Journal of Yeungnam Medical Science

Cheol Joo Lee

6 Articles

A Case Report of Primary Pericardial Malignant Epitheloid Mesothelioma.: Moon Ho Chung, Myung Soo Hyun, Young Jo Kim, Bong Sup Shim, Chong Suhi Kim, Dong Hyup Lee, Cheol Joo Lee, Myeun Shik Kang; Yeungnam Univ J Med. 1986;3(1):301-306. Published online December 31, 1986; DOI: https://doi.org/10.12701/yujm.1986.3.1.301

Abstract PDF: Primary pericardial mesothelioma is a rare tumor of mesodermal origin that is infrequently diagnosed antemortem and survival is short. A 60 year old male case of pericardial mesothelioma (epitheloid type) is reported. He was admitted to Yeungnam University Hospital because of chest pain, dyspnea, orthopnea and nonproductive cough. Chest x-ray suggested pericardial effusion. 2-D echocardiography showed echo free spaces of massive pericardial effusion and areas of thick hyperrefractile echoes arising from the pericardium. Pericardiocentesis was attempted and aspirated fluid was bloody exudates. Pericardial window operation with biopsy was done. Swan-Ganz catheterization showed equalization between right atrial pressure and pulmonary capillary wedge pressure. The pathologic diagnosis was established by histologic finding at pericardial biopsy.

The Clinical Analysis of Patient with Patent Ductus Arteriosus.: Myeun Shik Kang, Dong Hyup Lee, Cheol Joo Lee, Tae Eun Jung; Yeungnam Univ J Med. 1986;3(1):287-292. Published online December 31, 1986; DOI: https://doi.org/10.12701/yujm.1986.3.1.287

Abstract PDF: A clinical analysis was performed on 61 cases of patent ductus arteriosus experienced at Yeungnam University Hospital during 3 years period from April, 1984 to December, 1986. Of the 61 patient of PDA, 13 patients were male and 48 patient were female and age ranged 2 months to 26 years old with the average age of 9.4 years. The chief complaints on admission were frequent URI and dyspnea on exertion. diagnostic procedure were Doppler echocardiogram (in 53 among 61). Three postoperative complication were developed, but there was no operative mortality.

Anatomic Classification of Ventricular Septal Defects and Clinical Review of 99 Cases.: Cheol Joo Lee, Tae Eun Jung, Dong Hyup Lee, Myeun Shik Kang; Yeungnam Univ J Med. 1986;3(1):221-227. Published online December 31, 1986; DOI: https://doi.org/10.12701/yujm.1986.3.1.221

Abstract PDF: Ventricular septal defects is most common congenital cardiac anomaly in Korea and worldwide. And its clinical spectrum is well known. The anatomic classification had been undertaken by several authors, but recently Dr. Soto and Anderson's classification is widely used instead of Dr. Kirklin's it. From April, 1984 to December 1986, 99 cases of ventricular septal defects had been taken surgical repair under direct vision using conventional cardiopulmonary bypass technique at Yeungnam university hospital. The clinical spectrum was similar to other hospital, and postoperative mortality was 2%, the most common associated anomaly was patent foramen ovale, and the most common postoperative complication was incomplete or complete right bundle branch block. The rank of defects was as followings: 45 perimembranous inlet type, 21 doubly committed subarterial type, 17, perimembranous trabecular type, and 16 perimembranous outlet type. There was no muscular and mixed type.

Clinical Analysis of Open Heart Surgery: A report of 111 cases.: Cheol Joo Lee, Tae Eun Jung, Dong Hyup Lee, Myeun Shik Kang; Yeungnam Univ J Med. 1986;3(1):215-219. Published online December 31, 1986; DOI: https://doi.org/10.12701/yujm.1986.3.1.215

Abstract PDF: During 1986, 111 cases of open heart surgery were performed at Yeungnam University Hospital consisting 88 cases of congenital heart disease and 23 cases of acquired heart disease. Among 88 congenital heart disease, 72 were acyanotic group and 16 were cyanotic. Common congenital heart diseases were ventricular septal defect (51%), atrial septal defect (18%) and Tetralogy of Fallot (16%). Among 23 acquired heart disease, 22 cases were valvular heart disease and one was dissecting aortic aneurysm. Three cases of the postoperative death were present resulting 2.7% of surgical mortality rate.

Congenital Tracheoesophageal Fistula without Atresia of the Esophagus.: Dong Hyup Lee, Cheol Joo Lee, Hyun Sik Min; Yeungnam Univ J Med. 1985;2(1):253-258. Published online December 31, 1985; DOI: https://doi.org/10.12701/yujm.1985.2.1.253

Abstract PDF: The congenital tracheoesophageal fistula without atresia of the esophagus is considered a rare variant, and the literature concerned to the tracheoesophageal fistula fistula without atresia is little in adult especially. The 22-year-old male was admitted to Yeungnam University Hospital with his chief complaints of weight loss (6 kg/6 months), abdominal discomfort, and intermittent coughing. The diagnosis was made by the endoscopy and esophagography. The fistula was 1.5 cm in diameter, 0.5 cm in length. The level was around second thoracic vertebra. The operation was performed transpleurally through the right third intercostals space and the fistula was secured with interrupted silk suture after division. The fibrotic adhesion was seen around the tracheoesophageal fistula. The postoperative course was uneventful, and postoperative esophagogram revealed no extraluminal leakage. Herewith we report this unusual case of isolated tracheo-esophageal fistula with review of literatures.

A Case Report of Ventricular Septal Defect with Bacterial Endocarditis and Pulmonic Valve Vegetation.: Wha Chong Park, Young Jo Kim, Bong Sup Sim, Chong Suhl Kim, Dong Hyup Lee, Cheol Joo Lee, Bum Koo Cho; Yeungnam Univ J Med. 1985;2(1):241-247. Published online December 31, 1985; DOI: https://doi.org/10.12701/yujm.1985.2.1.241

Abstract PDF: Bacterial endocarditis has been well recognized as an important complication of congenital heart disease, such as ventricular septal defect, patent ductus arteriosus or pulmonary stenosis. The incidence of right sided bacterial endocarditis is lesser than left sided bacterial endocarditis. Also, pulmonic valve vegetation has been thought to be relatively uncommon. So in a patient with fever and evidence of recurrent pulmonary infarction, changing heart murmurs and scattered pneumonic infiltrates, one should direct attention to the heart as a possible source of the infection. Echocardiography with M-mode, 2-D and Doppler mode represents the only noninvasive technic available for detecting vegetations in bacterial endocarditis. In fact, the technic is more sensitive in identifying these lesions than angiography. We experienced a case of ventricular septal defect with bacterial endocarditis, pulmonic valve vegetation and multiple pulmonary embolism diagnosed with Echocardiogram and lung scan, and confirmed by operation. Patch repair of ventricular septal defect, resection of pulmonic valve and vegetation and artificial valve formation with pericardium were done.

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