Rinsho kyobu geka = Japanese annals of thoracic surgery最新文献_第7页

[Reoperation for tetralogy of Fallot]. [法洛四联症再手术]。

Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-06-01

K Hashimoto, H Kurosawa, K Suzuki, S Yamagishi, S Shimizu, R Nagahori

引用次数: 0

[Surgical treatment and long-term results of congenital heart disease in adults: early and late follow-up studies in 231 cases]. [成人先天性心脏病的手术治疗和长期结果:231例早期和晚期随访研究]。

Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-06-01

T Abe, K Kamata, A Taguchi, S Sugimoto, T Kawashima, S Inoue, K Nakanishi, N Takahashi, M Morikawa, A Sasaki

{"title":"[Surgical treatment and long-term results of congenital heart disease in adults: early and late follow-up studies in 231 cases].","authors":"T Abe, K Kamata, A Taguchi, S Sugimoto, T Kawashima, S Inoue, K Nakanishi, N Takahashi, M Morikawa, A Sasaki","doi":"","DOIUrl":"","url":null,"abstract":"In a past one decade from January 1981 to August 1991, 231 patients over 18 years old with congenital heart disease (CHD) including 65 patients with cyanotic (C) and 166 with acyanotic (AC) diseases, were surgically treated. There were one operative death (0.6 percent mortality) and three late deaths (1.9%) in 166 patients with AC diseases, whereas there were four operative (6.1%), and four late deaths (6.1%) in 65 patients with C. These patients were followed for 3 to 124 months (the mean of 46.4 +/- 11.9) after the operation. Compared with group AC, group C showed a high rate of early postoperative deaths or late deaths. Group AC comprised patients in their forties (95 patients with ASD and 15 with PDA) and those in their thirties (26 with VSD and 13 with ECD) at the operation. On the contrary, except 5 patients with Ebstein disease, a mean age of patients of group C at the operation lay in their twenties. Surgical outcomes for adult patients of group C still pose much problems compared with AC group in terms of decreased heart function, development of collateral circulatory pathway, and impaired hepatic and renal functions by long lasting hypoxemia. In group C decreased heart function or association of abscess of the brain might be the main cause of postoperative LOS. These findings indicate that early diagnosis, recent advanced operative procedure and appropriate postoperative care can provide symptomatic remission for even adult patients with severe CHD with a low mortality.","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 3","pages":"224-34"},"PeriodicalIF":0.0,"publicationDate":"1994-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20351906","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 case of intrathoracic goiter composed of two tumors]. [胸内双肿瘤甲状腺肿1例]。

Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-06-01

N Matsuda, M Okada, I Taniguchi, Y Yoshino, T Yamaga

引用次数: 0

[Additional palliative operation and staged definitive operation for pulmonary atresia with intact ventricular septum]. [完全性室间隔完全性肺闭锁的附加姑息性手术和分阶段确定性手术]。

Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-06-01

H Ohashi, M Yamaguchi, M Imai, Y Oshima, T Kumamoto, I Sugimoto

{"title":"[Additional palliative operation and staged definitive operation for pulmonary atresia with intact ventricular septum].","authors":"H Ohashi, M Yamaguchi, M Imai, Y Oshima, T Kumamoto, I Sugimoto","doi":"","DOIUrl":"","url":null,"abstract":"Between 1981 and 1992, 38 consecutive patients underwent initial operation for pulmonary atresia with intact ventricular septum. Transpulmonary valvotomy using balloon occlusion of RV outflow was carried out in 24 patients at a mean age of 20 days. An additional Blalock-Taussig shunt was required in 4 patients early in the series. Based on a retrospective review on the patients early in the series, initial palliative procedure had been decided in conformity with the value of an index of RV development (RVDI) = RVEDV% x TVD% x RVODmm/BSAm2 x 10(-5), and recent 3 patients with RVDI < 0.35 and patent RV outflow underwent concomitant valvotomy and Blalock-Taussig shunt. Fourteen patients with muscular atresia of RV outflow or major sinusoidal coronary artery communication underwent Blalock-Taussig shunt. There were 1 operative and 3 late deaths and second Blalock-Taussig shunt was required in 6 patients. Definitive repair was carried out in 20 patients between 1985 and 1994. Fifteen patients with RVEDV > 30% of normal had biventricular repair (partial closure of ASD in 6) and 5 underwent Fontan type repair. In terms of the definitive procedures, when the RV.TV index (= RVEDV% x TVD% x 10(-4)) is greater than 0.4, complete repair should be performed. When the index is between 0.2 and 0.4, the atrial septal defect should only be partially closed when the outflow tract is reconstructed. In those cases with an index of less than 0.2, the Fontan procedure seems to be a procedure of choice.","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 3","pages":"202-6"},"PeriodicalIF":0.0,"publicationDate":"1994-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20351902","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 after surgical repair of atrioventricular canal defect]. 房室管缺损手术修复后再手术。

Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-06-01

M Terada, Y Imai, S Hoshino, K Sawatari, S Nakata, H Misumi

{"title":"[Reoperation after surgical repair of atrioventricular canal defect].","authors":"M Terada, Y Imai, S Hoshino, K Sawatari, S Nakata, H Misumi","doi":"","DOIUrl":"","url":null,"abstract":"Among 114 survivors who underwent total repair of atrioventricular canal defect between 1981 and 1993, 19 patients underwent reoperation for the occurrence and progression of mitral valve insufficiency (18 patients), thrombosed prosthetic valve (1 patient), and subaortic stenosis (4 patients) on one or two occasions after operation. There were 7 males and 12 females with ages at reoperation ranging from 3 months to 13.8 years (mean, 3.8 years), and was no operative but one late death. At reoperation, reparative procedures involving the readjustment of previously repaired mitral cleft and annuloplasty were successfully achieved in 6 patients who had no additional abnormalities of subvalvar apparatus. Twelve patients, who were associated with additional valvar and subvalvar lesions, needed a prosthetic valve replacement. We emphasized that surgical technique based on precise knowledge of each individual mitral and submitral anatomy is indispensable to achieve good surgical results. When the anatomy involves submitral abnormalities, careful postoperative follow-up should be recommended to take measures of the progression of mitral valve regurgitation.","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 3","pages":"207-10"},"PeriodicalIF":0.0,"publicationDate":"1994-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20351903","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 transposition of the great arteries: mid-term results and reoperation after arterial switch operation]. 【大动脉转位再手术:中期结果及动脉转换手术后再手术】。

Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-06-01

H Kado, T Asoh, Y Imoto, Y Shiokawa, M Yamasaki, H Yasui

{"title":"[Reoperation for transposition of the great arteries: mid-term results and reoperation after arterial switch operation].","authors":"H Kado, T Asoh, Y Imoto, Y Shiokawa, M Yamasaki, H Yasui","doi":"","DOIUrl":"","url":null,"abstract":"The arterial switch operation for transposition of the great arteries is now widely accepted as the therapeutic method of choice. As of December 1993, a total of 162 patients underwent the arterial switch. There were 100 patients with transposition and intact ventricular septum, 48 with a ventricular septal defect, 14 with ventricular septal defect and arch anomalies (coarctation: 11, interruption: 3). Early and late mortality were 3.7% (6 patients) and 4.5% (7 patients), respectively. Postoperative pulmonary stenosis (> 30 mmHg) was noted in 33 patients (22%), aortic regurgitation (> mild) in 20 (13%), supravalvular aortic stenosis (> 20 mmHg) in 5 (3%) and mitral regurgitation (> mild) in 5 (3%). Reoperation was performed in 27 patients with no mortality. Mean interval between the switch and the reoperation was 30 months. Twenty-three patients with pulmonary stenosis underwent patch plasty of pulmonary artery. Two children with severe aortic regurgitation underwent aortic valve replacement. Two patients who had undergone one-staged repair for interruption complex were reoperated due to supravalvular aortic stenosis and pulmonary stenosis. Actuarial survival and freedom from reoperation at 9 years were 90% and 69%, respectively.","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 3","pages":"192-7"},"PeriodicalIF":0.0,"publicationDate":"1994-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20351900","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

[Autologous fibrin glue from concentrated platelet rich plasma: intraoperative plasma sequestration using autotransfusion device]. 【浓缩富血小板血浆中的自体纤维蛋白胶:术中自体输血装置隔离血浆】。

Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-06-01

H Takakura, H Kurosawa, A Mizuno, A Tatara, Y Sakamoto, F Saitoh

{"title":"[Autologous fibrin glue from concentrated platelet rich plasma: intraoperative plasma sequestration using autotransfusion device].","authors":"H Takakura, H Kurosawa, A Mizuno, A Tatara, Y Sakamoto, F Saitoh","doi":"","DOIUrl":"","url":null,"abstract":"Making autologous fibrin glue from intraoperatively collected concentrated platelet rich plasma (C-PRP) was attempted in 5 patients who underwent elective coronary artery bypass. The autologous blood was withdrawn from the patient before cardiopulmonary bypass and sequestrated for C-PRP, concentrated red cells (CRC) and platelet poor plasma (PPP) using an Electromedics Elmd-500 autotransfusion device. CRC and PPP were returned intravenously to the patient as needed intraoperatively or postoperatively. Aprotinin was dissolved in C-PRP to yield a concentration of 1000U/ml to the aim of suppressing the plasmin activity. In another syringe, thrombin was dissolved in 2% calcium chloride solution to 1000U/ml. The C-PRP/aprotinin was mixed in ratios of 20:1, 10:1, 5:1, 3:1 to the thrombin/C a++ solution and observed the time for clotting. The 10:1 and 5:1 mixture usually clotted within 3-5 seconds, whereas it was necessary 5 or more seconds in other ratios. Therefore we used in the ratio of 5:1 for all patients. The fibrin glue from this technique is little different from the fibrin glue on the market in its viscosity, and has some major advantages 1. large amount of glue is available 2. simple and inexpensive 3. eliminate the risk of side effect such as virus transmission.","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 3","pages":"221-3"},"PeriodicalIF":0.0,"publicationDate":"1994-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20351905","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 present state of ECMO for newborn infants and children]. [新生儿和儿童ECMO的现状]。

Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-04-01

T Nakamura, K Miyasaka

引用次数: 0

[Current status and overview of treatment of Wolff-Parkinson-White syndrome following the introduction of catheter ablation]. 【引入导管消融术后Wolff-Parkinson-White综合征的治疗现状及综述】。

Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-04-01

Y Yagi, H Koyanagi, M Endo, A Shiikawa, H Nakano, K Hayashi, T Akimoto, M Shoda, J Umemura, T Onishi

引用次数: 0

[Constrictive pericarditis--do we need a complete decortication?]. 缩窄性心包炎——我们是否需要完全去皮?

Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-04-01

H Hata, J E Paul, F W Hehrlein

引用次数: 0