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

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[Inhaled nitric oxide after Fontan type operation]. 【方坦式手术后吸入一氧化氮】。
Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-08-01
T Ishizaka, K Kumon, N Yahagi, H Tanigami, Y Watanabe, O Matsuki, M Nakaya, M Nishigaki, F Yamamoto, T Yagihara
{"title":"[Inhaled nitric oxide after Fontan type operation].","authors":"T Ishizaka,&nbsp;K Kumon,&nbsp;N Yahagi,&nbsp;H Tanigami,&nbsp;Y Watanabe,&nbsp;O Matsuki,&nbsp;M Nakaya,&nbsp;M Nishigaki,&nbsp;F Yamamoto,&nbsp;T Yagihara","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The indication of Fontan type operation has been extending, but some cases on the boundary of the indication resulted in low cardiac output syndrome (LOS) postoperatively. Recently the inhalation of nitric oxide (NO) has been revealed to produce selective pulmonary vasodilatation, and it has come to be applied in the clinical setting. We experienced a case of 6-year-old boy with complex cardiac anomaly in whom the inhalation of nitric oxide was remarkably effective for the LOS caused by increased pulmonary vascular resistance after Fontan type operation. In the case various conventional treatments failed to improve his LOS during the weaning from a respirator on the second postoperative day. After the initiation of the inhalation of nitric oxide at a concentration of 6ppm, a rapid decreasing of pulmonary artery pressure concomitant with an improvement of hemodynamics were obtained. We concluded that the inhalation of nitric oxide is an effective strategy for the increased pulmonary resistance after Fontan type operation.</p>","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 4","pages":"323-6"},"PeriodicalIF":0.0,"publicationDate":"1994-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20351126","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
[Efficacy of multiple application of freeze-coagulation to the maze operation--attempt at reducing operative time, preventing hemorrhage, and avoiding left atrial incision]. 【冷冻凝术在迷宫手术中的多次应用效果——减少手术时间，防止出血，避免左房切口】。
Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-08-01
T Akimoto, M Hatta, H Nakano, H Nishida, M Kitamura, G Otsuka, M Endo, H Koyanagi
{"title":"[Efficacy of multiple application of freeze-coagulation to the maze operation--attempt at reducing operative time, preventing hemorrhage, and avoiding left atrial incision].","authors":"T Akimoto,&nbsp;M Hatta,&nbsp;H Nakano,&nbsp;H Nishida,&nbsp;M Kitamura,&nbsp;G Otsuka,&nbsp;M Endo,&nbsp;H Koyanagi","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 4","pages":"346-7"},"PeriodicalIF":0.0,"publicationDate":"1994-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20380239","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 for valvular heart disease: its operative procedure and result]. 再手术治疗瓣膜性心脏病的手术方法及效果
Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-08-01
K Kojima, J Amano, M Sunamori, A Suzuki
{"title":"[Reoperation for valvular heart disease: its operative procedure and result].","authors":"K Kojima,&nbsp;J Amano,&nbsp;M Sunamori,&nbsp;A Suzuki","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>From April, 1983 to March, 1993, 63 patients (pts) underwent reoperations of valvular heart disease at Tokyo Medical and Dental University Hospital, of which 44 pts had undergone closed mitral commissurotomy (CMC), open aortic or mitral commissurotomy (OAC or OMC) or valvuloplasty, and 17 pts had undergone aortic or mitral valve replacement (AVR or MVR). Valve replacement was performed in 59 pts (mechanical valve replacement; 42 pts, porcine valve replacement; 12 pts), and 2 pts received OMC due to restenosis after CMC. Preoperative diagnosis included restenosis after CMC, OMC or valvuloplasty in 43 pts, bioprosthetic dysfunction after MVR in 10 pts, perivalvular leakage after AVR in 1 pt, valve detachment after AVR in 4 pts (Beçhet 3 pts, infective endocarditis 1 pts). Valve replacement or valvuloplasty was done for another valves in addition to the previously operated valve in 44 pts (72.1%), especially for tricuspid valve. Restenosis after CMC, occurred at 20.6 years after surgery, and restenosis after OMC and valvuloplasty at 13.1 years. Bioprosthetic dysfunction after MVR occurred at 8.5 years. Valve dysfunction of the mechanical valve was not observed. The early operative mortality after reoperations was 11.5% (7 pts) in this series. And 3 pts (4.9%) died in the late follow-up due to cancer in 1 pt and congestive heart failure in 2 pts. A first choice of mechanical valve for redo valve replacement for aortic/mitral valve, and modified AVR using composite graft and proximal double fixation to the fragile annulus seemed to be satisfactory to accomplish better operative results.</p>","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 4","pages":"287-91"},"PeriodicalIF":0.0,"publicationDate":"1994-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20350550","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
[Electrophysiological study of experimental atrial fibrillation]. 实验性心房颤动的电生理研究。
Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-08-01
T Sugimoto, S Tanaka, H Hosaka, T Nitta, S Yamauchi, A Harada, Y Iedokoro, M Heki, M Ikeshita, Y Shoji
{"title":"[Electrophysiological study of experimental atrial fibrillation].","authors":"T Sugimoto,&nbsp;S Tanaka,&nbsp;H Hosaka,&nbsp;T Nitta,&nbsp;S Yamauchi,&nbsp;A Harada,&nbsp;Y Iedokoro,&nbsp;M Heki,&nbsp;M Ikeshita,&nbsp;Y Shoji","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 4","pages":"342-3"},"PeriodicalIF":0.0,"publicationDate":"1994-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20380237","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
[Experience in surgical treatment of chronic atrial fibrillation combined with valvular disease--an attempt at reduction in the surgical area]. 【慢性心房颤动合并瓣膜疾病的手术治疗经验——缩小手术面积的尝试】。
Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-08-01
T Sueta, H Yomo, K Watarihashi, H Mitsui, M Rihaku, Y Matsuura
{"title":"[Experience in surgical treatment of chronic atrial fibrillation combined with valvular disease--an attempt at reduction in the surgical area].","authors":"T Sueta,&nbsp;H Yomo,&nbsp;K Watarihashi,&nbsp;H Mitsui,&nbsp;M Rihaku,&nbsp;Y Matsuura","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 4","pages":"350-1"},"PeriodicalIF":0.0,"publicationDate":"1994-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20380241","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
[Establishment of anti-idiotype monoclonal antibodies to human anti lung cancer monoclonal antibody (4G12)]. [人抗肺癌单克隆抗体(4G12)抗独特型单克隆抗体的建立]。
Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-08-01
H Saito, T Fujisawa, T Fukasawa, Y Yamaguchi
{"title":"[Establishment of anti-idiotype monoclonal antibodies to human anti lung cancer monoclonal antibody (4G12)].","authors":"H Saito,&nbsp;T Fujisawa,&nbsp;T Fukasawa,&nbsp;Y Yamaguchi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The object of this study is to establish anti-idiotype (anti-ID) monoclonal antibodies (MoAbs) against a human MoAb (4G12) that highly reacts with lung squamous cell carcinomas. Two murine anti-ID MoAbs (2H1 and 2B12) were established by hybridoma technology. They showed specific reactivity with 4G12 but not with 3H12 human MoAb, human IgM and human IgG. These two MoAbs demonstrated more than 90% of binding inhibition of 4G12 to lung squamous cell cancer cell line (PC10). Moreover, cross inhibition test showed that 2H1 and 2B12 detect different idiotypes of 4G12 each other. Furthermore, specific reactivity of anti 2H1 and anti 2B12 sera to PC10 were observed by cell binding ELISA. These two anti-ID MoAbs had internal image of the original antigen.</p>","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 4","pages":"313-6"},"PeriodicalIF":0.0,"publicationDate":"1994-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20351124","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
[Experience and problems related to maze operation preserving the sinus node arteries]. 迷宫手术保留窦结动脉的经验与问题
Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-08-01
M Mitsuno, S Nakano, Y Shimazaki, K Taniguchi, Y Miyamoto, H Niitani, Y Furutani, A Matsuda
{"title":"[Experience and problems related to maze operation preserving the sinus node arteries].","authors":"M Mitsuno,&nbsp;S Nakano,&nbsp;Y Shimazaki,&nbsp;K Taniguchi,&nbsp;Y Miyamoto,&nbsp;H Niitani,&nbsp;Y Furutani,&nbsp;A Matsuda","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 4","pages":"356-7"},"PeriodicalIF":0.0,"publicationDate":"1994-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20380244","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
[Efficacy of combining mapping with surgery of atrial fibrillation]. [房颤测图与手术相结合的疗效]。
Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-08-01
S Yamauchi, S Tanaka, T Asano, A Harada, T Nitta, M Hioki, Ikeshita, Y Shoji
{"title":"[Efficacy of combining mapping with surgery of atrial fibrillation].","authors":"S Yamauchi,&nbsp;S Tanaka,&nbsp;T Asano,&nbsp;A Harada,&nbsp;T Nitta,&nbsp;M Hioki,&nbsp;Ikeshita,&nbsp;Y Shoji","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 4","pages":"344-5"},"PeriodicalIF":0.0,"publicationDate":"1994-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20380238","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
[Long-term results of the surgical treatment for thymoma]. [胸腺瘤手术治疗的长期结果]。
Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-08-01
H Nakamura, Y Tanaka, H Horio, M Fukuda, H Hara, T Mori
{"title":"[Long-term results of the surgical treatment for thymoma].","authors":"H Nakamura,&nbsp;Y Tanaka,&nbsp;H Horio,&nbsp;M Fukuda,&nbsp;H Hara,&nbsp;T Mori","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Long-term results of the surgical treatment for 27 cases of thymoma were studied. The clinical stages according to Masaoka's classification were: 7 cases of stage I, 9 cases of stage II, 8 cases of stage III, 1 case of stage IVa and 2 cases of stage IVb. The histological classifications were: epithelial cell type in 10 cases, lymphocytic type in 9 cases and mixed type in 8 cases. Complications consisted of 18 cases of myasthenia gravis (MG). The long-term survival at 5 and 10 years were as follows: 90.6%, 74.8% in all cases; 100.0%, 50.0% in the non-invasive type; 88.2%, 80.2% in the invasive type; 72.0%, 72.0% in the epithelial cell type; 100.0%, 75.0% in the lymphocytic type; 100.0%, 80.0% in the mixed type; 88.9%, 44.4% in cases not complicated with MG; 92.9%, 84.4% in cases complicated with MG. Complete resection and adjuvant therapy improved prognosis even in cases of invasive thymoma, but one case died due to local recurrence of thymoma at 10 years after operation, so we emphasize it is important to follow up for the long time period more than 10 years.</p>","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 4","pages":"309-12"},"PeriodicalIF":0.0,"publicationDate":"1994-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20351123","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
The effect of propofol on systemic vascular resistance during cardiopulmonary bypass: a comparative study with thiopentone. 异丙酚对体外循环中全身血管阻力的影响:与硫喷妥酮的比较研究。
Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-08-01
M Onder, A Babacan, F Bozkirli, B Somunkiran, S Gunaydin, Y Karadenizli
{"title":"The effect of propofol on systemic vascular resistance during cardiopulmonary bypass: a comparative study with thiopentone.","authors":"M Onder,&nbsp;A Babacan,&nbsp;F Bozkirli,&nbsp;B Somunkiran,&nbsp;S Gunaydin,&nbsp;Y Karadenizli","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>30 patients undergoing elective coronary artery bypass grafting surgery were allocated randomly to receive either propofol--2.5mg/kg--(N = 10, Group I) or thiopentone--4mg/kg--(N = 10, Group II) during cardiopulmonary bypass with constant pump flow and temperature. Two groups and another control group-receiving no medication-(N = 10, Group III) were compared with respect to the changes in hemodynamic parameters, especially systemic vascular resistance (SVR). After propofol, SVR decreased from 2489 +/- 302 to 1594 +/- 286 dyn sec cm-5 and remained significantly less than the control values until 16.6 +/- 4 min. after the administration of propofol. Following thiopentone administration, SVR decreased from 2653 +/- 298 to 2162 +/- 279 dyn sec cm-5 and remained so for the following 9.4 +/- 3 min. There were more significant decreases in especially cardiac index, perfusion pressure and SVR in the propofol group compared with thiopentone or control groups. Cardiopulmonary bypass has been shown to be a useful model for studying the isolated effects of anesthetic drugs on hemodynamic parameters. In our study, we tried to discuss the mechanism of the hypotensive effects of anesthetic agents, especially propofol and give an idea about the possible precautions that should be taken.</p>","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 4","pages":"317-20"},"PeriodicalIF":0.0,"publicationDate":"1994-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20351125","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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