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죽은 사람도 살려낸다는 에크모(ECMO) 활용 늘려야
작성일 20-11-12진료과 흉부외과
작성자 이원용 과장
죽은 사람도 살려낸다는 에크모(ECMO) 활용 늘려야
‘나는 의학의 신 아폴로와 아스클레피우스, 그리고 건강과 치유, 그리고 모든 남신과 여신들의 이름을 걸고 나의 능력과 판단으로 다음을 선서와 서약을 이행할 것을 맹세하노라’로 시작하는 히포크라테스의 선서에 나오는 아스클레피우스는 아폴로의 아들로 대한의사협회의 상징이 된 뱀이 감고 있는 지팡이의 주인이자 의학의 신으로 불린다.
아스클레피우스의 지팡이에 뱀이 감겨있는 이유는 그가 병을 치유하는데 뱀을 즐겨 사용했다는 설과 뱀이 약초를 물고 들어와 죽은 뱀의 입에 놓자 죽은 뱀이 다시 살아나는 것을 본 아스클레피우스가 뱀의 행동을 따라 하면서 죽은 사람들을 살려냈다는 설 등이 있다. 죽은 사람들을 살려내던 아스클레피우스는 결국 제우스의 노여움을 사 번개에 맞아 죽는다.
죽은 사람을 살려내는 의사는 태어나지 않았지만, 첨단의 현대의학은 거의 죽은 사람을 살려내는 기계를 만들어낸다. 이름하여 ExtraCorporeal Membrane Oxygenator(ECMO). 직역하면 체외막성산화기로, 인간이 호흡하듯이 체외에서 가스교환(산소 공급과 이산화탄소 제거)된 혈액을 순환 시켜 실제로는 폐와 심장 역할을 하는 인공심폐기인 셈이다.
ECMO는 처음엔 외상 후 급성호흡곤란증후군 환자에서 성공적으로 사용되었고, 그 후 주로 심장수술 후 심폐 기능이 회복되지 않은 환자에서 심장과 폐가 회복할 시간 동안 혈액순환과 호흡 기능을 유지해 주는 장치로 사용되면서 많은 환자들을 살려내었고, 2009년 H1N1 influenza 대유행 시 폐가 망가진 환자에서 가스교환과 혈액순환의 역할을 하면서 ECMO가 없었으면 사망했을 환자를 살려내거나 생명을 연장해주는 신비의 장비가 되면서 외상성 폐손상과 급성호흡곤란증후군 환자에서도 널리 사용되고 있다.
최근 세계적인 COVID-19 유행으로 인공호흡기 치료에 반응하지 않는 폐손상이 수반된 환자들이 ECMO를 필요로 하는 경우가 기하급수적으로 늘어 전 세계적으로 ECMO 장비의 품절로 인해 각국에서 수입하는데 수개월이 소요되는 실정이다. 실제로 필자가 근무하던 한림대학교성심병원에서는 COVID-19 중증환자에서 112일간 ECMO를 시행하였으나 환자의 폐가 망가져 호전될 가능성이 없어 결국 폐이식을 하여 성공하기도 하였다. ECMO 없이 인공호흡기에만 의존하였다면 환자는 3월 초에 이미 사망하였을 상황이었다.
또한 필자가 본원에 처음 출근하던 날, 응급실에 심장기능 저하로 인한 쇽으로 의식을 잃고 집에 쓰러져있던 환자가 실려와 응급의학과와 심장내과 과장님들과 협진으로 ECMO를 일 주일간 시행하여 의식과 심폐기능이 모두 정상적으로 회복되어 아무런 합병증 없이 퇴원하기도 하였다. 최근 ECMO의 사용은 응급의학과 중환자의학의 모든 영역을 넘나들고 있어 응급실이나 병실에서 심정지가 발생한 경우 비가역적 손상을 입었거나 연명치료 중지를 원하는 경우가 아니라면 ECMO를 장착하고 ECPR(Extracorporeal CardioPulmonary Resuscitation)을 시행한다.
심폐소생술은 시간이 경과할수록 소생확률은 급격히 감소하면서 흉골과 늑골골절과 혈기흉, 심장파열, 허혈성 뇌손상 등 합병증은 급증한다. 또한 심폐소생술로 본인 심장박동과 혈액순환이 돌아온 경우에도 심정지의 원인이 해결되지 않았거나 대사성 이상 등으로 인하여 심정지가 재발하는 경우가 많다. ECMO는 손상된 심장과 폐의 부담을 줄여주면서도 심박출량, 산소 공급과 이산화탄소 제거 등의 기능을 유지하여 환자의 대사성 이상을 교정하면서 심정지의 재발을 줄인다.
또한 혈액과 수액의 순간적인 대량 주입이 가능하며, CPR이 길어지면서 생기는 뇌손상을 줄일 수 있다. 더불어 체온을 쉽게 조절할 수 있어 심정지 후 저체온요법 등을 적용할 수 있고, 물에 빠진 사람, 저체온증, 일사병 등 고열과 화상 환자에 이르기까지 여러 원인으로 그야말로 다 죽은 사람을 살려내는 신비의 의료장치인 셈이다. 호흡기 영역에서도 급성호흡곤란증후군 또는 폐기능부전 등에서 폐의 병리 상태가 호전될 수 있다는 판단이 설 경우 ECMO를 적극적으로 사용한다.
대표적으로 최근에 많이 사용하는 COVID-19 나 MERS 같은 viral pneumonia는 물론 세균성(bacterial), 흡인성폐렴(aspiration pneumonia)과 간질성폐렴(interstitial pneumonitis)까지 적용 범위를 넓혀가고 있다. 감염의학 관련해서는 과거엔 금기시 되던 패혈증의 경우에도 항생제 등의 치료 효과가 나타날 수 있고 비가역적으로 진행되지 않았다고 판단된다면 다른 질환군에 비해 회복 확률은 낮지만 역시 ECMO 적용을 늘려가고 있다. 이처럼 다양한 분야에 ECMO를 적용하면서 많은 ECMO center가 생겨났고, 세계적으로 유수한 ECMO center는 center 당 연간 100-150명 정도의 환자에서 ECMO를 시행하면서 좋은 결과를 내고 있다.
의학과 공학의 여러 분야가 연관되어 최근 급속도로 발전하는 ECMO 분야의 성적은 각 병원의 수준을 반영하는 지표가 되어가고 있다. ECMO 성적은 신속한 결정, 정확한 시술, 철저한 시술 후 관리에 의해 결정되며, 다장기 부전이 동반된 환자가 대부분이므로 임상 각과의 협진이 무엇보다 중요하다.
본 병원도 지역사회의 최고 병원으로서 심폐 기능부전 환자에 적극적으로 대응하면서 ECMO 적용을 늘려가야 하는 시대적 요구에 부응해야 한다.
이원용과장
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전문분야
심장판막질환, 대동맥질환, 관상동맥질환수술
좌우 스크롤이 가능합니다.
| 구분 | 월 | 화 | 수 | 목 | 금 | 토 | 일 | 예약 |
|---|---|---|---|---|---|---|---|---|
| 오전 | 예약불가 | |||||||
| 오후 |
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진료 특이사항
약력 내용시작
현 성가롤로병원 심장혈관흉부외과 과장
서울대학교 학사
서울대학교의과대학원 석사 취득
서울대학교의과대학원 박사 취득
서울대학교병원 수련
부천세종병원 흉부외과 진료과장(1992.5-1994.4)
한림대학교 강동성심병원 흉부외과 교수(1994.5-2000.10)
한림대학교 성심병원 흉부외과 교수(2000.11-2020.8)
서울대학교 학사
서울대학교의과대학원 석사 취득
서울대학교의과대학원 박사 취득
서울대학교병원 수련
부천세종병원 흉부외과 진료과장(1992.5-1994.4)
한림대학교 강동성심병원 흉부외과 교수(1994.5-2000.10)
한림대학교 성심병원 흉부외과 교수(2000.11-2020.8)
연수 및 연구경력 내용시작
미국 알라바마주립대병원(UAB) 흉부외과 임상전임의
(1999.3-2000.2)
(1999.3-2000.2)
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Clinical Significance of Creatine Kinase MB mass and Cardiac Troponin I as a Marker of Perioperative Myocardial Infarction After Coronary Artery Bypass Grafting
Jae-Jin Lee, M.D.*, ung-Joong Kim, M.D., Weon-Yong Lee, M.D., Yoon-Cheol Shin, M.D., Hyun-Kun Chee, M.D.
Korean J Thorac Cardiovasc Surg 2002; 35(1): 27-35
Influence of Prosthesis Size on Change in Left Ventricular Hypertrophy Following Aortic Valve Replacement
Hee Sung Lee, M.D., Hyun Keun Chee, M.D., Kun Il Kim, M.D., Ki Woo Hong, M.D., Yun Chul Sin, M.D., Won Yong Lee, MD., Eung Joong Kim, M.D., Won Jin Lee, M.D., Kwang Min Choi, M.D., Ho Seng Sin, M.D., Hee Chul Park, M.D.
Korean J Thorac Cardiovasc Surg 2001; 34(1): 57-63
The Immediate and Long Term Result of Surgical Angioplasty of Left Main and Proximal Left Anterior Decending Coronary Artery
Hyun Sung Ahn, M.D., Eung-Joong Kim, M.D., Weon Yong Lee, M.D., Yoon Cheal Shin, M.D. Hyun Keun Chee, M.D., Kwang Min Choi, M.D.
Korean J Thorac Cardiovasc Surg 2001; 34(9): 692-697
Open Heart Surgeries in SeptuagenariansSuperior Vena Cava in Tetralogy of Fallot - one case report -
Hyoung Soo Kim, M.D.I, Weon Yong Lee, M.D.I, Hyun Keun Chee, M.D.I,Eung Joong Kim, M.D.I, Ki Woo Hong, M.D.I
Korean J Thorac Cardiovasc Surg 1999; 32(11): 1017-1022
Early Results of Maze III Operation Without Cryoablation
Hyoung Soo Kim, M.D., Weon Yong Lee, M.D., Dong Jin Oh, M.D. , Hyun Keun Chee, M.D., Eung Joong Kim, M.D., Ki Woo Hong, M.D., Young Cheoul Doo, M.D.
Korean J Thorac Cardiovasc Surg 1999; 32(3): 255-261
Left Bronchial Rupture Following Endobronchial Intubation - One case report -
Kun Il Kim, M.D.I, Hyun Keun Chee, M.D.I, Hyoung Soo Kim, M.D.I, Hee Sung Lee, M.D.I, Weon Yong Lee, M.D.I.
Korean J Thorac Cardiovasc Surg 1998; 31(10): 1014-1016
Primary Leiomyosarcoma of The Lung -One case report-
Hyoung Soo Kim, M.D.I, Hyun Keun Chee, M.D.I, Weon Yong Lee, M.D.I, Eung Joong Kim, M.D.I, Ki Woo Hong, M.D.I, Eun Sook, Nam, M.D.II
Korean J Thorac Cardiovasc Surg 1998; 31(9): 907-910
Early Surgical Revascularization for Acute Myocardial Infarction
지현근,이원용,김응중,최광민,김형수,홍기우
Korean J Thorac Cardiovasc Surg 1997; 30(11): 1077-1082
Emergency Coronary Artery Bypass Operation for Cardiogenic Shock
김응중,이원용,지현근,최광민,김형수,김건일,목형균
Korean J Thorac Cardiovasc Surg 1997; 30(10): 966-972
Early Result of Coronary Artery Bypass Surgery
Jae Hyung Park,M.D.*,Weon Yong Lee,M.D.*, Eung Joong Kim,M.D.*,Ki Woo Hong,M.D.*
Korean J Thorac Cardiovasc Surg 1997; 30(2):
Clinical Experience with IABP in Cardiac Surgery
Chang Seok Ok, M.D., Hyun Keun Chee, M.D., Won Yong Lee, M.D., Eung Joong Kim, M.D., Ki Woo Hong, M.D.
Korean J Thorac Cardiovasc Surg 1997; 30(1): 34-39
Surgical Angioplasty of Left Main and Proximal Left Anterior Descending Coronary Artery
이원용,김응중
Korean J Thorac Cardiovasc Surg 1996; 29(8): 861-866
Early Results of VATS for Spontaneous Pneumothorax
김응중,박재형,이원용,지현근,홍기우
Korean J Thorac Cardiovasc Surg 1996; 29(7): 747-752
Surgical angioplasty of isolated left coronary ostial stenosis
서필원,우재현,김혁,이원용,나찬영,백완기,한재진,박국양,
Korean J Thorac Cardiovasc Surg 1995; 28(3): 247-252
A clinical study on myocardial metabolism in warm versus cold continuous blood cardioplegia
백완기,김혁,이원용,유재현,유환국,나찬영,정윤섭,김응수,한재진,이영탁,이강영,채헌,박영관,이영균
Korean J Thorac Cardiovasc Surg 1994; 27(6): 427-434
Sinus node dysfunction after orthotopic dog heart transplantation
박국양,홍석근,정윤섭,백완기,이원용,유재현,김혁,서필원,한재진,이영탁,박영관,홍승록,이영균,고재곤,성시욱,김미운,문현수,이상근,김건자
Korean J Thorac Cardiovasc Surg 1994; 27(5): 339-344
Postcardiotomy ventricular assist device
나찬영,유재현,이원용,김혁,서필원,정윤섭,백완기,한재진,박국양,이영탁,박영관,홍승록,이영균
Korean J Thorac Cardiovasc Surg 1994; 27(5): 390-393
Pediatric valve replacement
김혁,유재현,서필원,이원용,백완기,박국양,이영탁,박영관,홍승록,이영균
Korean J Thorac Cardiovasc Surg 1994; 27(4): 266-271
Hemolysis after PDA unbrella occlusion; surgical treatment
나찬영,유재현,이원용,김혁,서필원,정윤섭,백완기,한재진,
Korean J Thorac Cardiovasc Surg 1993; 26(11): 890-893
Long term results of open mitral commissurotomy
김효윤,서필원,김혁,나찬영,유재현,이원용,박국양,정윤섭,이영탁,박영관,홍승록,이영균
Korean J Thorac Cardiovasc Surg 1993; 26(7): 521-525
Cineradiographic Diagnosis of Mechanical Valve Thrombosis - Two Cases Report -
나찬영,유재현,유환국,이원용,정윤섭,백완기,김응수,한재진,이영탁,박영관,이영균,최연현,문현수,김기출
Korean J Thorac Cardiovasc Surg 1992; 25(9): 921-924
Clinical Experience with IABP - Report of 12 cases -
이원용,최준영,서경필
Korean J Thorac Cardiovasc Surg 1991; 24(3): 287-291
Surgical treatment of the supravalvular aortic stenosis
이원용, 노준량
Korean J Thorac Cardiovasc Surg 1990; 23(6): 1146-1151
Transhiatal esophagectomy after esophageal perforation in patients with underlying stricture
이원용, 성숙환
Korean J Thorac Cardiovasc Surg 1990; 23(6): 1233-1237
Subannular Aortic Aneurysm Accompanied with Subacute Bacterial Endocarditis.
이원용, 한재진, 채헌
Korean J Thorac Cardiovasc Surg 1989; 22(6): 1084-1087
Bong Suk Park, M.D., Won Yong Lee, M.D., Ph.D., Yong Joon Ra, M.D., Hong Kyu Lee, M.D., Byung Mo Gu, M.D., Jun Tae Yang, M.D.
Korean Journal of Thoracic and Cardiovascular Surgery 2020; 53(1): 1-7
Analysis of Risk Factors for Conversion from Off-Pump to On-Pump Coronary Artery Bypass Graft
Junghyeon Lim, Won Yong Lee, Yong Joon Ra, Jae Han Jeong, and Ho Hyun Ko
Korean Journal of Thoracic and Cardiovascular Surgery 2017; 50(1): 14-21
Delayed Repair of Ventricular Septal Rupture Following Preoperative Awake Extracorporeal Membrane Oxygenation Support
Bong Suk Park, Weon Yong Lee, Jung Hyeon Lim, Yong Joon Ra, Yong Han Kim, and Hyoung Soo Kim
Korean Journal of Thoracic and Cardiovascular Surgery 2017; 50(3): 211-214
Extravascular Migration of a Fractured Inferior Vena Cava Filter Strut
Jung Hyeon Lim, Weon Yong Lee, Yong Joon Ra, Jae Han Jeong, Bong Suk Park, and Ho Hyun Ko
Korean Journal of Thoracic and Cardiovascular Surgery 2017; 50(3): 224-227
Leptin, pre-existing vascular disease, and increased arteriovenous fistula maturation failure in dialysis patients
Jwa-Kyung Kim, Sun Ryoung Choi, Won Yong Lee, Mi Jin Park, Hyung Suk Lee, Young Rim Song, Hyung Jik Kim, Sung Gyun Kim
J Vasc Surg. 2016 Aug;64(2):402-410. E1.doi:10.1016/j.jvs2016.03.011.
Long-term results of surgical angioplasty for left main coronary artery stenosis: 18-year follow-up
Jae Han Jeong, Won Yong Lee, Eung-Joong Kim, Sung Woo Cho, Kun Il Kim, Hyoung Soo Kim
J Cardiothorac Surg. 2015 Jan 17;10:6. Doi:10.1186/s13019-015-0209-x
The pre-ECMO simplified acute physiology score II as a predictor for mortality in patients with initiation ECMO support at the emergency department for acute circulatory and/or respiratory failure: a retrospective study
Kun Il Kim, Hee Sung Lee, Hyoung Soo Kim, Sang Ook Ha, Won Yong Lee, Sang Jun Park, Sun Hee Lee, Tae Hun Lee, Jeong Yeol Seo, Hyun Hee Choi, Kyu Tae Park, Sang Jin Han, Kyung Soon Hong, Sung Mi Hwang, Jae Jun Lee
Scand J Trauma Resusc Emerg Med. 2015 Aug 17;23:59 doi:10.1186/s13049-015-0135-x
Obesity-related decrease in intraoperative blood flow is associated with maturation failure of radiocephalic arteriovenous fistula
Jwa-Kyung Kim, Jae Han Jeong, Young Rim Song, Hyung Jik Kim, Won Yong Lee, Kun Il Kim, Sung Gyun Kim
J Vasc Surg 2015 Oct;6294):1010-1017.e1. doi:10.1016/j.jvs2015.05.008.
Extracorporeal membrane oxygenation in near-drowning patients with cardiac or pulmonary failure
Kun Il Kim, Won Yong Lee, Hyoung Soo Kim, Jae Han Jeong, and Ho Hyun Ko
Scand J Trauma Resusc Emerg Med 2014; 22:77. Doi:10.1186/s13049-014-0077-8.
Hemoglobin Level to Facilitate Off-Pump Coronary Artery Bypass without Transfusion
Kun Il Kim, Won Yong Lee, Ho Hyun Ko, Hyoung Soo Kim, and Jae Han Jeong
Korean Journal of Thoracic and Cardiovascular Surgery 2014; 47(4): 350-357
Right Coronary Artery Fistula and Occlusion Causing Myocardial Infarction after Blunt Chest Trauma
Kun Il Kim, Won Yong Lee, Ho Hyun Ko, Hyoung Soo Kim, and Hee Sung Lee
Korean Journal of Thoracic and Cardiovascular Surgery 2014; 47(4): 402-405
Descending Thoracic Aorta to Bilateral Femoral Artery Bypass in a Hostile Abdomen
Hong Kyu Lee, M.D., Kun Il Kim, M.D., Won Yong Lee, M.D., Hyoung Soo Kim, M.D., Hee Sung Lee, M.D., and Sung Woo Cho, M.D.
Korean J Thorac Cardiovasc Surg 2012; 45(4): 257-259
Outcome of Video-assisted Thoracoscopic Surgery for Spontaneous Secondary Pneumothorax
Sung Jun Kim, M.D., Hee-Sung Lee, M.D., Hyoung-Soo Kim, M.D., Ho-Seung Shin, M.D., Jae-Woong Lee, M.D., Kun-Il Kim, M.D., Sung-Woo Cho, M.D., and Won Yong Lee, M.D.
Korean J Thorac Cardiovasc Surg 2011; 44(3): 225-228
Endovenous Laser Treatment (EVLT) with High Ligation of an Incompetent Small Saphenous Vein
Jae-han Jeong, M.D., Kun-Il Kim, M.D., Won-Yong Lee, M.D., Hyoung-Soo Kim, M.D., Sung-Woo Cho, M.D., Hee-Sung Lee, M.D.
Korean J Thorac Cardiovasc Surg 2010; 43(2): 150-155
Open Heart Surgery without Transfusion
Kun Il Kim, M.D., Weon-Yong Lee, M.D., Hyoung-Soo Kim, M.D., Shin Kim, M.D.
Korean J Thorac Cardiovasc Surg 2009; 42(2): 184-192
Clinical Results and Risk Factor Analysis of Surgical Treatment for Esophageal Perforation
Sung-Woo Cho, M.D., Ki-Woo Hong, M.D., Shin Kim, M.D., Hee-Sung Lee, M.D., Hyoung-Soo Kim, M.D., Jae-Woong Lee, M.D., Goang-Min Choi, M.D., Yoon-Cheol Shin, M.D., Ho-Seung Shin, M.D., Won-Yong Lee, M.D.
Korean J Thorac Cardiovasc Surg 2008; 41(3): 347-353
Endovenous 980-nm Diode Laser Treatment of Incompetent Great Saphenous Vein
Kun Il Kim, M.D., Won-Yong Lee, M.D., Tae-Jun Jo, M.D., Jae-Woong Lee, M.D., Ki-Woo Hong, M.D.
Korean J Thorac Cardiovasc Surg 2007; 40(2): 97-102
Thoracoscopic Repair of a Right-sided Congenital Diaphragmatic Hernia ; A case report ;
Tae Jun Jo, M.D., Kun Il Kim, M.D., Jae Woong Lee, M.D., Weon Yong Lee, M.D., Ki Woo Hong, M.D., Su Min Ahn, M.D.
Korean J Thorac Cardiovasc Surg 2007; 40(2): 155-158
Reoperation for the Missed Inferior Sinus Venous Atrial Septal Defect
Byung Su Yoo, M.D., Weon Yong Lee, M.D., Tae Jun Jho, M.D., Kun Il Kim, M.D., Jae Woong Lee, M.D., Ki Woo Hong, M.D.
Korean J Thorac Cardiovasc Surg 2006; 39(2): 154-156
Coronary Artery Bypass Graft Surgery in Patients 70 Years of Age and Older
Jong Un Park, M.D., Weon Yong Lee, M.D., Kun Il Kim, M.D., Ki Woo Hong, M.D., Hyun Keun Chee, M.D. Yoon Cheol Shin, M.D., Jae Woong Lee, M.D., Eung Jung Kim, M.D.
Korean J Thorac Cardiovasc Surg 2006; 39(1): 28-34
A Case of Pulmonary Langerhans Cell Histiocytosis associated with Central Diabetes Insipidus in Adult
Byung Su Yoo, M.D., Jae Woong Lee, M.D., Tae Jun Jo, M.D.*, Ki Woo Hong, M.D., Kun Il Kim, M.D., Weon Yong Lee, M.D., Dong Gyu Kim, M.D., Sun Young Jun, M.D.
Korean J Thorac Cardiovasc Surg 2005; 38(12): 866-869
Combined Large Cell Neuroendocrine Carcinoma with Component of Adenocarcinoma
Jong Un Park, M.D., Jae Woong Lee, M.D., Tae Jun Jo, M.D., Kun Il Kim, M.D., Weon Yong Lee, M.D., Ki Woo Hong, M.D., Kwang Seok Eom, M.D., Sun-Young Jun, M.D.
Korean J Thorac Cardiovasc Surg 2005; 38(8): 579-582
A Case of Intrapulmonary Solitary Fibrous Tumor
Kun Il Kim, M.D., Jae Woong Lee, M.D., Tae Jun Jo, M.D., Dong Seok Lee, M.D., Weon Yong Lee, M.D., Ki Woo Hong, M.D., Kwang Seok Eom, M.D., Soo Kee Min, M.D.
Korean J Thorac Cardiovasc Surg 2005; 38(2): 168-171
Conservative Management of Postoperative Chylothorax Using Octreotide
Kun Il Kim, M.D., Weon Yong Lee, M.D., Jong Un Park, M.D., Sang Hyun Park, M.D., Jae Woong Lee, M.D., Ki Woo Hong, M.D., Young Jin Choi, M.D.
Korean J Thorac Cardiovasc Surg 2005; 38(2): 172-174
Tissue-engineered acellularized valve xenografts : A comparative animal study between plain acellularized xenografts and autologous endothelial cell seeded acellularized xenografts
W G Kim, W Y Lee, J M kim, H J Moon
Int J Artif Organs 2004;27:501-508
Biocompatibility of Tissue-Engineered Heart Valve Leaflets Based on Acellular Xenografts
Weon Yong Lee, M.D., Sang Hyun Sung, M.D., Won Gon Kim, M.D.
Korean J Thorac Cardiovasc Surg 2004; 37(4): 297-306
Middle and Long Term Results of 34 Cases of Emergency Coronary Artery Bypass Graft Surgery
Jeong Hwan Son, M.D., Weon Yong Lee, M.D., Eung Jung Kim, M.D., Hyun Keun Chee, M.D., Yoon Chul Shin, M.D., Kun Il Kim, M.D., Kwang Min Choi, M.D., Won Jin Lee, M.D.
Korean J Thorac Cardiovasc Surg 2003; 36(10): 741-747
A simplified cardiopulmonary bypass technique for animal experiments on implantable ventricular assist device
W G Kim, W Y Lee, B H Lee, H S Cho
Int J Artif Organs 2002;25:147-150
Tissue-engineered heart valve leaflets: an effective method of obtaining acellularized valve xenografts
W G Kim, J K Park, W Y Lee,
Int J Artif Organs 2002;25:791-797
Mid-Term Results of 292 cases of Coronary Artery Bypass Grafting
Tae Yoon Kim, Eung-Joong Kim, Weon Yong Lee, Hyun Keun Chee, Yoon Cheol Shin, Kun Il Kim
Korean J Thorac Cardiovasc Surg 2002; 35(9): 643-652
Budd-Chiari Syndrome Due to Antithrombin,Protein C and Protein S Deficiency and the Complete Obstruction of SVC
Tae Yoon Kim, Weon Yong Lee, Ki Woo Hong, Eung Joong Kim, Yoon Cheol Shin, Kun Il Kim, Chong Yun Rhim, Kyu Hyung Ryu, Young Jin Choi***
Korean J Thorac Cardiovasc Surg 2002; 35(3): 239-243
Clinical Significance of Creatine Kinase MB mass and Cardiac Troponin I as a Marker of Perioperative Myocardial Infarction After Coronary Artery Bypass Grafting
Jae-Jin Lee, M.D.*, ung-Joong Kim, M.D., Weon-Yong Lee, M.D., Yoon-Cheol Shin, M.D., Hyun-Kun Chee, M.D.
Korean J Thorac Cardiovasc Surg 2002; 35(1): 27-35
Influence of Prosthesis Size on Change in Left Ventricular Hypertrophy Following Aortic Valve Replacement
Hee Sung Lee, M.D., Hyun Keun Chee, M.D., Kun Il Kim, M.D., Ki Woo Hong, M.D., Yun Chul Sin, M.D., Won Yong Lee, MD., Eung Joong Kim, M.D., Won Jin Lee, M.D., Kwang Min Choi, M.D., Ho Seng Sin, M.D., Hee Chul Park, M.D.
Korean J Thorac Cardiovasc Surg 2001; 34(1): 57-63
The Immediate and Long Term Result of Surgical Angioplasty of Left Main and Proximal Left Anterior Decending Coronary Artery
Hyun Sung Ahn, M.D., Eung-Joong Kim, M.D., Weon Yong Lee, M.D., Yoon Cheal Shin, M.D. Hyun Keun Chee, M.D., Kwang Min Choi, M.D.
Korean J Thorac Cardiovasc Surg 2001; 34(9): 692-697
Open Heart Surgeries in SeptuagenariansSuperior Vena Cava in Tetralogy of Fallot - one case report -
Hyoung Soo Kim, M.D.I, Weon Yong Lee, M.D.I, Hyun Keun Chee, M.D.I,Eung Joong Kim, M.D.I, Ki Woo Hong, M.D.I
Korean J Thorac Cardiovasc Surg 1999; 32(11): 1017-1022
Early Results of Maze III Operation Without Cryoablation
Hyoung Soo Kim, M.D., Weon Yong Lee, M.D., Dong Jin Oh, M.D. , Hyun Keun Chee, M.D., Eung Joong Kim, M.D., Ki Woo Hong, M.D., Young Cheoul Doo, M.D.
Korean J Thorac Cardiovasc Surg 1999; 32(3): 255-261
Left Bronchial Rupture Following Endobronchial Intubation - One case report -
Kun Il Kim, M.D.I, Hyun Keun Chee, M.D.I, Hyoung Soo Kim, M.D.I, Hee Sung Lee, M.D.I, Weon Yong Lee, M.D.I.
Korean J Thorac Cardiovasc Surg 1998; 31(10): 1014-1016
Primary Leiomyosarcoma of The Lung -One case report-
Hyoung Soo Kim, M.D.I, Hyun Keun Chee, M.D.I, Weon Yong Lee, M.D.I, Eung Joong Kim, M.D.I, Ki Woo Hong, M.D.I, Eun Sook, Nam, M.D.II
Korean J Thorac Cardiovasc Surg 1998; 31(9): 907-910
Early Surgical Revascularization for Acute Myocardial Infarction
지현근,이원용,김응중,최광민,김형수,홍기우
Korean J Thorac Cardiovasc Surg 1997; 30(11): 1077-1082
Emergency Coronary Artery Bypass Operation for Cardiogenic Shock
김응중,이원용,지현근,최광민,김형수,김건일,목형균
Korean J Thorac Cardiovasc Surg 1997; 30(10): 966-972
Early Result of Coronary Artery Bypass Surgery
Jae Hyung Park,M.D.*,Weon Yong Lee,M.D.*, Eung Joong Kim,M.D.*,Ki Woo Hong,M.D.*
Korean J Thorac Cardiovasc Surg 1997; 30(2):
Clinical Experience with IABP in Cardiac Surgery
Chang Seok Ok, M.D., Hyun Keun Chee, M.D., Won Yong Lee, M.D., Eung Joong Kim, M.D., Ki Woo Hong, M.D.
Korean J Thorac Cardiovasc Surg 1997; 30(1): 34-39
Surgical Angioplasty of Left Main and Proximal Left Anterior Descending Coronary Artery
이원용,김응중
Korean J Thorac Cardiovasc Surg 1996; 29(8): 861-866
Early Results of VATS for Spontaneous Pneumothorax
김응중,박재형,이원용,지현근,홍기우
Korean J Thorac Cardiovasc Surg 1996; 29(7): 747-752
Surgical angioplasty of isolated left coronary ostial stenosis
서필원,우재현,김혁,이원용,나찬영,백완기,한재진,박국양,
Korean J Thorac Cardiovasc Surg 1995; 28(3): 247-252
A clinical study on myocardial metabolism in warm versus cold continuous blood cardioplegia
백완기,김혁,이원용,유재현,유환국,나찬영,정윤섭,김응수,한재진,이영탁,이강영,채헌,박영관,이영균
Korean J Thorac Cardiovasc Surg 1994; 27(6): 427-434
Sinus node dysfunction after orthotopic dog heart transplantation
박국양,홍석근,정윤섭,백완기,이원용,유재현,김혁,서필원,한재진,이영탁,박영관,홍승록,이영균,고재곤,성시욱,김미운,문현수,이상근,김건자
Korean J Thorac Cardiovasc Surg 1994; 27(5): 339-344
Postcardiotomy ventricular assist device
나찬영,유재현,이원용,김혁,서필원,정윤섭,백완기,한재진,박국양,이영탁,박영관,홍승록,이영균
Korean J Thorac Cardiovasc Surg 1994; 27(5): 390-393
Pediatric valve replacement
김혁,유재현,서필원,이원용,백완기,박국양,이영탁,박영관,홍승록,이영균
Korean J Thorac Cardiovasc Surg 1994; 27(4): 266-271
Hemolysis after PDA unbrella occlusion; surgical treatment
나찬영,유재현,이원용,김혁,서필원,정윤섭,백완기,한재진,
Korean J Thorac Cardiovasc Surg 1993; 26(11): 890-893
Long term results of open mitral commissurotomy
김효윤,서필원,김혁,나찬영,유재현,이원용,박국양,정윤섭,이영탁,박영관,홍승록,이영균
Korean J Thorac Cardiovasc Surg 1993; 26(7): 521-525
Cineradiographic Diagnosis of Mechanical Valve Thrombosis - Two Cases Report -
나찬영,유재현,유환국,이원용,정윤섭,백완기,김응수,한재진,이영탁,박영관,이영균,최연현,문현수,김기출
Korean J Thorac Cardiovasc Surg 1992; 25(9): 921-924
Clinical Experience with IABP - Report of 12 cases -
이원용,최준영,서경필
Korean J Thorac Cardiovasc Surg 1991; 24(3): 287-291
Surgical treatment of the supravalvular aortic stenosis
이원용, 노준량
Korean J Thorac Cardiovasc Surg 1990; 23(6): 1146-1151
Transhiatal esophagectomy after esophageal perforation in patients with underlying stricture
이원용, 성숙환
Korean J Thorac Cardiovasc Surg 1990; 23(6): 1233-1237
Subannular Aortic Aneurysm Accompanied with Subacute Bacterial Endocarditis.
이원용, 한재진, 채헌
Korean J Thorac Cardiovasc Surg 1989; 22(6): 1084-1087
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