- Cardiology
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Isolated Chylopericardium after Mitral Valve Replacement: the First Description of Adult Heart Disease in Korea
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Su Wan Kim, Seogjae Lee
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Korean J Crit Care Med. 2014;29(2):123-125. Published online May 31, 2014
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DOI: https://doi.org/10.4266/kjccm.2014.29.2.123
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 Abstract
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- Isolated chylopericardium as a complication of cardiac surgery is very rare. Two cases of chylopericardium have been previously reported in Korea; both patients suffered from chylopericardium after a corrective cardiac surgery for a congenital heart disease such as atrial or ventricular septal defect. We report a case of chylopericardium in a 55-year-old mitral valve replacement patient. The reason for chylopericardium was unclear, but it might have been related with the damaged lymph nodes and blunt dissection of the thymus. While most chylopericardium cases require surgical intervention, we managed this chylopericardium case with a low-fat diet for 3 days.
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Extracorporeal Membrane Oxygenation as a Rescue Therapy in a Patient with Non-Iatrogenic Massive Hemoptysis
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Jong Hoo Lee, Su Wan Kim, Yee Hyung Kim
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Korean J Crit Care Med. 2013;28(3):225-229.
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DOI: https://doi.org/10.4266/kjccm.2013.28.3.225
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Abstract
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- Despite the advanced technologies of intensive care, massive hemoptysis can still cause death in a small subset of patients. Extracorporeal membrane oxygenation (ECMO) is expected to provide adequate gas exchange, to reduce ventilator-induced lung injuries, and to eventually improve outcomes in these patients. Also, the instability of vital signs due to hemoptysis makes it impossible to perform immediate interventional procedures such as embolization and resectional surgery. In these cases, ECMO may be instituted as a bridge therapy. Herein, we describe the detailed course of our case, with the hopes of helping physicians to decide when to initiate ECMO in patients with massive hemoptysis.
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KSCCM
