- Dual left anterior descending coronary artery originating from left main stem and right coronary sinus.
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Dong Hwi Kim, Keon Woong Moon, Eun Hee Kim, Gihyeon Woo, Jin Kyeong Shin, Ji Yeun Jang, Sungeun Ha, Joo Young Lee
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Yeungnam Univ J Med. 2014;31(1):13-16. Published online June 30, 2014
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DOI: https://doi.org/10.12701/yujm.2014.31.1.13
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Abstract
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- Congenital abnormalities of the coronary arteries are found in 0.6% to 1.3% of patients in coronary angiography. Dual left anterior descending coronary artery (LAD) is a rare coronary anomaly and is incidentally detected during coronary angiography. We report a case of a 65-year-old female with a rare coronary anomaly who was diagnosed with dual LAD via coronary computed tomography and coronary angiography. The imaging studies revealed dual LAD originating from the left main stem and right coronary sinus. These angiographic findings were considered to be consistent with the type IV variety of dual LAD by Spindola-Franco classification. Recognition of dual LAD is important to prevent errors of interpretation of the coronary angiogram and for optimal surgery.
- The Effect of Anticholinergic Agents on Postoperative Sore Throat in Patients Undergoing Endoscopic Sinus Surgery.
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Joo Young Lee, Deok Hee Lee
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Yeungnam Univ J Med. 2007;24(2):305-310. Published online December 31, 2007
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DOI: https://doi.org/10.12701/yujm.2007.24.2.305
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Abstract
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- BACKGROUND
After sinus surgery, airway dryness is made worse because patients breathe by mouth. Anticholinergic agents have antisialogogue effects. The airway dryness that occurs after surgery is severe and can increase the incidence of postoperative sore throat. MATERIALS AND METHODS: One-hundered patients who were scheduled for endoscopic sinus surgery(ESS) were divided into four groups. Each group was premedicated with glycopyrrolate or had no premedication and reversed with glycopyrrolate or atropine. After the surgery the patients were asked about a sore throat and hoarseness postoperatively after 1h, 6h, 12h, 24h, and 48hours, respectively. RESULTS: The incidence of postoperative sore throat and hoarseness was not significantly different among the four groups at any time. CONCLUSION: The severity of complications after ESS was low and subsided within 24 hours. Therefore, the use of anticholinergic agents does not need to be limited.
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