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Review Article
Cardiology
Pediatric heart transplantation: how to manage problems affecting long-term outcomes?
Young Hwue Kim
Clin Exp Pediatr. 2021;64(2):49-59.   Published online April 8, 2020
Since the initial International Society of Heart Lung Transplantation registry was published in 1982, the number of pediatric heart transplantations has increased markedly, reaching a steady state of 500–550 transplantation annually and occupying up to 10% of total heart transplantations. Heart transplantation is considered an established therapeutic option for patients with end-stage heart disease. The long-term outcomes of pediatric heart...
Case Report
A Case of Micturition Syncope in a Child
Sun Youn Lee, Su Jeong Ryu, Deok Soo Kim, Young Hwue Kim, Tae Sung Ko, Jae Moon Kim
Clin Exp Pediatr. 2003;46(12):1274-1278.   Published online December 15, 2003
Syncope in children and adolescents have a common occurrence according for up to 15% before adulthood. Micturition syncope, a kind of situational syncope, can be considered a form of reflex syncope. It can typically occur in healthy young men after rising from bed in the early morning who experience sudden loss of consciousness during or immediately after urination. The mechanism...
Original Article
Role of Transesophageal Pacing in Evaluation of Palpitation in Infants and Children
Su-Jeong Ryu, Jae Kon Ko, Young Hwue Kim, In Sook Park
Clin Exp Pediatr. 2003;46(1):51-55.   Published online January 15, 2003
Purpose : We intended to find out the role of transesophageal atrial pacing in evaluation of infants and children with palpitation of unknown origin. Methods : We tried transesophageal atrial pacing study in 69 infants and children with palpitation, in whom tachycardia wasn't documented in electrocardiogram and reviewed retrospectively the records of transesophageal pacing and medical records of theses patients to...
The Usefulness of the Head-up Tilt Test for Diagnosis of Syncope in Pediatric Patients
Hye Jin Yun, Sun Hee Rim, So Young Yun, Jae Kon Ko, Young Hwue Kim, In Sook Park
Clin Exp Pediatr. 2001;44(12):1441-1447.   Published online December 15, 2001
Purpose : The purpose of this study is to examine the usefulness of the head-up tilt test for diagnosis of unexplained syncope in children. Methods : Head-up tilt test results and clinical features of 41 children with unexplained syncope, presyncope, dizziness and seizure were studied from January, 1997 through January, 2001 at Asan Medical Center. Medical records of children were reviewed retrospectively. The children...
Neuro-developmental Assessment of Patients with Transposition of the Great Arteries by Localized 1H-Magnetic Resonance Spectroscopy
Ki-Soo Kim, Jee-Yeon Min, So Young Yoon, Young Hwue Kim, Jae Kon Ko, In Sook Park, Ki-Soo Kim, Dong Man Seo, Sang-Tae Kim, Jung Hee Lee, In Kyung Sung
Clin Exp Pediatr. 2001;44(5):533-544.   Published online May 15, 2001
Purpose : The purpose of this study was to evaluate the hemodynamic effect of transposition of the great arteries(TGA) on neuro-development by measuring the cerebral metabolites before and 1 year after open heart surgery(OHS) by localized in vivo 1H-magnetic resonance spectroscopy(1H- MRS) along with Bayley scales of infants development II(BSID II). Methods : Full-term newborns(N=13) with TGA and intact ventricular septum...
Case Report
Four Cases of Pulmonary Artery Sling with Bridging Bronchus
Seung A Lee, Jung Yeon Shim, Young Hwue Kim, Jae Kon Ko, In Sook Park, Soo-Jong Hong, Chang Yee Hong
Clin Exp Pediatr. 1997;40(5):709-715.   Published online May 15, 1997
Pulmonary artery sling with bridging bronchus is not only rare but also difficult to diagnose unless specially sought. When young infant suffers from prolonged or recurrent wheezing, possibility of underlying anomalies of the tracheobronchial trees or great vessels should be considered, even though bronchiolitis and gastroesophageal reflux are the most common causes. We experienced four cases of pulmonary artery sling with...
Original Article
Immunologic Changes of Peripheral Blood Lymphocytes in Kawasaki Disease after Intravenous Gamma Globulin Therapy
Jung Yeon Shim, Kyung Mo Kim, Young Hwue Kim, Soo-Jong Hong
Clin Exp Pediatr. 1996;39(5):712-721.   Published online May 15, 1996
Purpose : Kawasaki disease(KD) is multi-systemic vasculitis and coronary artery abnormalities can develop up to 30 percent in untreated patients. Several observations suggest that immune activation and the secretion of cytokines from immune effector cells contribute to the pathogenesis of this disease. Though high dose intravenous gamma globulin(IVGG,>1 gm/kg) is effective in reducing the prevalence of coronary artery aneurysms in KD,...
Hand, Foot and Mouth Disease Associated with the Aseptic Meningitis in Seoul, 1990
Young Ah Lee, Sei Ho Oh, Soo Jong Hong, Young Hwue Kim, Hyung Nam Moon, Chang Yee Hong
Clin Exp Pediatr. 1993;36(6):842-849.   Published online June 15, 1993
We performed clinical and virological studies on 79 children with hand, foot and mouth disease(HFMD) who had been admitted or visited to the department of Pediatrics, Asan Medical Center from February to August, 1990. The results were as follows; 1) There were total of 79 cases with hand, foot and mouth disease during this period. The aseptic meningitis was combined in 18cases(22.8%) 2)...
Treatment of Kawasaki Disease with Single High-dose Intravenous Gammaglobulin
Mi Koo Kang, Eun Young Cho, Young Hwue Kim, Ki Soo Kim, Young Seo Park, In Sook Park, Hyung Nam Moon, Chang Yee Hong
Clin Exp Pediatr. 1992;35(3):342-348.   Published online March 15, 1992
Kawasaki disease is an acute febrile illness of unknown origin and most frequently affects infants and children under 5 years of age. Coronary aneurysms are the most serious complications and 15-20% of patient develop coronary aneurysm. We studied 50 children who wre diagnosed as Kawasaki disease and treated simultaneously with single high-dose gammaglobulin (2 gm/kg/day) and aspirin at Asan Medical Canter...
Blade atrial septostomy in infants with cyanotic congenital heart diseases.
In Sook Park, Young Hwue Kim, Chang Yee Hong
Clin Exp Pediatr. 1991;34(12):1655-1663.   Published online December 31, 1991
In patients with certain types of congenital heart malformations, an adequate interatrial communi- cation is essential for survival and balloon atrial septostomy (BAS) is a life saving procedure in these infants. However, BAS alone is not successful in older infants and children with thickened atrial septum, and blade septostomy is indicated in these situations. This procedure so far has not been reported in Korean literature...
Cardiac Tumor in Children.
Eun Jung Bae, Young Hwue Kim, Jung Yun Choi, Yong Seung Hwang, Hyo Seop Ahn, Yong Soo Yun
Clin Exp Pediatr. 1990;33(11):1540-1547.   Published online November 30, 1990
Primary cardiac tumor is very rare and has been a medical curiosity but is potentially curable by current management with improvements of the imaging apparatus and the surgical technique. Metastatic cardiac tumor is also very rare and is more difficult to diagnose than primary ones because of lack of specific symptoms. Twelve cases of cardiac tumor, collected from 1978 to 1989 at the Department...
Congenital Pericardial Defect, A Report of Two Cases.
Young Sook Lee, Chang Youn Lee, Young Hwue Kim, Jung Yun Choi
Clin Exp Pediatr. 1990;33(5):680-683.   Published online May 31, 1990
This report describes two confirmed cases of partial pericardial defect which presented in complete- ly different way. The first case was referred with the chief complaint of chest pain. This case showed typical chest X-Ray and echocardiographic findings. In view of frequent chest pain, this case was operated on and the defect was closed with patch. In the second case, defect was incidentally found...
The Anatomy of Pulmonary Artery Determined by Angiography in Ventricular Septal Defect and Pulmonary Atresia.
Jung Yun Choi, Young Hwue Kim, Yong Soo Yun
Clin Exp Pediatr. 1989;32(12):1678-1685.   Published online December 31, 1989
Thirty seven cases of ventricular septal defect and pulmonary atresia in normally connected heart, diagnosed at Seoul National University Children’s Hospital from October 1987 to May 1989 were studied to determine the source of pulmonary blood flow, pulmonary artery anatomy and their sequential changes. Also was studied the relationship between major aortopulmonary collateral artery (MAPCA) and intra parenchymal pulmonary arteries and central pulmonary artery...
Studies on Arrhythmias in School Children.
Young Hwue Kim, Hann Tchah, Ki Soo Kim, Chung Il Noh, Jung Yun Choi, Young Soo Yun, Chang Yee Hong
Clin Exp Pediatr. 1989;32(8):1093-1097.   Published online August 31, 1989
To determine the incidence of cardiac arrhythmias of the school children, we have performed heart screening by the questionare and EKG and physical examination from September 1984 to October 1987 in Seoul. 1) The incidence of the cardiac arrhythmias was 1.27%. 2) There were 449 cases of heart diseases detected. Among these heart diseases there were congeni- tal heart diseases in 82 cases (0.31%), acquired heart diseases...
Clinical Characteristics of Ventricular Tachycardia on 24 hour ECG in Children.
Ki Soo Kim, Young Hwue Kim, Chung Il Noh, Jung Yun Choi, Yong Soo Yoon, Chang Yee Hong
Clin Exp Pediatr. 1989;32(7):958-964.   Published online July 31, 1989
Ventricular tachycardia (VT) is uncommon, but is in increasing tendency probably due to better case detection and longer survival of the patients with complex congenital heart disease. Widespread use of 24 hour ECG has contributed a lot to better understanding of ventricular tachycardia. Fourteen cases of ventricular tachycardia diagnosed by 24 hour ECG at Seoul National Children’ s Hospital from Feb. 1986 to Sep....
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