Journal of Yeungnam Medical Science

Case Reports

Died immediately after corrective surgery for right ventricular acute myocardial infarction and ventricular septal rupture.: Su Mi Kim, Sung Yun Jung, Min Jung Kim, Tae Hun Kwon, Kang Un Choi, Byung Jun Kim, Jang Won Sohn, Gue Ru Hong; Yeungnam Univ J Med. 2014;31(1):9-12. Published online June 30, 2014; DOI: https://doi.org/10.12701/yujm.2014.31.1.9

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Abstract PDF: Postinfarction ventricular septal rupture (VSR) is a rare but fatal complication of acute myocardial infarction. In many cases, postinfarction VSR leads to hemodynamic instability and urgent surgical treatment is necessary. Here we describe a case of a patient with right ventricular (RV) dysfunction caused by acute RV infarction and with cardiogenic shock, whose condition improved after development of postinfarction VSR, but the patient died after corrective surgery.

Endovascular Treatment of Ruptured Dissecting Basilar Artery Aneurysm: One Case Report: Woo Mok Byun, Bok Hwan Park; Yeungnam Univ J Med. 2007;24(2 Suppl):S636-641. Published online December 31, 2007; DOI: https://doi.org/10.12701/yujm.2007.24.2S.S636

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Abstract PDF: Optimal treatment for ruptured dissecting basilar artery aneurysms in patients presenting with SAH is endovascular method using stent placement and coil embolization. We report a case (52-year-old woman) of ruptured dissecting aneurysm of the basilar artery which was treated with stent placement and coil embolization.

Original Article

Clinical Significance of Interleukin-6 Concentration of Cervical Discharge in Pregnant Women with Preterm Labor and Preterm Rupture of Membrane: Seong Woong Kim, Sung Chul Park, Sung Ho Lee, Doo Jin Lee; Yeungnam Univ J Med. 2007;24(2 Suppl):S505-518. Published online December 31, 2007; DOI: https://doi.org/10.12701/yujm.2007.24.2S.S505

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Abstract PDF: Background
：This study is conducted to determine the clinical efficacy of measurement of IL-6 concentration in cervical discharge as a biochemical predictor of preterm labor and PROM. Materials and Methods：Twenty-two pregnant women with preterm labor and 28 women with preterm rupture of membrane(PROM) between 20-36 gestational weeks were selected as study group, and 26 normal pregnant women were selected as control group. In both groups, following routine antenatal laboratory tests, concentration of interleukin-6(IL-6) in cervical discharge and amniotic fluid(in case of preterm labor and PROM) were estimated, and maternal C-reactive protein(CRP) level and WBC count were checked also. To compare the microbiological environment of both groups, Gram stain and culture of cervical smear were undertaken.
Results
：There were no significant differences in maternal age, gravity, parity, gestational age at sampling, and prior preterm delivery, but there were significant differences in initial cervical dilation, effacement, cervicovaginal pH, and preterm delivery in each groups. The average IL-6 level of cervical discharge in women with preterm labor and PROM were significantly higher than control group (p＜0.01). The distribution of women with preterm labor and PROM were significantly different from control group, when 186.7 pg/mL was selected as cutoff value(p＜0.01). There was strong positive correlation between IL-6 concentration in cervical discharge and amniotic fluid IL-6 concentration (r=0.865, p＜0.05). There was no significant difference in CRP in each groups. Maternal WBC count of PROM group at admission was higher than that of preterm labor and control group, but was not statistically significant (p=0.062). Gram (-) rods was detected frequently in women with preterm labor and PROM than control group (p＜0.05). The distribution of microorganisms in cervical discharge in women with preterm labor and PROM were different from control group. Conlusion：The results of this study suggested that cervical IL-6 concentration could be used as an indicator detecting the high risk pregnant women who might develop preterm labor and PROM, and could be accepted as a noninvasive diagnostic marker of intrauterine infection.

Case Reports

Treatment of Coronary Artery Perforation and Tamponade Complicating Balloon Angioplasty by PTFE-Covered Stent. A Case Report.: Jong Seon Park, Gu Ru Hong, Jun Ho Bae, Ihn Ho Cho, Bong Sup Shim, Young Jo Kim, Dong Gu Shin; Yeungnam Univ J Med. 2005;22(1):90-95. Published online June 30, 2005; DOI: https://doi.org/10.12701/yujm.2005.22.1.90

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Abstract PDF: A coronary artery perforation is a rare but often fatal complication of angioplasty. We experienced a coronary artery perforation and cardiac tamponade during balloon angioplasty. A polytetrafluorethylene (PTFE) -covered stent was used to successfully close the perforation.

A Case of Spontaneous Uterine Rupture of the Unscarred Uterus in 14 Weeks Gestation.: Jeong Suk Kim, Jin Hee Kim, Yeun Kyoung Bae, Yoon Ki Park; Yeungnam Univ J Med. 2004;21(2):251-255. Published online December 31, 2004; DOI: https://doi.org/10.12701/yujm.2004.21.2.251

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Abstract PDF: Spontaneous uterine rupture of the unscarred uterus during the second trimester of pregnancy is rare, but it is a surgical emergency. Because it results in rapid deterioration of patient and high mortality despite of prompt operation and massive transfusion, early diagnosis and proper management are critical for optimizing patient care. We present a case of spontaneous uterine rupture with fetal death in 14 weeks gestation with a brief review of literatures.

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