Rinsho kyobu geka = Japanese annals of thoracic surgery最新文献_第2页

[Redo operations after operation for true thoracic aortic aneurysm]. [真胸主动脉瘤术后再做手术]。

Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-12-01

K Tabayashi, K Sato

引用次数: 0

[A case of left atrial free-floating ball thrombus]. 左心房游离球型血栓1例。

Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-12-01

K Oohara, T Yamazaki, M Nakayama, A Kobayashi

引用次数: 0

[A study of pacemaker implantation to cases performed valve surgery]. 心脏瓣膜手术患者心脏起搏器植入的研究。

Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-12-01

H Yoshida, O Oba, Y Yamamoto, G Kato, H Inoue, Y Ochi, T Shichijo

引用次数: 0

[Phrenic nerve injury following coronary artery bypass surgery: its clinical implication and management]. [冠状动脉搭桥术后膈神经损伤:临床意义及处理]。

Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-12-01

M Ando, M Endo, H Nishida, H Tomioka, Y Sodenaga, H Koyanagi

{"title":"[Phrenic nerve injury following coronary artery bypass surgery: its clinical implication and management].","authors":"M Ando, M Endo, H Nishida, H Tomioka, Y Sodenaga, H Koyanagi","doi":"","DOIUrl":"","url":null,"abstract":"The hospital records of 80 patients undergoing coronary artery bypass surgery, including 19 patients using the \"isolation pad\", were reviewed to examine the prevalence of the phrenic nerve injury (PNI). All patients received ice slush for topical cooling during operation. The degree of the elevated diaphragm was evaluated objectively by \"Diaphragmatic Elevation Index, DEI\" calculated from the plain chest roentgenogram taken before and after the operation. Sixty-one patients without using the isolation pad were subdivided into 3 groups, mild (35), moderate (15), and severe (11) according to the degree of the elevated diaphragm, and compared along with those using the isolation pad. All groups could not be distinguished by clinical course. The degree of left diaphragmatic elevation was significantly high compared with that of right, but recovered significantly at discharge except 2 patients. Pulmonary complication was highly associated with the \"severe\" groups. Because PNI is often transient and of little clinical significance, it is sometimes neglected. But considering the high frequency of the development of pulmonary complication, proper protective measure should be undertaken. Utilization of the isolation pad was effective means in terms of protection of phrenic nerve.","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 6","pages":"501-5"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20350253","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

[Two cases of tuberculous constrictive pericarditis]. 结核性缩窄性心包炎2例。

Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-12-01

T Osawa, M Seki, Y Uno, K Kobayashi, M Tsubota, M Endo, H Sato

引用次数: 0

[Dynamic cardiomyoplasty: current status and future perspective]. 动态心肌成形术:现状与未来展望

Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-12-01

R C Chiu, Y Misawa, T Hasegawa, K Fuse

{"title":"[Dynamic cardiomyoplasty: current status and future perspective].","authors":"R C Chiu, Y Misawa, T Hasegawa, K Fuse","doi":"","DOIUrl":"","url":null,"abstract":"Dynamic Cardiomyoplasty is a new approach to manage patients with heart failure. The phase I study shows that the muscle stimulator and electrodes function as designed and that the operation is done without any impairment of the patient's motor function. The results of the phase II study has been made public. The hemodynamic effects on patients with dilated cardiomyoplasty have been reported to be excellent. The assisting mechanism of dynamic cardiomyoplasty is based on the conformational change of the wrapped muscle with the ability to restore its optimal length and tension. In the chronic postoperative stage, the muscle seems to form a layer outside the epicardium. This change is important for the myocardinal sparing and girdling effects which are related to the wall stress of the heart. The hypothesis that the wrapped muscle becomes another layer of the heart can explain these effects. Increasing the wall thickness of the left ventricle reduces the wall stress (myocardinal sparing effect) according to Laplace's law. Even if the wrapped muscle is not transformed or stimulated (adynamic cardiomyoplasty), the wall stress is reduced after conformation, and the dilatation of the heart may be protected (girdling effect). The systolic augmentation is shown as the increase of cardiac output, ejection fraction, and blood velocity of the ascending aorta and ejection time. The dynamic cardiomyoplasty might effect the remodelling of the impaired heart and delay its progressive dilatation. When the efficacy of dynamic cardiomyoplasty is proven by the phase III study, which has been going on in the centers of North and South Americas, it will be useful as a bridge to heart transplantation, or as one of the surgical treatment modalities for advanced heart failure.","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 6","pages":"489-93"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20350251","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

[Multi-organ ischemia due to traumatic lesion of the descending thoracic aorta--a case-report]. 【外伤性胸降主动脉损伤致多器官缺血1例报告】。

Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-12-01

N Nakamura, K Arikawa, S Shimokawa, H Toyohira, Y Umebayashi, R Ishibe, K Tanaka, A Taira

引用次数: 0

[Surgical experience with 2 cases of upper ventricular tachycardia showing annular dysplasia at the attachment section of the tricuspid valve septal cusp]. [2例上室性心动过速表现为三尖瓣间隔尖附着段环形发育不良的手术经验]。

Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-10-01

M Tsubota, M Seki, M Endo, T Osawa, T Iwa

引用次数: 0

[Application of endocardial balloon electrodes to ventricular tachycardia]. 心内膜球囊电极在室性心动过速中的应用。

Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-10-01

T Watanabe, T Misaki, K Koto, K Yamamoto, S Otani, H Ando