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Rinsho kyobu geka = Japanese annals of thoracic surgery最新文献

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[Coronary artery bypass surgery-redo operation particularly in patients with a functioning ITA graft or with a patent atheromatous vein graft]. [冠状动脉搭桥手术-重做手术，特别是ITA移植物功能正常或动脉粥样硬化静脉移植物未闭的患者]。
Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-10-01
S Kitamura, K Kawachi, R Morita, T Kawata, S Kobayashi, M Fukutomi, J Hasegawa, Y Yoshida, K Niwaya, H Sakaguchi
{"title":"[Coronary artery bypass surgery-redo operation particularly in patients with a functioning ITA graft or with a patent atheromatous vein graft].","authors":"S Kitamura,&nbsp;K Kawachi,&nbsp;R Morita,&nbsp;T Kawata,&nbsp;S Kobayashi,&nbsp;M Fukutomi,&nbsp;J Hasegawa,&nbsp;Y Yoshida,&nbsp;K Niwaya,&nbsp;H Sakaguchi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>An experience with redo-CABG in 20 patients is described. The incidence of reoperation in patients undergoing primary CABG in our hospital was 1.4%, relatively low even in Japanese population. The low incidence of redo-CABG in our hospital depends on the relatively short period of follow-up of 14 years, the prevalence of interventional cardiology and the early routine use of ITA grafts. The main cause of reoperation was the failure of a SVG to the LAD in 70 to 80% of the cases. The most important and difficult decision-making in redo-CABG is the selection of surgical approaches and cardioprotective methods in patients with a patent functioning ITA graft, and the management of an atherosclerotic patent SVG. Surgical strategies in these situations are discussed.</p>","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 5","pages":"373-8"},"PeriodicalIF":0.0,"publicationDate":"1994-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20351129","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
[Evaluation of possible application of cryo-catheter ablation]. [冷冻导管消融的应用前景评价]。
Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-10-01
S Nishio, M Okada, T Yamashita, M Morimoto
{"title":"[Evaluation of possible application of cryo-catheter ablation].","authors":"S Nishio,&nbsp;M Okada,&nbsp;T Yamashita,&nbsp;M Morimoto","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 5","pages":"442-3"},"PeriodicalIF":0.0,"publicationDate":"1994-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20380247","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
[Mapping of the entry circuit in ventricular tachycardia]. [室性心动过速进入回路的绘制]。
Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-10-01
T Nitta, S Tanaka, M Ikeshita, S Yamauchi, Y Ishii, Y Shoji
{"title":"[Mapping of the entry circuit in ventricular tachycardia].","authors":"T Nitta,&nbsp;S Tanaka,&nbsp;M Ikeshita,&nbsp;S Yamauchi,&nbsp;Y Ishii,&nbsp;Y Shoji","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 5","pages":"448-9"},"PeriodicalIF":0.0,"publicationDate":"1994-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20380250","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
[Coronary artery reoperation]. 冠状动脉再手术。
Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-10-01
H Suma
{"title":"[Coronary artery reoperation].","authors":"H Suma","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Coronary artery reoperation has been performed in 51 patients (4%) including 5 second reoperations among 1,245 CABGs during past 9 years. There were 40 males and 11 females with a mean age of 58 year old ranging from 19 to 75 year old. Extent of coronary artery disease were; single vessel disease in 2 patients, double vessel disease in 18 patients, triple vessel disease in 22 patients and left main disease in 9 patients. Preoperative ejection fraction ranged from 0.24 to 0.69 (mean 0.48) and 21 patients (41%) showed unstable angina. Interval between primary CABG and reoperation ranged from 1 month to 20 years with a mean of 6 years. There were two groups which had early reoperation at the mean of 6 months (14 patients) and late reoperation at the mean of 9 years (37 patients) after primary CABG. Causes of reoperation varied from graft failure (29 patients), progression of native CAD (2 patients), both of them (19 patients), and incomplete revascularization (1 patient). There were 32 patients who had patent old graft at the time of reoperation. Re-entry approaches used were midsternal in 41 patients and left thoracotomy in 10 patients. The ITA, GEA, IEA and SV grafts were used in 30, 38, 5 and 28 patients, respectively. There were 4 patients who underwent CABG without cardiopulmonary bypass. The mean number of bypass was 2.1 and the mean duration of aortic crossclamp and cardiopulmonary bypass were 63 minutes and 114 minutes, respectively. As a result, there were 4 early and 1 late death. Postoperative angiography revealed that patency rate of ITA, GEA, IEA and SV grafts were 100% (22/22), 97% (30/31), 75% (3/4) and 87% (20/23), respectively. In conclusion, risk of coronary artery reoperation is still high and use of arterial graft is important to obtain high patency rate and low reoperation rate.</p>","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 5","pages":"394-8"},"PeriodicalIF":0.0,"publicationDate":"1994-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20353007","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
[Seventy-seven coronary reoperations: incidence, indication and results]. 77例冠状动脉再手术:发病率、适应证和结果。
Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-10-01
M Endo, M Kitamura, T Koyanagi, H Nishida, H Koyanagi
{"title":"[Seventy-seven coronary reoperations: incidence, indication and results].","authors":"M Endo,&nbsp;M Kitamura,&nbsp;T Koyanagi,&nbsp;H Nishida,&nbsp;H Koyanagi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As the number of patients who have undergone primary myocardial revascularization continues to burgeon, the number of potential candidates for a secondary myocardial revascularization has increased gradually. The number of secondary CABG at the Cleveland Clinic were performed, which represents 18% of the total CABG. However, the number of secondary CABG at The Heart Institute of Japan were performed, which represents of 5-10% of the annual CABG. There was one operative death (1.3%). The graft patency rate was 92.8%. Including non-cardiac death, the actuarial survival rate at 10 years was 88.2%, and events free rate including all deaths, the third time CABG, PTCA and myocardial infarction was 78.4% at 10 years.</p>","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 5","pages":"379-85"},"PeriodicalIF":0.0,"publicationDate":"1994-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20351130","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
Syndrome myxoma: a report of 2 cases. 黏液瘤:附2例报告。
Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-10-01
M Khaja, R B Pandey, N B Agrawal, V Pradeep, J Deshpande, J M Khandeparker, R A Magotra
{"title":"Syndrome myxoma: a report of 2 cases.","authors":"M Khaja,&nbsp;R B Pandey,&nbsp;N B Agrawal,&nbsp;V Pradeep,&nbsp;J Deshpande,&nbsp;J M Khandeparker,&nbsp;R A Magotra","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cardiac myxomas are fascinating tumours because of the protean manifestations associated with them. The complex association of cardiac myxomas, with cutaneous lesions and endocrine overactivity has been recognized. We report two such interesting cases.</p>","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 5","pages":"420-2"},"PeriodicalIF":0.0,"publicationDate":"1994-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20353012","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
[Clinical evaluation of 35 cases of chronic atrial fibrillation undergoing maze operation]. 慢性房颤迷宫手术35例临床评价
Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-10-01
M Mukaida, Y Yagi, S Shiina, T Sasaki, K Abe, K Komoda, K Kawazoe, J Kamada, M Chiba, T Musha
{"title":"[Clinical evaluation of 35 cases of chronic atrial fibrillation undergoing maze operation].","authors":"M Mukaida,&nbsp;Y Yagi,&nbsp;S Shiina,&nbsp;T Sasaki,&nbsp;K Abe,&nbsp;K Komoda,&nbsp;K Kawazoe,&nbsp;J Kamada,&nbsp;M Chiba,&nbsp;T Musha","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 5","pages":"438-9"},"PeriodicalIF":0.0,"publicationDate":"1994-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20380245","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
[Clinical analysis of second CABG]. 第二次冠脉搭桥的临床分析。
Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-10-01
Y Sasako, Y Kito
{"title":"[Clinical analysis of second CABG].","authors":"Y Sasako,&nbsp;Y Kito","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We performed 1,560 coronary artery bypass grafting (CABG) at National Cardiovascular Center between November 1977 and August 1993. Of those, 41 patients received second CABG, 2 pts. received third CABG and 97 pts. received percutaneous transluminal coronary angioplasties (PTCA). We conducted a retrospective analysis of these patients to determine whether a previous CABG or CABGs affects the results. The hospital death rate was 10% (4/41) for re CABG, 50% (1/2) for third CABG and 0% for PTCA. In second CABG, 3-year cardiac event free rate was 58-68%, and early graft patent rate for new native lesion was high (97%, 28/29). However, the rate was low in graft to the site of the vessel which had occluded within 3 months after first CABG (59%, 7/12). Emergent or urgent operations performed in 14 cases (34%). In PTCA for SVG lesion (33 pts.), 14 (42%) patients received re PTCA and 6 (18%) had second CABG. These data indicated that the results of second CABG were affected by timing of the operation and the site of grafting. We believed that re operation to early occlusion site within 3 months should be performed carefully and further investigation is warranted.</p>","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 5","pages":"386-9"},"PeriodicalIF":0.0,"publicationDate":"1994-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20353005","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
[Reoperation and PTCA after coronary artery bypass graft]. 冠状动脉搭桥术后的再手术和PTCA。
Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-10-01
I Hayashi, Y Hosoda, S Sasaguri, T Satou, K Takazawa, S Yamamoto
{"title":"[Reoperation and PTCA after coronary artery bypass graft].","authors":"I Hayashi,&nbsp;Y Hosoda,&nbsp;S Sasaguri,&nbsp;T Satou,&nbsp;K Takazawa,&nbsp;S Yamamoto","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Since 1984, 1410 patients underwent coronary bypass grafting at Juntendo University Hospital. At the primary operation 797 patients had internal thoracic artery (ITA) graft and 613 patients received only saphenous vein graft (SVG). Reoperation was done in one pt. in ITA group and 10 pts. in SVG group. There were 2 deaths (reoperative mortality 18%). Percutaneous Transluminal Coronary Angioplasty to stenotic SVG was applied to 71 lesions in CABG patients. The primary success rate was 81.7% and restenosis rate was 38.9%. Urgent reoperation was performed on 3 pts. who had PTCA to diseased LAD or stenotic SVG to LAD. Reoperation is technically demanding and is associated with high mortality. Balloon angioplasty may provide a suitable alternative. But high restenosis rate (especially acute stenosis) remains a significant problem, particularly in the pts. with diseased LAD or stenotic vein graft to LAD. Reoperation is another option to relieve the ischemic symptoms in pts. with diseased LAD or stenotic vein graft to LAD.</p>","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 5","pages":"390-3"},"PeriodicalIF":0.0,"publicationDate":"1994-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20353006","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
[Clinical experience with the CHAUX multi-purpose retractor]. 【使用CHAUX多功能牵开器的临床经验】。
Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-10-01
K Akiyama, M Horikosi, M Shimamura, Y Namiki, M Koga, K Nakata, S Shindo, Y Sezai
{"title":"[Clinical experience with the CHAUX multi-purpose retractor].","authors":"K Akiyama,&nbsp;M Horikosi,&nbsp;M Shimamura,&nbsp;Y Namiki,&nbsp;M Koga,&nbsp;K Nakata,&nbsp;S Shindo,&nbsp;Y Sezai","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We have performed dissection of the ITA using the CHAUX retractor in many patients. This retractor is a two-point sternal/IMA and valve retractor, with four sternal blades with individual and independent dual movement. The sliding sternal blade assemblies permit movement along the horizontal plane of the side arm. This retractor can be used for other types of cardiac surgery, as well. We obtained good results with its use for repair of distal aortic arch aneurysm. We conclude that this retractor is safe and useful for cardiac surgery.</p>","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 5","pages":"426-7"},"PeriodicalIF":0.0,"publicationDate":"1994-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20353013","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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