hupertension in Congenital Heart Disease.
Jung Suk Lee, Mi Jung Ko, Yeon Gyun Oh, Hyang Suk Yoon
Clin Exp Pediatr. 1989;32(7):951-957.   Published online July 31, 1989
This study determines the accuracy of Doppler echocardiography for predicting the presence of pulmonary artery hypertension from Doppler pulmonary artery velocity traces. The patient group included 26 patients with congenital cardiac disease who had undergone catheterization. Doppler measurements of acceleration time(AT), right ventricular ejection time (RVET), and AT/ RVET were compared with pulmonary artery pressure (PAP) and mean pulmonary artery pressure (m-PAP). We devided the patients in...
A Case of Renovascular Hypertension.
Kang Oh Lee, Soo Gi Kang, Mi Ja Yoon, Hyung Ja Park, Bok Lyun Kim, Shin na Kim, Hae Il Cheong, In One Kim, Kyung Mo Yeon
Clin Exp Pediatr. 1989;32(5):705-712.   Published online May 31, 1989
Recently, we experienced a case of renovascular hypertension in 7 year-old boy, who came with chief complaints of protracted vomiting and severe headache for 2 days. Right after admission, he developed seizure and loss of consciousness lasting 5 minutes. Blood pressure was 230/180 mmHg at that time. Diagnostic studies were done with plasma renin activity, rapid sequence pyelography and arteriography, which showed severe focal...
A Clinical Study of Acute Glomerulonephritis in Children.
Sung Ho Bae, Jin Hong Park, Jong Duck Kim
Clin Exp Pediatr. 1989;32(4):525-532.   Published online April 30, 1989
A Clinical study has been made on 33 cases of acute glomerulonephritis who were admitted to pediatric department of Won Kwang University Hospital, during 2 year period from Jan. 1985 to Dec. 1986 The results were as follows: 1) Male to female ratio was 1.4:1 and the age incidence was highest among children from 4 -12 years of age group(78.8%). 2) The most common season was...
A Case of Reflux Nephropathy Associated with Cardiomyopathy.
Soon Hee Eom, Sung Ho Cha, Byung soo Cho, Chang Il Ahn
Clin Exp Pediatr. 1988;31(2):258-262.   Published online February 28, 1988
Vesicoureteral reflux is the regurgitation of bladder urine into the upper urinary tract regardless of urinary tract infection. The results of vesicoureteral reflux are renal scarring, hypertension and proteinuria etc. We experienced a case of vesicoureteral reflux associated with cardiomyopathy in a 10 year old female patient who had dyspnea and orthopnea and treated with surgical and medical therapy. A brief review of the related...
The Case of Persistent Pulmonary Hypertension of the New born.
Sung Oh Kim, Soo Yup Lee, Kyoo Hwan Lee, Soo Jee Moon
Clin Exp Pediatr. 1988;31(1):128-133.   Published online January 31, 1988
Persistent pulmoanry hypertension of the newborn (PPHN) is a syndrome consisting of severe hypoxemia and pulmoanry hypertension that appears within hours of birth. The essential pathophysiologic features of this syndrome is pulmonary artery hypertension causing right-to-left shunt through the patent ductus arteriosus or foramen ovale or both and clinically manifested by central cyanosis and respiratory distress. We recently have experienced 20 hour old female and...
A Case of Neurofibromatosis with Renal Artery Aneurysm.
H J Park, Y H Park, Y T Kim, K C Sohn
Clin Exp Pediatr. 1987;30(2):212-217.   Published online February 28, 1987
A case of neurofibromatosis accompanied with renal artery aneurysm in a 14-year-old male was reported. Hypertension of the renovascular origin was improved after left nephrectomy. A brief review of literatures was presented.
Pheochromocytoma in Two 10-year Old Children.
Young Soo Kim, Young Hoon Kim, Se Won Yang, Yong Choi, Hyung Ro Moon
Clin Exp Pediatr. 1987;30(2):207-211.   Published online February 28, 1987
We experienced two cases of pheochromocytoma in 10 year-old boy and girl. Boy had bilateral and girl had unilateral pheochromocytoma. Both patients who were severely retarded in height growth had hypertension and one patient had cardiomyopathy. In both patients, vanillylmandelic acid in urine was increased, and phentolamine test was positive. Adrenal mass was visualized by C.T. in each ease. Successful surgical removal was done,...
Renovascular Hypertension in Childhood.
Jae Won Song, Soo Heun Lim, Yong Choi, Kwang Wook Ko, Chang Yee Hong, Kyung Mo Yeon
Clin Exp Pediatr. 1986;29(4):381-386.   Published online April 30, 1986
The following results were obtained from a retrospective analysis of 21 cases of renovascular hypertension who were admitted to Pediatric Department, Seoul National University Hospital, during the period from January 1978 to December 1985. 1) Takayasu arteritis was the most common cause (15 out of 21, 71%), and fibromuscular dysplasia of renal artery was confirmed only in two (9.5%) cases. 2) Male...
Clinical Observation on Hypertension in Hospitalized Children.
Chung Il Noh, Jong Yoon Kim, Hea Il Chung, Yong Choi, Kwang Wook Ko
Clin Exp Pediatr. 1985;28(5):477-482.   Published online May 31, 1985
A retrospective study of 234 children with hypertension was done. Those children were selected from the admitted patients to the pediatric ward of SNUH, from Jan. 1 st, 1972 to June 30 th, 1984. Among them, 144(61.5%) exhibited renal diseases, 17(7.3%) endocrine diseases, 15(6.4%) renovascular diseases, 12(5.1%) cardiovascular diseases, 3(1.3%) esstential hypertension, 8(3.5%) miscellaneous casuses. The most common cause among...
Captopril in Children with Renovacular Hypertension.
Yong Choi, Hoan Jong Lee, Hee Young Shin, Kwang Wook Ko, Chang Yee Hong
Clin Exp Pediatr. 1985;28(1):58-67.   Published online January 31, 1985
Captopril, a kind of converting enzyme inhibitors, is a promising anti-hypertensive drug, which is developed recently, and studied mainly in adult patients. We administered captopril to 4 children with renovascular hypertension, three of them accompanied Takayasu's arteritis and the remainder had isolated lesion. Three to five times of initial trials were performed on each patient with 12.5 mg of captopril....
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...
Respiratory Distress Syndrome of the New born Infants and Complications of Pregnancy.
Yoon Joo Choi, Eun Ai Lee, Seung Joo Lee, Keun Lee
Clin Exp Pediatr. 1983;26(2):118-123.   Published online February 28, 1983
A group of 514 newborn infants with gestational ages between 28 weeks and 36 weeks were studied for the influence of pronolonged rupture of amniotic membranes and maternal hype- rtension. during pregnancy on. the incidence of Idiopathic Respiratory Distress Syndrome (IRDS). The incidence of IRDS in. complicated pregnancy is that significantly lower than in the control groups. (8.9% vs 18.8%, p<0.05) The occurence of...
Clinical Studies on Total Anomalous Pulmonary Venous Connection.
Young Jin Hong, Kee Hong Kwon, Hae Il Cheong, Jung Yeun Choi, Yong Soo Yoon, Chang Yee Hong
Clin Exp Pediatr. 1982;25(11):1120-1130.   Published online November 30, 1982
Total anomalous pulmonary venous connection (TAPVC) is a rare congenital defect in which all the pulmonary veins are connected to the right atrium or its tributary veins. Without surgical intervention, most patients with TAP VC have grave prognosis, with cardiac failure and death in infancy. But owing to the advances of surgical technique and postoperative care, complete correction has been accomplished with good results. Sixteen...
Plasma Renin Activities in Patients with Acute Poststreptococcal Glomerulonephritis.
S Y Chang, B H Oh, W G Lee, C M Park
Clin Exp Pediatr. 1982;25(4):329-333.   Published online April 30, 1982
Acute poststreptococcal glomeruonephritis is the most common non-pyogenic renal disease in childhood. The main clinical manifestations are edema, hematuria and hypertension. During the course of the disease, acute renal failure and hypertension are most common complications. Hypertension may give rise to encephalopasthy in small percentage of patients. Yet, the precise mechanism of its pathogenesis has remained uncertain. Increased cardiac output...
Case Report
A Case of Cushing's Syndrome Associatied with Hypertensive Encephalopathy.
Choong Rae Kim, In Soon Park, Do Seung Lee, Jae Sun Park, Kee Ryo Chang, Soon Yong Lee
Clin Exp Pediatr. 1981;24(1):80-84.   Published online January 15, 1981
A 8-yrs-old boy was admitted because of convulsion and coma. The diagnosis of Cushing's syndrome(key word) associated with hypertensive encephalopathy(key word) due to right adrenocortical carcinoma(key word) was made by clinical features, biochemical studies, radiological studies and pathological examination. The tumor was successfully resected by right adrenalectomy. But 22 months later after operation, he died of dyspnea and heart failure....
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