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Original Article
Mid-term Result of the Transcatheter Occlusion of Patent Ductus Arteriosus with Duct-Occlud Device and Procedure-Related Problems
Yuria Kim, Jae Young Choi, Jong Kyun Lee, Jun Hee Sul, Sung Kyu Lee, Young Hwan Park, Bum Koo Cho
Clin Exp Pediatr. 2004;47(1):36-43.   Published online January 15, 2004
Purpose : We will present our mid-term result of transcatheter closure of PDA with Duct-Occlud device(pfm. AG. Germany) after 12 months follow up and report the problems during the procedure. Methods : In total 154 patients, the Duct-Occlud devices were inserted in our institute from March, 1996 to August, 2002. Three types of Duct-Occlud device, i.e standard, reinforced, reinforced reverse cone...
The Natural Course and Size Change of Atrial Septal Defect Secundum
Deok Young Choi, Jae Young Choi, Mi Jin Kim, Jun Hee Sul, Sung Kyu Lee
Clin Exp Pediatr. 2003;46(9):871-875.   Published online September 15, 2003
Purpose : This study was performed to follow the natural course and size change of isolated atrial septal defect(ASD) secundum. Methods : Among the newly diagnosed with ASD secundum at the division of pediatric cardiology in Yonsei cardiovascular hospital from January 1996 to December 2000, 89 patients with pure ASD secundum were checked by the serial echocardiographic evaluation to measure...
Postoperative Progress and Influencing Factors in Patients after Rastelli Procedure
Se Heui Kim, Kyeong Sik Kim, Jong Kyun Lee, Jae Young Choi, Jun Hee Sul, Sung Kyu Lee, Young Whan Park, Bum Koo Cho
Clin Exp Pediatr. 2003;46(3):259-264.   Published online March 15, 2003
Purpose : We have performed an analysis on patients who received Rastelli operation in our institute and reviewed their progress postoperatively. Various factors with suspected relationship to the outcome have been considered to help in future treatment and follow-up. Methods : We analyzed retrospectively 43 patients who either received Rastelli operation in Yonsei University Cardiovascular Center from March 1995 to April...
Medico-Surgical Cooperative Treatment of Pulmonary Atresia with Intact Ventricular Septum
Kyeong Sik Kim, Byeong Chul Kweon, Jong Kyun Lee, Jae Young Choi, Jun Hee Sul, Sung Kyu Lee, Young Whan Park, Bum Koo Cho
Clin Exp Pediatr. 2003;46(3):250-258.   Published online March 15, 2003
Purpose : The actual clinical examples of co-appliance of catheter intervention with surgical procedures in the treatment of pulmonary atresia with an intact ventricular septum(PA/IVS) which we have experienced in our institution are here shown, and the anatomical and hemodynamical profiles between each method is compared. Methods : Medical records of 33 patients with PA/IVS who underwent various treatment from January,...
Morphologic Changes of the Pulmonary Arteries after Stent Implantation on Branch Pulmonary Artery Stenosis - Impact of Pulmonary Insufficiency -
Me Jin Kim, Du Cheol Kang, Jae Young Choi, Jong Kyun Lee, Jun Hee Sul, Sung Kyu Lee
Clin Exp Pediatr. 2003;46(1):67-75.   Published online January 15, 2003
Purpose : Intravascular stent implantation for the treatment of postoperative branch pulmonary artery(PA) stenosis has been used successfully. However, the cross sectional area of contralateral branch PA does not regress in spite of the successful dilation of the stenotic branch PA after stent implantation. We analyzed the morphologic and hemodynamic factors on the size of branch PA after successful...
Conversion of Total Atrio-pulmonary Connection to Total Cavo-pulmonary Connection - Review of Indications and Hemodynamic Characteristics -
Jung Ho Seo, Jong Kyun Lee, Jae Young Choi, Jun Hee Sul, Sung Kyu Lee, Young Whan Park, Bum Koo Cho
Clin Exp Pediatr. 2002;45(2):199-207.   Published online February 15, 2002
Purpose : Since the successful application of total atrio-pulmonary connection(TAPC) to patients with various types of physiologic single ventricles in 1971, post-operative survival rates have reached more than 90%. However some patients have been shown to present with late complications such as right atrial thrombosis, atrial fibrillation and protein losing enteropathy eventually leading to re-operation to control the long-term complications....
Results of Balloon Angioplasty in Patients with Coarctation of the Aorta
Hyun Kyung Roh, Bong Hee Seo, Jae Young Choi, Jin Sung Ko, Jong Kyun Lee, Jun Hee Sul, Sung Kyu Lee
Clin Exp Pediatr. 2001;44(12):1404-1412.   Published online December 15, 2001
Purpose : This study was undertaken to analyze and compare the effects of percutaneous balloon angioplasty(BAP) on postoperative re-coarctation and native coarctation of the aorta(CoA) and to thereby contribute to the development of treatment methods for CoA. Methods : The subjects in this study were 21 children who had undergone BAP from Jan. 1996 to Dec. 2000 in the Division of Yonsei Pediatric Cardiology....
Early Results of Stent Implantation in Branch Pulmonary Artery Stenosis after Tetralogy of Fallot Repair
Sung Kyu Lee, Sang Hun Lee, Jae Young Lee, Su Jin Kim, Mi Young Han, Do Jun Cho, In Seung Park, Eun Jung Bae, Sung Ho Kim
Clin Exp Pediatr. 2000;43(10):1343-1349.   Published online October 15, 2000
Purpose : Pulmonary artery stenosis is mainly complicated by aortopulmonary shunt or total correction of tetralogy of Fallot(TOF). Results of surgical angioplasty are poor and the success rate of balloon angioplasty is 53-72%. Endovascular stents have been applied to these lesions. The purpose of this study is to evaluate the early results of stent implantation in postoperative pulmonary artery stenosis...
The Use of Quadruple Blood Bags Transfusion of Low Birth Weight Neonates
Sang Hoon Lee, Jean Yoon, Yang Park, Sung Kyu Lee, Hee Chung Kim, Woo Sup Shim
Clin Exp Pediatr. 1999;42(8):1122-1129.   Published online August 15, 1999
Purpose : Low-birth-weight(LBW) neonates often need multiple transfusions during their neonatal period. The routine use of the 500ml mono-bag system in Korea, even in neonatal transfusions, results in a great waste of blood and exposes the neonate to multiple blood donors. To reduce the waste of blood and the number of exposures, we used quadruple blood bags in the transfusion...
Case Report
A Case of Kawasaki Disease of Five Recurrences During 4 Years
Jeong Woo Ryu, Dong Soo Kim, Jong Kyun Lee, Jun Hee Sul, Sung Kyu Lee
Clin Exp Pediatr. 1997;40(9):1293-1296.   Published online September 15, 1997
Kawasaki disease is an acute illness of early childhood, especially less than 5 years of age, characterized by prolonged fever(> 5 days), changes of lips and oral cavity, changes of peripheral extremities, polymorphous skin rash, bilateral conjunctival congestion and acute nonpurulent cervical lymphadenopathy. Usually, the recurrence of Kawasaki disease is not frequent. It is thought that the factors in recurrence of Kawasaki disease was...
Unilateral Absence of Pulmonary Artery
Gu Hyun Lee, Jae Young Choi, Jong Kyun Lee, Jun Hee Sul, Sung Kyu Lee
Clin Exp Pediatr. 1996;39(9):1309-1314.   Published online September 15, 1996
Unilateral absence of pulmonary artery(UAPA) is a rare disease. We experienced 2 cases of UAPA in 5 month-old male patient and 16 year-old female patient with the chief complaint of dyspnea. Lung perfusion scan, cardiac catheterization with pulmonary and aortic angiography confirmed the diagnosis of UAPA.
Original Article
Hemodynamic Status of Subpulmonic Ventricular Septal Defect in Relation to Morphologic Changes of Aortic Valve
Myung Hyun Sohn, Jae Young Choi, Jong Kyun Lee, Jun Hee Sul, Sung Kyu Lee, Bum Koo Cho
Clin Exp Pediatr. 1996;39(8):1103-1110.   Published online August 15, 1996
Purpose : Subpulmonic ventricular septal defect is clinically important because the risks of aortic regurgitation and endocarditis are substantially increased. This study was conducted to evaluate the effect of hemodynamic changes induced by structural anomalies of aortic valve on the surgical outcome. Methods : This clinical study was done by reviewing the medical records of 124 patients who were diagnosed and surgically managed at the...
Transcatheter Closure of Secundum Atrial Septal Defect with \Buttoned\" Device"
Jong-Kyun Lee, Seok Min Choi, Jo Won Jung, Jun Hee Sul, Sung Kyu Lee, Jin Yong Lee, Hae Yong Lee
Accepted January 1, 1970  
Purpose : Recently, non-operative transcatheter management of congenital heart defects h as increased due to their effectiveness and safety being acknowledged. In the case of secundu- m atrial septal defect(ASD), closing devices have been developed since 1974 and have been u sed clinically. The authors, having tried the "Buttoned" device which was developed in 1990 an d having succeeded in...
Case Report
A Case of Two Giant congenital Aneurysms of the Right Coronary Artery
Yong Kwan Kim, Jo Won Chung, Jong Kyun Lee, Jun Hee Sul, Sung Kyu Lee
Clin Exp Pediatr. 1994;37(6):850-853.   Published online June 15, 1994
Aneurysms of the coronary arteries are rare. They may be due to atherosclerosis, mucocutaneous lymph node syndrome, mycotic emboli, syphilis or trauma and occasionally they are congenital. The prognosis appears to be poor and death can occur suddenly from rupture of the aneurysm, peripheral coronary embolism or bacterial endocarditis. Recently surgical treatment has been successful In a 5 year old patient with...
Original Article
Morphological Classification of Left Superior Vena Cava and Analysis of Associated Cardiac Anomalies
Eun Joo Choi, Jong Kyun Lee, Seok Min Choi, Jun Hee Sul, Sung Kyu Lee
Clin Exp Pediatr. 1994;37(5):612-619.   Published online May 15, 1994
The persistend left superior vena cava(LSVC) is not rare cardiovascular developmental anomaly occurring both in association with congenital heart disdease and as an isolated anomaly of no hemodynamic importance. We have studied 73 cases of the LSCV out of 1,060 cases of congenital heart disease catheterized at Yonsei Cardiovascular Center. We conducted the study with a view point of position of...
Echocardiographic Evaluation of the Changes of the Interventricular Septal Morphology in Postoperative Tetralogy of Fallot Patients
Im Jae Park, Jun Hee Sul, Jong-Kyun Lee, Seok Min Choi, Jo Won Chung, Sung Kyu Lee, Bum Koo Cho
Clin Exp Pediatr. 1994;37(4):502-509.   Published online April 15, 1994
The hemodynamic feature of the tetralogy of Fallot (TOF) is best characterized by equality of left and right ventricular peak systolic pressure. The interventricular septum is flattened and thickened. Even after the right ventricular pressure is normalized in the postoperative period, the morphological abnormality continues for some time. We have analyzed the morphological changes of the IVS echocardiographically after total...
Case Report
A Case of congenital Diverticulum of Ventricle Associated with Pulmonary Atresia
Kun Taek Kim, Jo Won Jung, Jong Kyun Lee, Jun Hee Sul, Sung Kyu Lee
Clin Exp Pediatr. 1994;37(2):276-281.   Published online February 15, 1994
The congenital diverticulum of ventricle is a rare cardiac malformation arising from the left or right ventricle, the former being more common. Ventricular diverticulum is usually associated with other anomalies including intracardiac, midline thoracic, diaphragmatic and abdominal wall defect. The authors experienced a case of congenital diverticulum of left ventricle in nine month-old female infant. Left Blolock-Taussig shunt operation was done...
Original Article
Analysis of the Morphological Characteristics of Double Outlet Right Ventricle and Comparative Study of Operative Methods
Jun Hee Sul, Jong-Kyun Lee, Jo Won Jung, Sung Kyu Lee, Bum Koo Cho
Clin Exp Pediatr. 1993;36(12):1721-1731.   Published online December 15, 1993
Double outlet right ventricle, a complex of congenital cardiac anomalies in which both great arteries arise wholly or in large part from the morphologic right ventricle presents diverse clinical manifestations according to the morphological characteristics. Eighty cases with DORV were diagnosed and operated at Yonsei Cardiovascular Center from 1988 to 1992. The analysis of the morphological characteristics of this anomaly and...
Tricuspid Atresia : A Re-evaluation and Classification
Jun Hee Sul, Jong Kyun Lee, Seok Min Choi, Sung Kyu Lee
Clin Exp Pediatr. 1993;36(12):1716-1720.   Published online December 15, 1993
Morphological evaluations accounting the associated anomalies were performed in the 60 cases of tricuspid atresia, diagnosed at Divsion of Pediatric Cardiology. The following results were obtained. 1) Twenty one out of the 6 cases had transposition of the great vessels, among which 8 cases were in complete A-transposition. 2) Seven cases were associated with pulmonany atresia, in 1 case, aorts arise from...
Morphlolgical Analysis of the Congenital Heart Disease Associated with Infrahepatic Interruption of IVC with Azygos Contnuation
Jun Hee Sul, Jong Kyun Lee, Sung Kyu Lee
Clin Exp Pediatr. 1993;36(4):543-549.   Published online April 15, 1993
Infrahepatic interruption of the inferior vena cava with azygos continuation is elatively infrequent cardiovascular developmental anomaly occurring both in association with congenital heart disease and as an isolated anomaly of no hemodynamic importance. During the past 5years, we observed 38cases of infrahepatic interruption of IVC with azygos continuation out of 2,397 cases of congenital heart disease catheterized at Yonsei...
Evaluation of Congenital Cardiac Anomalies Associated with Side by Side Ventricle
Young Sook Kim, Jong Kyun Lee, Jun Hee Sul, Sung Kyu Lee, Dong Shik Chin
Clin Exp Pediatr. 1992;35(2):168-173.   Published online February 15, 1992
Many forms of congenital heart disease are arrests in normal development. An understanding of the relevent embryology and pathology is basic to the understanding, accurate diagnosis, and successful management of congenital heart disease. The heart appears on the 18th day of life and its formation is normally completed by about the 40th day of life when the embryo is approximately...
Exercise Tolerance Tests in Patients with Tetralogy of Fallot Repaired Earlier : Correlation with 2-Dimensional Echocardiography and Cardiac Catheterization
Jin Yong Lee, Jun Hee Sul, Sung Kyu Lee, Dong Shik Chin, Bum Koo Cho, Soo Kwan Hwang, Dong Soo Yeoun
Clin Exp Pediatr. 1992;35(2):157-167.   Published online February 15, 1992
Exercise tolerance tests were performed using treadmill in 21 patients with tetralogy of Fallot (TOF) repaired earlier (4.8 years in mean) and 10 subjects with small ventricular septal defect or normal heart, aged 8-16 years. Pre and postexercise echocardiography and cardiac catheterization were also performed and the hemodynamic data were compared with exercise parameters. The following results were obtained. 1)...
Analysis of 5,653 Cases with Congental Heart Disease (CHD) Catheterized at Yonsei Medical Center - A 28-Year Review -
Dong Shik Chin, Jong Kyun Lee, Jun Hee Sul, Sung Kyu Lee, Bum Koo Cho
Clin Exp Pediatr. 1992;35(2):143-156.   Published online February 15, 1992
This is a 28-year analysis of 5,653 cases with congenital heart disease who underwent cardiac catheterization at Yonsei Medical Center from 1964 to 1991. Form 1964, there was a steady increment in the number of catheterized cases with CHD until the late 1970's when the patients population began to increase rapidlly. This was undoubtedly set off by the introduction of the...
Original Article
Clinical study on the factors used in the diagnosis of heart failure.
Dong Chul Park, Seok Min Choi, Jun Hee Sul, Sung Kyu Lee, Dong Shik Chin
Clin Exp Pediatr. 1991;34(11):1534-1539.   Published online November 30, 1991
Heart failure is the state in which heart cannot produce the cardiac output required to sustain the metabolic needs of the body without evoking certain compensatory mechanisms. As these mecha- nisms become ineffective, increasingly severe clinical manifestations result. The diagnosis of conges- tive heart failure relies on several sources of clinical findings, including history, physical examination, and chest X-rays. For lack of uniform diagnostic...
Measles in Previously Vaccinated Children during Measles Epidemics.
Hwan Gyu Park, Jeong Wan Yoo, Soh Yeon Kim, Young Mo Shon, Sung Kyu Lee, Kyung Soon Song
Clin Exp Pediatr. 1990;33(11):1510-1515.   Published online November 30, 1990
A clinical study was made on 98 cases of measles patients admitted to YoungDong Severance Hospital during the period of 7 months from June to December 1989. The patients with measles were evaluated for presence of measles specific IgM antibody in serum, clinical symptom and vaccination history. We obtained the following results: 1) Out of 98 patients, 62 patients (63.3%) were vaccinated children and 36 patients...
A case of Gaucher's Disease Diagnosed by beta-Glucosidase Enzyme Deficiency.
Hwan Gyn Park, Yil Sub Lee, Chang Hyun Yang, Chang Ho Hong, Sung Kyu Lee, Kyung Soon Song, Hyeon Joo Jeong
Clin Exp Pediatr. 1990;33(4):514-521.   Published online April 30, 1990
We experienced a case of adult type Gaucher’s disease in a 2 year 9 month old female. The patient had hepatosplenomegaly with anemia and characteristic Gaucher cells in bone marrow aspiration and biopsy of liver and spleen. Diagnosis was confirmed by demonstration of β-glucosidase enzyme deficiency in circulating leukocytes. Partial splenectomy was followed by improvement of anemia and thrombocytopenia. A brief review of literature was done.
Studies of false tendon in left ventricle by echocardiography.
Un Jun Hyoung, Jin Yong Lee, Jun Hee Sul, Sung Kyu Lee, Dong Shik Chin
Clin Exp Pediatr. 1989;32(11):1503-1509.   Published online November 30, 1989
The False tendon is an anomalous chordae tendinae which attaches to abnormal sites in left ventricle. We studied the incidence of false tendon and relationship of the false tendon, functional murmur and arrhythmias using echocardiography. The results were as follow; 1) We found false tendons in 42 cases of total 307 cases, 13.6% 2) In group I (the patients who have congenital heart disease), the incidence of...
A Case of Mitral Atresia.
Chang Yul Kim, Jun Hee Sul, Sung Kyu Lee, Dong Shik Chin
Clin Exp Pediatr. 1989;32(3):418-422.   Published online March 31, 1989
Mitral atresia is a rare and fatal congenital heart disease. We experienced a case of mitral atresia associated with double outlet right ventricle(S.D.S). atrial septal defect and multiple ventricular septal defect in a 50 day old female infant. which was diagnosed by echocardiogram and confirmed at autopsy.
Truncus Arteriosus Associated with Interrupted Aortic Arch.
Chang Hyun Yang, Jae Seung Yang, Jun Hee Sul, Dong Soo Kim, Sung Kyu Lee, Dong Shik Chin
Clin Exp Pediatr. 1988;31(6):779-783.   Published online June 30, 1988
We experienced a case of truncus arteriousus associated with interrupted aortic arch, ventricular septal defect and patent ductus arteriosus. A 5 month old boy had complained of rapid respiration and feeding difficulty since birth. There was no visible cyanosis or clubbing toes and nails. There was a grade 2 〜3 ejection systolic murmur with maximum intensity at the left lower sternal border. Diagnosis was...
Abdominal Ultrasonographic Findings in Patients with Kawasaki Disease.
Ho Taek Kim, Chang Ho Hong, Chul Lee, Sung Kyu Lee, Pyung Kil Kim, Ki Kun Oh
Clin Exp Pediatr. 1988;31(3):348-354.   Published online March 31, 1988
Kawasaki disease, first reported in Korea in 1973, is now one of the disease commonly encountered in pediatric age group. It presents systemic symptoms including abdominal ones such as pain, nausea and vomiting, etc. There have been several case reports of hydrops of the gallbladder occuring concurrently with Kawasaki disease, and the abdominal symptoms of the disease are known to correlate with hydrops of...
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