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

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[A case of aortic regurgitation combined with obstruction of the left coronary ostium caused by adhesion of left coronary cusp]. 【主动脉瓣反流合并左冠状动脉口粘连梗阻1例】。
Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-04-01
H Yoshida, K Suehiro, Y Yamamoto, M Mohri, M Okada, T Shichijo, O Ohba
{"title":"[A case of aortic regurgitation combined with obstruction of the left coronary ostium caused by adhesion of left coronary cusp].","authors":"H Yoshida,&nbsp;K Suehiro,&nbsp;Y Yamamoto,&nbsp;M Mohri,&nbsp;M Okada,&nbsp;T Shichijo,&nbsp;O Ohba","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A case, 31-year-old female with aortic regurgitation and ostial obstruction of left coronary artery, was reported. Her chief complaint was effort angina. The coronary angiography showed obstruction of left coronary ostium with intact main stem and its branches, perfused from right coronary artery and the aortogram revealed aortic regurgitation of grade 3-4. Left Valsalva sinus was obstructed by adhesion of left coronary cusp. Each coronary cusps were resected, and aortic valve replacement with 23 mm SJM valve and coronary arterial bypass by means of in-situ graft of left internal thoracic artery underwent successfully. The pathological findings of aortic cusps were healed valvulitis without specific inflammation as syphilis or aortitis syndrome.</p>","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 2","pages":"141-3"},"PeriodicalIF":0.0,"publicationDate":"1994-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20352046","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
[Chest disease and embolization]. [胸部疾病和栓塞]。
Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-04-01
M Mohri
{"title":"[Chest disease and embolization].","authors":"M Mohri","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Bronchial artery embolization has become an established technique in the management of massive or recurrent hemoptysis, especially in treating patients who are poor candidates for lung surgical intervention. Nonbronchial systemic collateral arteries and pulmonary arteries may contribute significantly to pulmonary hemorrhage. In recent literature, the former embolization is widely accepted, but embolization of the latter has not been stressed, excluding the patients of AV malformation or pulmonary aneurysm. The recognitions of the precice bronchial artery anatomy and numerous collateral vessels are essential for successful embolotherapy. The much more attention should be given to the character of embolizing material. The clinical background, methods, and results of this procedure are discussed, as are the potential complications and their prevention.</p>","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 2","pages":"95-8"},"PeriodicalIF":0.0,"publicationDate":"1994-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20350740","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
[Modified maze operation: experience with 2 cases]. 【改良迷宫操作:2例经验】。
Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-04-01
Y Miyamoto, H Niitani, S Nakano, A Matsuda, Y Kosakai
{"title":"[Modified maze operation: experience with 2 cases].","authors":"Y Miyamoto,&nbsp;H Niitani,&nbsp;S Nakano,&nbsp;A Matsuda,&nbsp;Y Kosakai","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 2","pages":"166-7"},"PeriodicalIF":0.0,"publicationDate":"1994-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20380235","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 mitral stenosis with a new open pivot bileaflet valve]. [二尖瓣狭窄伴新开枢轴双小瓣膜1例]。
Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-04-01
A Sezai, T Hasegawa, S Shindo, M Shiono, K Akiyama, S Yagi, S Ohmiya, Y Sezai
{"title":"[A case of mitral stenosis with a new open pivot bileaflet valve].","authors":"A Sezai,&nbsp;T Hasegawa,&nbsp;S Shindo,&nbsp;M Shiono,&nbsp;K Akiyama,&nbsp;S Yagi,&nbsp;S Ohmiya,&nbsp;Y Sezai","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The ATS Medical Open Pivot Bileaflet Valve was developed by Villafana who also developed St. Jude Medical valve and put to the first clinical use by Sadeghi on May 4, 1992. Since then, its clinical uses have been made in cases more than 1,000 in the world, centering on Europe, and its usefulness has been reported elsewhere from the aspected of its durability, anti-thrombogenic property, hemolysis, less noise and surgical operability. ATS valve was developed with 9 characteristics as (1) open pivot; (2) removed Struts; (3) wide area orifice; (4) improved stillness; (5) improved durability; (6) small loss of energy; (7) rotating orifice; (8) x-ray impermeability of orifice; (9) and easily sutured orifice. A report is made here on our experience of a clinical case of mitral stenosis by ATS valve (the first case in Japan) on September 28, 1993.</p>","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 2","pages":"144-7"},"PeriodicalIF":0.0,"publicationDate":"1994-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20352047","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 arts and the future prospects of coronary angioscopy]. 【冠状动脉造影技术的现状及未来展望】。
Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-04-01
K Isoda, K Mizuno, K Hayashi, F Ohsuzu
{"title":"[The present state of arts and the future prospects of coronary angioscopy].","authors":"K Isoda,&nbsp;K Mizuno,&nbsp;K Hayashi,&nbsp;F Ohsuzu","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The angioscope catheter is 1.55 mm in outer diameter and 1.2 m in length. This distal end is tapered, therefore its outer diameter decreased to 1.1 mm. It has an inflatable balloon at the distal tip and four circular channels. Through one of the lumina, 0.014 inch PTCA guide wire can be used. The steerable guide wire enable the angioscope to be inserted to the target lesion safely and accurately. Recently we investigated the appearance of coronary artery in acute coronary syndromes. The results have indicated that thrombi, intimal irregularities, and xanthomatous atheromas were observed more frequently in patients with acute myocardial infarction, recent myocardial infarction and unstable angina. It is concluded that a thrombus overlying a rupture in the lining of plaque plays a major role in an acute coronary disorders, and that the fragile, lipid-rich gruel atheroma may procede its rupture. Coaxial alignments of the coronary artery were obtained in more than 80% of attempted patients. However, a finer controllable distal tip to allow good coaxial alignment and a larger balloon to reduce the coronary good flow and make the angioscopic catheter easier to track, are necessary for more complete visualization.</p>","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 2","pages":"105-9"},"PeriodicalIF":0.0,"publicationDate":"1994-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20350742","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
[Percutaneous transluminal coronary angioplasty and directional coronary atherectomy: a short review of recent progress]. [经皮腔内冠状动脉成形术和定向冠状动脉粥样硬化切除术:近期进展的简短回顾]。
Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-04-01
S Abe, S Handa
{"title":"[Percutaneous transluminal coronary angioplasty and directional coronary atherectomy: a short review of recent progress].","authors":"S Abe,&nbsp;S Handa","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Since the invention of Gruentzig AR in 1977, percutaneous transluminal coronary angioplasty (PTCA) has become a widely accepted therapeutic measure for the treatment of patients with ischemic heart disease (IHD), as well as coronary artery bypass grafting (CABG). The rate of initial success in PTCA elevated up to more than 90% recently, in accordance with the progress in technology and the operator's skill. The limitations of PTCA are acute coronary occlusion which occurs in a few percent during or just after the procedure, and restenosis which occurs in thirty to fourty percent within six months. Some new devices have been invented to add better results for the patients. Directional coronary atherectomy (DCA) is one of the devices to remove atheroma in narrow segment, instead of splitting it. DCA can create a larger and smoother lumen than that created with PTCA, and it may be expected to reduce the restenosis rate. The therapeutic choice in IHD is still controversial. At present, several clinical trials are being conducted in order to evaluate and compare medical therapy, CABG, and PTCA. These results will provide informations to help the decision making in the management of the patients with IHD.</p>","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 2","pages":"115-20"},"PeriodicalIF":0.0,"publicationDate":"1994-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20352042","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 the technique and follow-up results of the third generation implant-type defibrillator used to treat ventricular fibrillation]. 【第三代植入式除颤器治疗心室颤动的技术及随访结果评价】。
Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-04-01
H Watanabe, J Hayashi, H Okazaki, H Moro, H Miyamura, S Eguchi, M Ikenushi, Y Aisawa
{"title":"[Evaluation of the technique and follow-up results of the third generation implant-type defibrillator used to treat ventricular fibrillation].","authors":"H Watanabe,&nbsp;J Hayashi,&nbsp;H Okazaki,&nbsp;H Moro,&nbsp;H Miyamura,&nbsp;S Eguchi,&nbsp;M Ikenushi,&nbsp;Y Aisawa","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 2","pages":"162-3"},"PeriodicalIF":0.0,"publicationDate":"1994-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20380233","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
[Sinus node function following modified maze operation]. [改良迷宫操作后窦房结功能]。
Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-04-01
Y Kosakai, F Isobe, A Kawaguchi, Y Sasako, K Eishi, Y Kito, Y Kawashima
{"title":"[Sinus node function following modified maze operation].","authors":"Y Kosakai,&nbsp;F Isobe,&nbsp;A Kawaguchi,&nbsp;Y Sasako,&nbsp;K Eishi,&nbsp;Y Kito,&nbsp;Y Kawashima","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 2","pages":"168-9"},"PeriodicalIF":0.0,"publicationDate":"1994-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20380236","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
[Transcatheter closure of the congenital cardiac defects: a review and prospect]. 先天性心脏缺损的经导管闭合:回顾与展望。
Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-04-01
K Koike
{"title":"[Transcatheter closure of the congenital cardiac defects: a review and prospect].","authors":"K Koike","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A variety of techniques for the transcatheter closure of the congenital cardiac defects have been developed in patent ductus arteriosus, atrial septal defect and ventricular septal defect. Widespread use of these techniques in patients has been, however, limited only to Rashkind's PDA double umbrella occlusion system, Lock's clamshell atrial septal umbrella system and Sideris' \"buttoned\" device for ASD and PDA. Inherent merits and demerits of these devices were elucidated here and possibility of new device development was discussed.</p>","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 2","pages":"99-104"},"PeriodicalIF":0.0,"publicationDate":"1994-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20350741","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
[Simultaneous operations for ischemic heart disease and lung cancer]. 【同时手术治疗缺血性心脏病和肺癌】。
Rinsho kyobu geka = Japanese annals of thoracic surgery Pub Date : 1994-04-01
Y Terada, K Yamabuki, S Ookawa, H Okazaki, A Ishibashi, Y Sakakibara, S Ishikawa, K Mitsui, T Mitsui, M Hori
{"title":"[Simultaneous operations for ischemic heart disease and lung cancer].","authors":"Y Terada,&nbsp;K Yamabuki,&nbsp;S Ookawa,&nbsp;H Okazaki,&nbsp;A Ishibashi,&nbsp;Y Sakakibara,&nbsp;S Ishikawa,&nbsp;K Mitsui,&nbsp;T Mitsui,&nbsp;M Hori","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Two cases were operated on simultaneously for coronary revascularization and lung resections for cancer. Case 1 was a 79 year-old man, diagnosed with two vessels coronary artery disease and squamous cell carcinoma of left lower lobe. At the end of aortocoronary bypass grafting to LAD and first diagonal branch using saphenous vein, median sternotomy was closed, and lower lobectomy was performed through left posterolateral standard thoracotomy. Case 2 was a 65 year-old man who underwent aortocoronary bypass grafting to LAD first and left lingular segmentectomy via median sternotomy simultaneously. We concluded that a simultaneous operation was definitively and ideally a preferable method in most selected cases. The order of two operations for coronary artery and lung was also discussed.</p>","PeriodicalId":79253,"journal":{"name":"Rinsho kyobu geka = Japanese annals of thoracic surgery","volume":"14 2","pages":"137-40"},"PeriodicalIF":0.0,"publicationDate":"1994-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20352045","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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