Kyobu geka. The Japanese journal of thoracic surgery最新文献

[Mitral Valve Replacement Under Cardiac Arrest Using Systemic Hyperkalemia in a Patient with Atheromatous Aorta]. [动脉粥样硬化主动脉患者在心脏骤停状态下使用全身高钾血症进行二尖瓣置换术]。

Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2024-09-01

Atsushi Yano, Kouhei Ishido, Toshio Katsube, Yoshiyuki Nagamine, Haruki Mikoshiba, Kohei Sumi, Yun Ryogen, Yousuke Mukae, Yoshinori Nakahara, Akira Marui, Tomohiro Iwakura

{"title":"[Mitral Valve Replacement Under Cardiac Arrest Using Systemic Hyperkalemia in a Patient with Atheromatous Aorta].","authors":"Atsushi Yano, Kouhei Ishido, Toshio Katsube, Yoshiyuki Nagamine, Haruki Mikoshiba, Kohei Sumi, Yun Ryogen, Yousuke Mukae, Yoshinori Nakahara, Akira Marui, Tomohiro Iwakura","doi":"","DOIUrl":"","url":null,"abstract":"We report a successful case of mitral valve replacement and coronary artery bypass grafting under mild hypothermia and systemic hyperkalemia in a patient with severely atheromatous ascending aorta on which placing a clamp seemed contraindicated. A 78-year-old man was referred to our hospital with the diagnosis of heart failure associated with severe mitral regurgitation and coronary artery disease. Echocardiography showed severe mitral regurgitation due to A3, P3 and posterior commissure (PC) prolapse and coronary angiography showed three vessel disease. Computed tomography( CT) revealed a severely atheromatous ascending aorta. Surgery was performed under cardiac arrest using systemic hyperkalemia and superior transseptal approach. Although cardiopulmonary bypass (CPB) time was a little prolonged in order to wash out potassium with dilutional ultrafiltration, the patient was uneventfully separated from CPB. The patient had no neurological complications and was discharged from the hospital 15 days after surgery. Mitral valve replacement under cardiac arrest using systemic hyperkalemia without cross clamping the aorta is useful to avoid neurological complications.","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Surgical Resection of High-grade Fetal Adenocarcinoma of the Lung:Report of a Case]. [手术切除肺部高级别胎儿腺癌：一例报告]。

Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2024-09-01

Soichiro Kiya, Shigeyuki Morino, Keisuke Iwasaki, Akihiro Nakamura

引用次数: 0

[Mediastinal Dedifferentiated Liposarcoma Reconstructing Defected Chest Wall Using Prosthetic Materials:Report of a Case]. [使用假体材料重建缺损胸壁的纵隔低分化脂肪肉瘤：一例病例报告]。

Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2024-09-01

Kunio Araki, Syunsuke Kojima, Hiroshige Nakamura

引用次数: 0

[Ruptured Saccular Small Coronary Artery Aneurysm Associated with a Coronary-pulmonary Artery Fistula:Report of a Case]. [伴有冠状动脉-肺动脉瘘的囊状小冠状动脉动脉瘤破裂：一例病例报告]。

Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2024-09-01

Shoichiro Izuka, Toshifumi Saga

引用次数: 0

[Double-chambered Right Ventricle with Difficult Preoperative Diagnosis of Ventricular Septal Defect in Adulthood]. [成年期室间隔缺损术前诊断困难的双腔右心室]。

Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2024-09-01

Iroha Yamamoto, Masahiro Kaneko, Norihiko Oka, Takahiro Tomoyasu, Kenta Matsui

{"title":"[Double-chambered Right Ventricle with Difficult Preoperative Diagnosis of Ventricular Septal Defect in Adulthood].","authors":"Iroha Yamamoto, Masahiro Kaneko, Norihiko Oka, Takahiro Tomoyasu, Kenta Matsui","doi":"","DOIUrl":"","url":null,"abstract":"Case 1 is a 65-year-old woman with right ventricular outflow tract stenosis due to dyspnea on exertion. Preoperative echocardiography revealed no shunt between the right and left ventricles. After resecting the right ventricular muscle bundle and weaning from cardiopulmonary bypass, transesophageal echocardiography confirmed a shunt between both ventricles. Right ventriculotomy under second cardiopulmonary bypass revealed a ventricular septal defect (VSD) that was closed with an expanded polytetrafluoroethylene patch. Case 2 is a 58-year-old woman with a double-chambered right ventricle due to dyspnea on exertion. Preoperative echocardiography revealed a perimembranous VSD that coexisted;however, the VSD was completely covered by a membranous septal aneurysm, and no shunt appeared between both ventricles perioperatively. If right ventricular outflow tract stenosis/double-chambered right ventricle has been diagnosed in adulthood, the echocardiographic findings could have differed preoperatively and postoperatively. Combined use with other imaging modalities should improve the diagnostic accuracy of congenital heart disease.","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Minimally Invasive Aortic Valve Replacement for Aortic Valve Infective Endocarditis Complicated by Septic Arthritis of the Sternoclavicular Joint:Report of a Case]. [微创主动脉瓣置换术治疗主动脉瓣感染性心内膜炎并发胸锁关节化脓性关节炎：病例报告】。］

Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2024-09-01

Ryohei Kobayashi, Kenji Aoki, Yuki Takamatsu, Noriaki Sato, Maiko Umezawa, Shuhei Suzuki, Taiki Sato, Hiroki Sato, Kaori Kato

{"title":"[Minimally Invasive Aortic Valve Replacement for Aortic Valve Infective Endocarditis Complicated by Septic Arthritis of the Sternoclavicular Joint:Report of a Case].","authors":"Ryohei Kobayashi, Kenji Aoki, Yuki Takamatsu, Noriaki Sato, Maiko Umezawa, Shuhei Suzuki, Taiki Sato, Hiroki Sato, Kaori Kato","doi":"","DOIUrl":"","url":null,"abstract":"A 54-year-old man with a history of atopic dermatitis was admitted to our hospital for persistent fever and multiple arthralgias unresponsive to antibiotics. On the second day of hospitalization, Staphylococcus aureus was detected in the blood culture, and debridement for presumed pyogenic arthritis was performed on the patient's bilateral wrists and right ankle joints. Echocardiography showed evidence of infective endocarditis of the aortic valve. The patient's fever persisted after drainage of multiple joint abscesses, and blood cultures remained positive. A right sternoclavicular joint abscess that had been noted on computed tomography (CT) at the time of admission had not decreased in size on repeat CT performed 10 days post-admission. After additional drainage of the sternoclavicular joint abscess on the 15th day, the patient's fever subsided, and blood culture was negative. On the 29th day, an aortic valve replacement was performed via a right anterior thoracotomy to prevent sternal osteomyelitis. The postoperative course was uneventful, and the patient was discharged on the 35th day after valve surgery. One year after the surgery, he continues to take antibiotics, and recurrence of infection has not been observed.","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Concurrent Thymoma and Mature Teratoma in the Mediastinum]. [纵隔内并发胸腺瘤和成熟畸胎瘤]。

Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2024-09-01

Ami Wada, Yoshiaki Furuhata, Masahiro Yanagiya, Jun Nakajima, Chisa Hori, Yuan Bae, Toshio Kumasaka

引用次数: 0

[Thoracic Endovascular Aneurysm Repair Using the Concomitant Chimney Technique for Blunt Thoracic Aortic Injury:Report of a Case]. [胸腔内血管动脉瘤修补术：钝性胸主动脉损伤的并发烟囱技术：病例报告]。

Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2024-09-01

Hiromitsu Nota, Keiji Matsubayashi, Kentarou Matsuoka, Katsushi Ueyama

引用次数: 0

[Permanent Pacemaker Implantation for Sick Sinus Syndrome After Maze Procedure]. [迷宫手术后为病态窦性综合征植入永久起搏器]。

Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2024-09-01

Yoshimi Tamura, Tadashi Kitamura, Shinzo Torii, Toshiaki Mishima, Fumiaki Shikata, Masaomi Fukuzumi, Yusuke Motoji, Akio Sugimoto, Koki Aiso, Saya Ishikawa, Rei Wakabayashi, Kagami Miyaji

{"title":"[Permanent Pacemaker Implantation for Sick Sinus Syndrome After Maze Procedure].","authors":"Yoshimi Tamura, Tadashi Kitamura, Shinzo Torii, Toshiaki Mishima, Fumiaki Shikata, Masaomi Fukuzumi, Yusuke Motoji, Akio Sugimoto, Koki Aiso, Saya Ishikawa, Rei Wakabayashi, Kagami Miyaji","doi":"","DOIUrl":"","url":null,"abstract":"Objectives: This study aimed to investigate incidence and risk factors for permanent pacemaker implantation for sick sinus syndrome( SSS) after maze procedure.Methods: Medical records of 59 patients who underwent maze procedure for atrial fibrillation at our hospital from 2018 to 2022 were retrospectively reviewed.Results: Mean age was 70 years and 32 patients (54%) were male. Major cardiac procedure was mitral valve surgery in 43( 72%). Radiofrequency ablation device was used in 35( 59%) and cryoablation was used in 24 (41%). Nineteen patients (32%) required temporary pacing after surgery;7 for type Ⅰ or Ⅱ SSS, 9 for type Ⅲ SSS and 3 for bradycardiac atrial fibrillation. Of these, all the 7 patients with type Ⅰ or Ⅱ SSS regained sinus rhythm, whereas 2 with type Ⅲ SSS underwent permanent pacemaker implantation. Overall, permanent pacemaker was implanted in 3( 5%). Forty-six patients( 78%) were in sinus rhythm at the outpatient clinic after surgery.Conclusions: Type Ⅰ or Ⅱ SSS after maze procedure is likely to resume sinus rhythm at the time of discharge whereas type Ⅲ is not. For type Ⅲ SSS after maze procedure, adequate anti-arrhythmic medication early after surgery may be required to avoid permanent pacemaker implantation.","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Redo Coronary Artery Bypass Grafting Performed via Left Thoracotomy]. [经左胸廓切开术重新进行冠状动脉旁路移植术］

Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2024-09-01

Taishi Kawahata, Mayuko Kitao, Keisuke Nakamura, Hirohito Terada, Hirofumi Nakagawa, Hiroshi Okuyama, Akihiro Nabuchi

引用次数: 0