[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai最新文献_第5页

[A case of impending rupture of coronary aneurysm after rapid growth within a month]. [1例冠状动脉瘤在一个月内快速生长后即将破裂]。

[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai Pub Date : 1997-11-01

H Mori, Y Okamura, Y Sugita, Y Mochizuki, H Iida, K Shimada

{"title":"[A case of impending rupture of coronary aneurysm after rapid growth within a month].","authors":"H Mori, Y Okamura, Y Sugita, Y Mochizuki, H Iida, K Shimada","doi":"","DOIUrl":"","url":null,"abstract":"A case of successful surgery for a rapidly growing aneurysm is described. The patient, a 47-year-old woman, had suffered from recurrent aphtous and genital ulcers for 17 years and hyperthyroidism for two years. One month after myocardial infarction, follow-up coronary angiography showed total obstruction at the distal part of the aneurysm in the left anterior descending artery with rapid dilation to 37 mm. Echocardiography revealed gradually increasing pericardial effusion. Urgent surgery was performed on January 11, 1995. Because Behçet's disease was suspected and since the vascular wall was suspected to have become fragile, surgery was performed using the aortic-no-touch technique. Under ventricular fibrillation, the proximal and distal part of the left anterior descending artery of the coronary aneurysm was ligated and bypass grafting was achieved at the distal part of the left anterior descending artery with the left internal thoracic artery. Low dose steroid treatment was started from nine days after surgery. The post operative course was satisfactory and coronary angiography during the first month showed no abnormal signs.","PeriodicalId":6434,"journal":{"name":"[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai","volume":"45 11","pages":"1848-53"},"PeriodicalIF":0.0,"publicationDate":"1997-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20360747","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

[A surgical case report--combined valvular disease in a 77-year-old woman with multi-organ dysfunction]. [一例手术病例报告-合并瓣膜病的77岁妇女多器官功能障碍]。

[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai Pub Date : 1997-11-01

Y Kurimoto, M Inaoka

引用次数: 0

[A case of isolated tricuspid valve endocarditis caused by Campylobacter fetus]. 【弯曲杆菌胎儿致孤立性三尖瓣心内膜炎1例】。

[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai Pub Date : 1997-11-01

Y Sasaki, S Suehiro, T Shibata, H Minamimura, H Kumano, H Kinoshita

引用次数: 0

[A case of a successfully treated subclavian aneurysm complicated by a brachiocephalic aneurysm, and the left vertebral artery occlusion]. 成功治疗锁骨下动脉瘤并发头臂动脉瘤，左椎动脉闭塞1例。

[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai Pub Date : 1997-11-01

K Yazawa, Y Fukaya, H Nakano, H Kuroda, K Nishimura, J Amano

{"title":"[A case of a successfully treated subclavian aneurysm complicated by a brachiocephalic aneurysm, and the left vertebral artery occlusion].","authors":"K Yazawa, Y Fukaya, H Nakano, H Kuroda, K Nishimura, J Amano","doi":"","DOIUrl":"","url":null,"abstract":"The patient was a 67-year-old male. Preoperative DSA study revealed a right subclavian aneurysm, a brachiocephalic aneurysm, stenosis of the left common carotid artery and the left subclavian artery, and occlusion of the left vertebral artery. An intraoperative occlusion test of the right vertebral artery showed a decline of the brainstem auditory evoked responses (BAER) seven minutes after the start of the procedure. Cardiopulmonary bypass was established by femoral arterial and bicaval cannulation. Under selective cerebral perfusion by cannulation of both common caroid arteries, a partial aortic arch replacement was performed using a graft patch with 3 branches. These three branches were connected to the right subclavian artery and to both common carotid arteries, respectively. Under deep hypothermia the right vertebral artery was reconstructed with the saphenous vein graft. Proximal anastomosis between the saphenous vein graft and the right caroid graft was done perfusion from a branch of the saphenous vein graft in order to shorten ischemic time of basilar arterial region. The patient was weaned from bypass without problems. After weaning the BAER test was again performed and found to be normal. The postoperative course was uneventful. Postoperative DSA examination showed good blood flow in all the reconstructed vessels. This study suggests that deep hypothermia and shortening of ischemic time of the basilar arterial region are effective in preventing ischemic injury of the brain stem and the cerebellum.","PeriodicalId":6434,"journal":{"name":"[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai","volume":"45 11","pages":"1854-7"},"PeriodicalIF":0.0,"publicationDate":"1997-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20360748","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

[Candida costochondral osteomyelitis, report of a case and review of the literature]. 念珠菌肋软骨骨髓炎1例报告及文献复习。

[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai Pub Date : 1997-11-01

K Myojin, T Murakami, K Ishii, T Kunihara

引用次数: 0

[An early recrudescent case of Stanford type A closing aortic dissection]. Stanford A型闭合性主动脉夹层早期复发1例。

[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai Pub Date : 1997-11-01

T Kumamoto, H Shin, T Sumida

引用次数: 0

[A clinical application of histidine buffered cardioplegia]. 组氨酸缓冲心脏骤停的临床应用

[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai Pub Date : 1997-10-01

K Takeuchi, K Maida, S Yoshida, S Suzuki, P J del Nido, S Tanaka

{"title":"[A clinical application of histidine buffered cardioplegia].","authors":"K Takeuchi, K Maida, S Yoshida, S Suzuki, P J del Nido, S Tanaka","doi":"","DOIUrl":"","url":null,"abstract":"Blood cardioplegia has been widely accepted due to better oxygen delivery, pH buffering and free radical scavenge. We have found that a crystalloid cardioplegia solution formulated to accelerate anaerobic glycolysis with high buffering capacity. To conserve blood cardioplegia, we formulated a crystalloid cardiopletia containing 100 mM histidine for buffering. This cardioplegia (HBS) was compared to cold blood cardioplegia in patients requiring open heart surgery. Eighty patients including HBS (n = 28), and CBC (n = 40) were involved in this study. Left ventricular end-systolic elastance (Emax; mmHg/cm3) was evaluated pre- and postoperatively. Cardiac index and inotropic requirement were also monitored at 1, 3, and 12 hours after cardiopulmonary bypass. There was no death in either group. All hearts returned to previous rhythm in HBS group, whereas total 12 DC cardioversions were requested in 6 patients. Emax was significantly higher in HBS group (5.2 +/- 0.6 mmHg/cm3) than in CBC group (3.4 +/- 0.4 mmHg/cm3). Cardiac index was also significantly higher in HBS group postoperatively than in CBC group with lower inotropic requirements. We conclude that histidine containing crystalloid cardioplegia provides excellent recovery of cardiac performance with lower inotropic requirements in open heart surgery. The ease of use, and lack of blood are other important advantages of this crystalloid cardioplegia.","PeriodicalId":6434,"journal":{"name":"[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai","volume":"45 10","pages":"1715-9"},"PeriodicalIF":0.0,"publicationDate":"1997-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20322363","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

[A successful surgical treatment for huge left circumflex artery-right ventricle fistula using the fistula occlusion test]. 【用瘘闭塞试验成功治疗巨大左旋动脉-右心室瘘】。

[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai Pub Date : 1997-10-01

J Hirota, K Akiyama, A Takazawa, A Hashimoto, S Sasaki, T Nagumo

{"title":"[A successful surgical treatment for huge left circumflex artery-right ventricle fistula using the fistula occlusion test].","authors":"J Hirota, K Akiyama, A Takazawa, A Hashimoto, S Sasaki, T Nagumo","doi":"","DOIUrl":"","url":null,"abstract":"A surgical case of rare coronary artery fistula between the left circumflex artery and right ventricle was reported. A 46-year-old woman had suffered from exertional dyspnea and palpitation for three years. Pan systolic heart murmur was heard through the left 4th inter costal space. The chest X-ray film demonstrated cardiac enlargement and lung congestion, and the electrocardiograms showed atrial fibrillation and left ventricular hypertrophy when she was admitted to our hospital. Preoperative catheterization revealed a huge coronary artery fistula originating from the left circumflex artery and opening into the right ventricle through the posterior wall of the heart. The left-to-right shunt ratio was 60% and Qp/Qs was 2.47. At operation, the dilated circumflex artery fistula was carefully dissected and the tape was passed around the fistula as a tourniquet under extra corporeal circulation on the beating heart. To estimate myocardial ischemia, the fistula occlusion test was performed by tightening the previously placed tourniquet. Monitoring of electrocardiograms, transesophageal echocardiography, and hemodynamics were useful to detect myocardial ischemia. The occlusion test was performed under ECC for 5 minutes. No ischemic changes were observed. The fistula was interrupted under cardiac arrest at the point of the occlusion test.","PeriodicalId":6434,"journal":{"name":"[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai","volume":"45 10","pages":"1782-6"},"PeriodicalIF":0.0,"publicationDate":"1997-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20324208","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

[Assessment of right gastroepiploic artery grafts by thallium scintigraphy]. [应用铊显像评价右胃网膜动脉移植]。

[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai Pub Date : 1997-10-01

S Hayashi, M Sasaki, J Kawamoto

引用次数: 0

[Right-sided intrathoracic bypass grafting for a coarctation of the aorta in an advanced aged woman]. [右侧胸内旁路移植术治疗高龄妇女主动脉缩窄一例]。

[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai Pub Date : 1997-10-01

Y Iguro, M Yamashita, R Murata, Y Fukumoto, A Taira

引用次数: 0