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Endovascular Therapy for Thoracic Aortic Aneurysm

Kang WC

Endovascular therapy, proposed as an alternative to surgery, is considered a therapeutic innovation because of its low degree of invasiveness, allowing for the treatment of high-risk surgical patients and outcomes...
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A Coronary Intramural Hematoma Presenting with ST-Elevation Myocardial Infarction in an Elderly Man

Han IS, Lee HW, Park JS, Oh JH, Choi JH, Lee HC, Cha KS

An intramural hematoma is a rare, challenging cause of myocardial infarction generally seen in middle-aged females with no atherosclerotic risk factors. Intravascular ultrasound is useful in diagnosing and managing intramural...
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Periodic Surveillance and Medical Management of Thoracic Aortic Aneurysm

Choi SH

Thoracic aortic enlargement is a silent, but deadly, disease that is often diagnosed on imaging studies performed for unrelated indications and result in life threatening event such as aortic rupture...
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Non-Interventional and Interventional Treatment of Aortic Dissection

Lee HC, Jin HY

A new appraisal of the management of acute aortic dissection is timely because of recent developments in diagnostic strategies (including biomarkers and imaging), endograft design, and surgical treatment. These have...
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Acute Myocardial Infarction Occurring at a Preexisting Intermediate Coronary Artery Stenosis

Hwang D, Kim HL, Park CS, Lee HJ, Jin KN, Zo JH

Acute myocardial infarction often evolves from a mild coronary lesion. Therefore, the evaluation and management of intermediate coronary stenosis are important to prevent cardiac events. However, the decision on how...
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A Case of Sparganosis that Mimicked Recurrence of Contralateral Breast Cancer

Han SA, Kang BW, Chae YS, Yoon JS, Seo SK, Park HY, Park JY

Sparganosis is a rare parasitic infection caused by plerocercoid tapeworm larvae of the genus Spirometra. While initially asymptomatic, the migrating larvae initially appear as subcutaneous nodules, which can be mistaken...
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A Case of Noonan Syndrome Presenting with Malignant Hypertension in an Adult

Eom MY, Kim WJ, Kim KH, Kim YN, Choi W, Jung YL, Cho HA

Noonan syndrome is an autosomal dominant disorder characterized by dysmorphic facial features, congenital heart defects and short stature. To date, renal artery stenosis has not been associated with Noonan syndrome....
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A Case of Salicylate-Intoxication-Induced Pseudohyperchloremia

Kim HJ, Oh YJ, Lee JS, Oh SY, Lee JY

Despite the increasing use of alternative analgesic agents, salicylate overdose remains a not-uncommon problem. Severe poisoning is life threatening, so prompt treatment and supportive measures are required to reduce mortality....
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Pseudoxanthoma Elasticum-Like Disorder with Multiple Coagulation Factor Deficiency in a Patient with Crohn's Disease

Ghang BZ, Lee JW, Kim JH, Seo YR, Kim MC, Jeong YJ, Lee KH

Pseudoxanthoma elasticum (PXE)-like disorder with multiple coagulation factor deficiency is a genetic disease characterized by dystrophic mineralization of the connective tissue in multiple organs such as the skin, arteries, and...
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A Case of Afferent Loop Syndrome Treated by Endoscopic Metal Stent Insertion Using Two Endoscopes

Kim JJ, Cheon YK, Lee TY, Shim CS

Afferent loop syndrome is a rare complication of pancreaticoduodenectomy, and the endoscopic approach is difficult due to the surgically altered anatomy. Herein, we report a case of afferent loop obstruction...
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A Case of Mycobacterium gordonae Pulmonary Disease in a Patient with Ulcerative Colitis Treated with Infliximab

Choi JS, Bae JW, Lee SW, Choi GH, Shin JE, Myung NH, Park JS

Tumor necrosis factor-alpha (TNF-alpha) is a key component of the host defense against mycobacterial infection. Mycobacterium gordonae (M. gordonae) is one of the least virulent mycobacteria, and is generally considered...
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Distal Renal Tubular Acidosis Caused by Tacrolimus in a Systemic Lupus Erythematosus Patient: A Case Report

Kim HK, Lee JH, Ku IH, Kang SM, Choi JS, Kim SJ

Renal tubular acidosis (RTA) refers to a group of disorders involving transport defects in bicarbonate reabsorption or hydrogen excretion. Features like metabolic acidosis with a normal anion gap, neurological symptoms,...
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Extrapancreatic Effect of Glucagon like Peptide-1

Jeong IK

Glucagon like peptide-1 (GLP-1) is an intestinal L cell derived incretin hormone which stimulates insulin secretion of beta cell and inhibits glucagon secretion of alpha cell of pancreatic islets. GLP-1...
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How Long Should We Wait for Recovery from Acute Fulminant Myocarditis?

Chung JH, Jung IH, Kim TH

A 54-year-old diabetic man presented to the hospital with shock and bradycardia. His initial estimated left ventricular ejection fraction (LVEF) was 15% and the electrocardiogram showed a junctional escape rhythm...
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Adult-Onset Still's Disease with Thrombotic Thrombocytopenic Purpura

Lee TH, Lee JM, Lee SY, Cho NH, Son CN, Kim JM, Kim SH

Adult-onset Still's disease (AOSD) is a rare systemic inflammatory disorder that affects multiple organs and is fatal in some cases. Thrombotic thrombocytopenic purpura (TTP), another rare disease, is characterized by...
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Management of Anaphylaxis

Nam YH, Lee SK

Anaphylaxis is a life-threatening systemic hypersensitivity reaction with a rapid onset. All healthcare professionals should be familiar with its recognition and management. The clinical diagnosis is important. It involves the...
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A Case of Rhabdomyolysis Presenting with Acute Kidney Injury Complicating Carbon Monoxide Poisoning

Nho SY, Lee IH, Ahn KS, Hyeon DS, Kang GW

Carbon monoxide (CO) poisoning has increased rapidly in South Korea and may cause a variety of clinical effects. The most common complications are neurologic and neuropsychological disturbances. However, in rare...
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Optimal Management of Abdominal Aortic Aneurysm and Regular Surveillance

Lee JY, Lee SW

An abdominal aorta with a maximal diameter of > 3.0 cm is considered aneurysmal. Abdominal aortic aneurysm (AAA) most often affects the segment of aorta between the renal arteries. Patients...
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A Case of Clear-Cell Sarcoma in the Stomach

Kim JH, Kim BS, Song JS, Cho H, Kim J, Lee J, Ryu MH

Clear-cell sarcoma (CCS) is a rare soft tissue sarcoma that usually develops in the lower extremities of young adults. CCS of the gastrointestinal tract is extremely rare. We report here...
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Clinical Outcome Comparison of Everolimus- and Biolimus-eluting Stents in Patients with Acute Myocardial Infarction

Park IC, Jeong MH, Kim IS, Rhee JA, Choi JS, Park IH, Chai LS, Jeong YA, Hyun DY, Jeong HC, Lee KH, Park KH, Sim DS, Kim KH, Hong YJ, Park HU, Kim JH, Ahn YK, Cho JG, Park JC

BACKGROUND/AIMS: We compared the efficacy and safety of the second-generation everolimus-eluting stent (EES) and the third generation biolimus-eluting stent (BES) in patients with acute myocardial infarction (AMI). METHODS: We analyzed 629...
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