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

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[Our Challenge of Implantable Left Ventricular Assist Device in Private Local Hospital]. [我国民营医院植入式左心室辅助装置的挑战]。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2025-04-01
Takeki Ohashi
{"title":"[Our Challenge of Implantable Left Ventricular Assist Device in Private Local Hospital].","authors":"Takeki Ohashi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Our hospital is a 350-bed private institution located in Kasugai City, Aichi Prefecture. In 1998, we established a cardiovascular surgery department, and in 2006, we began performing surgeries to implant extracorporeal left ventricular assist devices( LVAD). In 2007, we urgently installed an extracorporeal LVAD (left atrial drainage and aortic blood return) for a patient experiencing acute heart failure exacerbation following mitral valve replacement (MVR) due to dilated cardiomyopathy (DCM). Under LVAD support, the patient was able to achieve mobility and oral intake. Based on this achievement, our hospital was certified as a facility authorized to perform implantable LVAD procedures in 2012. In June 2013, we performed the first implantable LVAD surgery in the Tokai region for a patient with ischemic cardiomyopathy following redo coronary artery bypass grafting (CABG) and extracorporeal LVAD implantation. To date, we have conducted a total of four implantable LVAD surgeries. None of these cases involved complications such as surgical site infections. One of the patients successfully lived a normal life for five years before undergoing heart transplantation at another hospital.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"78 4","pages":"255-259"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144266571","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
[Current Status of Destination Therapy in Non-heart Transplant Facilities and Our Unique Management]. [非心脏移植机构目的地治疗的现状和我们独特的管理]。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2025-04-01
Tatsuki Fujiwara, Tomoyuki Fujita
{"title":"[Current Status of Destination Therapy in Non-heart Transplant Facilities and Our Unique Management].","authors":"Tatsuki Fujiwara, Tomoyuki Fujita","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Although our hospital is not a heart transplant facility, we accept many patients requiring temporary mechanical circulatory support (T-MCS), such as extracorporeal membrane oxygenation (ECMO), as part of our role as a destination therapy (DT) facility. From May 2021 to December 2024, we performed 17 cases of DT using HeartMate 3. The patients' average age was 58±7 years. The underlying conditions included ischemic heart disease (nine cases), idiopathic dilated cardiomyopathy (seven cases), and drug-induced cardiomyopathy( one case). The average J-HeartMate risk score was 1.52. In this paper, we discuss the current status and challenges of DT at non-heart transplant facilities and present our unique approach to T-MCS strategies and patient education.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"78 4","pages":"301-306"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144266563","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
[Era of Major Transformation in Implantable Ventricular Assist Device Therapy]. [植入式心室辅助装置治疗的重大变革时代]。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2025-04-01
Katsuhiko Oda, Shintaro Katahira
{"title":"[Era of Major Transformation in Implantable Ventricular Assist Device Therapy].","authors":"Katsuhiko Oda, Shintaro Katahira","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Our hospital received certification as an implantable ventricular assist devices( iVAD) facility in 2018, and as of 2024, we continue to maintain this certification. We provide outpatient and inpatient care through a multidisciplinary heart team. Our team has implanted HeartMate 3 in three patients, and we also manage five patients with devices implanted at other facilities, for a total of eight iVAD patients under outpatient care. Fortunately, we have had no cases of readmissions due to driveline infections or cerebrovascular events. We recognize that, in addition to advancements in surgical techniques and device technology, close collaboration between patients and the heart team, as well as the involvement of wound, ostomy, and continence( WOC) nurses, are essential. Recently, this field has entered a major transformation. With improvements in heart failure treatment by the' fantastic four' and the advancements in Impella technology, the need for extracorporeal ventricular assist device (EVAD) has significantly declined, and cases achieving a bridge to recovery are not uncommon. Furthermore, as the number of stable iVAD patients grows, not only are destination therapy (DT) cases increasing, but elderly patients are effectively becoming DT cases, underscoring the importance of iVAD facilities in providing end-of-life case for these patients.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"78 4","pages":"262-265"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144266567","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
[Contrivance to Use Ultrasonic Scalpel for Laparoscopic Surgery during Internal Thoracic Artery Harvest]. [在胸内动脉采集过程中使用超声刀进行腹腔镜手术的装置]。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2024-12-01
Tsukasa Ohno, Shunei Saito, Ryohei Otsuka, Yuta Okumura, Ken Miyahara, Akio Matsuura
{"title":"[Contrivance to Use Ultrasonic Scalpel for Laparoscopic Surgery during Internal Thoracic Artery Harvest].","authors":"Tsukasa Ohno, Shunei Saito, Ryohei Otsuka, Yuta Okumura, Ken Miyahara, Akio Matsuura","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>From April 2024, manufacturing of short-shaft ultrasonic scalpels( SNGHK) has ceased. A scalpel for laparoscopic surgery (HDH05) remains available;however, its long shaft is unsuitable for internal thoracic artery harvesting through a median sternotomy. We contrived to make the latter device easier to handle using a method that requires no specialized parts. Three tubes( a 22 Fr polyvinyl chloride catheter and two extracorporeal circuit tubes, 6 mm and 10 mm in diameter;all about 18 cm long) are prepared and incised vertically. The tubes are installed around the shaft from the handpiece side. The enlarged diameter of the shaft then permits the scalpel tip to be held closer to the surgical area, allowing delicate procedures to be carried out more securely.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"77 13","pages":"1071-1073"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829209","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
[Thoracic Endovascular Aortic Repair for Re-entry of Distal Anastomosis Following Ascending Replacement for Acute Aortic Dissection:Report of a Case]. [胸腔内血管主动脉修复术用于急性主动脉夹层升支置换术后远端吻合口的再次进入：一例病例报告]。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2024-12-01
Hisaya Mori, Hisato Takagi
{"title":"[Thoracic Endovascular Aortic Repair for Re-entry of Distal Anastomosis Following Ascending Replacement for Acute Aortic Dissection:Report of a Case].","authors":"Hisaya Mori, Hisato Takagi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 61-year-old female underwent ascending aortic replacement (resecting the primary entry in the ascending aorta) for Stanford type A acute aortic dissection 1 year and 8 months before. Her postoperative course was uneventful, and the patient was discharged on 17 days later. Follow-up recent computed tomography (CT) scans, however, revealed dissecting aortic aneurysm of the distal aortic arch due to a new entry at the distal anastomosis of the ascending replacement. Thoracic endovascular aor-tic repair( placing a short stent graft, 52-mm Valiant Navion, into the ascending aorta) was successfully performed to occlude the new entry. Post-procedural CT scans indicated retrograde flow into the false lumen of the aortic arch via a re-entry of the left subclavian artery, and endovascular repair to exclude the re-entry is now planned.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"77 13","pages":"1111-1115"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829255","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
[Prophylactic Negative Pressure Wound Therapy for Patients at High Risk of Surgical Site Infection in Cardiovascular Surgery]. [心血管外科手术中手术部位感染高风险患者的预防性负压伤口疗法]。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2024-12-01
Shuji Nagatomi, Yuka Ito, Fumiya Ono, Ryo Imada, Yushi Yamashita, Naoki Tateishi, Yoshikazu Kawazu, Tamahiro Kinjo
{"title":"[Prophylactic Negative Pressure Wound Therapy for Patients at High Risk of Surgical Site Infection in Cardiovascular Surgery].","authors":"Shuji Nagatomi, Yuka Ito, Fumiya Ono, Ryo Imada, Yushi Yamashita, Naoki Tateishi, Yoshikazu Kawazu, Tamahiro Kinjo","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Deep sternal wound infection after cardiovascular surgery is one of the most devasting complications in both a short and long term. The addition of prophylactic negative pressure wound therapy( pNPWT) to standard surgical site infection( SSI) prophylaxis could be promising approach for the reduction of this problem.</p><p><strong>Methods: </strong>We evaluated 117 consecutive patients who underwent median sternotomy for cardiovascular surgery at our institution from July 2021 to December 2021. pNPWT with Prevena system was used for patients at high risk of SSI. The incidence of SSI was considered.</p><p><strong>Results: </strong>There were 50 patients in pNPWT group and 67 in the usual management group. The estimated risk of SSI was significantly higher in the pNPWT group (2.9±2.3% vs 1.7±1.3%, p<0.05), but there was no significant difference in the incidence of SSI.</p><p><strong>Conclusion: </strong>Prophylactic negative wound therapy in cardiovascular surgery may reduce the incidence of SSI to normal levels in a group of patients at high risk of SSI.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"77 13","pages":"1085-1089"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829249","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
[Transposition of the Left Subclavian Artery Before a Thoracic Endovascular Aortic Repair for Type B Aortic Dissection]. [B型主动脉夹层胸腔内血管主动脉修补术前左锁骨下动脉转位]。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2024-12-01
Tomohiro Odate, Takashi Miura, Shogo Yokose, Koji Hashizume
{"title":"[Transposition of the Left Subclavian Artery Before a Thoracic Endovascular Aortic Repair for Type B Aortic Dissection].","authors":"Tomohiro Odate, Takashi Miura, Shogo Yokose, Koji Hashizume","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We encountered a patient who had undergone a transposition procedure, which encompassed the performance of subclavian-common carotid arterial end-to-side anastomosis before a thoracic endovascular aortic repair (TEVAR) when carrying out Stanford type B aortic dissection. A 50-year-old man was admitted to our hospital with a diagnosis of chronic Stanford type B aortic dissection that tended to expand. Transposition was performed in advance of zone 2 TEVAR. Lymphorrhea was observed under the skin following surgery. A decreasing tendency for lymphorrhea was confirmed at six months following the operation. Coil embolization was performed after the occurrence of a type I leak following TEVAR;the leak was repaired successfully during the procedure. No ischemic symptoms in the upper left limb or any cerebral complications were observed, demonstrating the safety of the transposition method. The transposition method can be the first choice for revascularization of the left subclavian artery because it requires only one incision, no anticoagulant drugs, and is expected to maintain patency for a long period.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"77 13","pages":"1074-1077"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829259","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
[Complete Tracheal Rupture of the Neck due to Blunt Trauma]. [钝器外伤导致颈部气管完全破裂]。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2024-12-01
Saki Yamamoto, Chieko Kitamura, Yusuke Kita, Ryo Kobayashi
{"title":"[Complete Tracheal Rupture of the Neck due to Blunt Trauma].","authors":"Saki Yamamoto, Chieko Kitamura, Yusuke Kita, Ryo Kobayashi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A foreign national male in his 30s presented to our hospital after falling overboard. He appeared to have had a rope around his neck during the fall;however, no witnesses observed this. The patient was agitated in the emergency room and was walking around incessantly. He exhibited a cervical cord scar and hoarseness at the beginning of the examination and developed dyspnea and bloody phlegm 40 minutes after arrival. Sudden respiratory deterioration occurred, and oral intubation was performed under sedation with 30 mg midazolam. Chest computed tomography( CT) revealed bilateral pneumothorax and complete transection of the cervical trachea, with tube deviation into the mediastinum. After bilateral drainage of the thoracic cavity, a tracheostomy was performed in the emergency room. The patient underwent tracheoplasty in the operating room 4 hours after arrival. He was extubated on postoperative day( POD) 10;however, bilateral recurrent nerve palsy persisted. The patient was discharged on POD 16.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"77 13","pages":"1090-1096"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829206","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
[Metastatic Lung Tumor with Bronchial Cast Shadow in Which Intraoperative Bronchoscopy Was Useful During Robotic Surgery]. [带有支气管阴影的转移性肺肿瘤在机器人手术中的术中支气管镜检查很有用]。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2024-12-01
Motoka Omata, Shota Mitsuboshi, Hiroaki Shidei, Akira Ogihara, Hiroe Aoshima, Tamami Isaka, Takako Matsumoto, Masato Kanzaki
{"title":"[Metastatic Lung Tumor with Bronchial Cast Shadow in Which Intraoperative Bronchoscopy Was Useful During Robotic Surgery].","authors":"Motoka Omata, Shota Mitsuboshi, Hiroaki Shidei, Akira Ogihara, Hiroe Aoshima, Tamami Isaka, Takako Matsumoto, Masato Kanzaki","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A man in his 60s, who had undergone surgery for rectal cancer, liver metastases, and lung metastasis, had a past history of myocardial infarction and ventricular fibrillation with reduced cardiac functions. He was referred to our department because of a pulmonary nodule shadow in the S2 right upper lobe and a bronchial cast shadow along the B2 bronchus. Robot-assisted thoracoscopic right S2 segmentectomy was performed and intraoperative bronchoscopy revealed a polyp-like tumor within B2a. Then, B2a and B2b were resected and the tumor was removed into the surgical field. It was confirmed that there was no residue using a bronchoscope, and the bronchus was cut on the proximal side of B2 using an automatic suturing device. The final pathological diagnosis was rectal cancer with lung metastasis, and the endobronchial tumor showed necrotic tissue and bronchial stumps were negative.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"77 13","pages":"1080-1084"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829244","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
[Rupture without Bleeding Secondary to Endotension After Thoracic Endovasular Aneurysm Repair:Report of a Case]. [胸腔内动脉瘤修补术后继发于内张力的无出血破裂：病例报告]。
Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2024-12-01
Baku Takahashi, Hiroyuki Morokuma, Keiji Kamohara
{"title":"[Rupture without Bleeding Secondary to Endotension After Thoracic Endovasular Aneurysm Repair:Report of a Case].","authors":"Baku Takahashi, Hiroyuki Morokuma, Keiji Kamohara","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We report a rare case of rupture without bleeding secondary to endotension after thoracic endovascular aneurysm repair. An 82-year-old woman had undergone multiple thoracic endovascular aortic repairs for a distal arch aneurysm. Due to the aneurysm enlargement, stent graft was eventually placed from the ascending aorta to just above the celiac artery after axillo-axillo-common carotid artery bypass. Postoperative computed tomography (CT) revealed no endoleak (EL). However, arch aneurysm sac continued to expand without ELs. Furthermore, thoracoabdominal aneurysm was enlarged. She was referred to our hospital because of severe chest pain while we considered open repair. CT demonstrated aneurysm enlargement and massive hematoma, suggesting rupture. Therefore, an open repair was performed by thoracotomy. Interestingly, we found that there was no EL, indicating endotension-induced aneurysm rupture. Her aorta was partially replaced with vascular prosthesis. Second intervention should be performed to prevent critical complications if the aneurysm is expanding even without obvious EL.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"77 13","pages":"1107-1110"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829251","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
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