Nihon Shoni Junkanki Gakkai zasshi = Pediatric cardiology and cardiac surgery最新文献

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The Indication of Genetic Testing for the Children with Long QT Intervals 长QT间期儿童基因检测的适应症
G. Izumi
{"title":"The Indication of Genetic Testing for the Children with Long QT Intervals","authors":"G. Izumi","doi":"10.9794/JSPCCS.36.344","DOIUrl":"https://doi.org/10.9794/JSPCCS.36.344","url":null,"abstract":"","PeriodicalId":89701,"journal":{"name":"Nihon Shoni Junkanki Gakkai zasshi = Pediatric cardiology and cardiac surgery","volume":"36 1","pages":"344-345"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44860296","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
Cardiac Resynchronization Therapy Pacemaker and Double Valve Replacements Improved Cardiac Function after Physiological Repair in a Patient with Congenitally Corrected Transposition of the Great Arteries 心脏再同步治疗起搏器和双瓣膜置换术改善先天性大动脉转位患者生理修复后的心功能
Takuya Nishijima, H. Tatewaki, I. Sakamoto, A. Shiose
{"title":"Cardiac Resynchronization Therapy Pacemaker and Double Valve Replacements Improved Cardiac Function after Physiological Repair in a Patient with Congenitally Corrected Transposition of the Great Arteries","authors":"Takuya Nishijima, H. Tatewaki, I. Sakamoto, A. Shiose","doi":"10.9794/jspccs.36.241","DOIUrl":"https://doi.org/10.9794/jspccs.36.241","url":null,"abstract":"The morphological right ventricle supports systemic circulation following physiological repair of congenitally corrected transposition of the great arteries (ccTGA); however, complications such as failure of the right ventricle, tricuspid valve regurgitation, and arrhythmia can arise in adolescence and adulthood. Here, we report the case of a 26-year-old woman who underwent a 4th surgery after undergoing physiological repair for ccTGA. Previously, she underwent a shunt procedure at the age of 3, ccTGA repair at the age of 10, and replacement of the left ventricle to the pulmonary artery conduit when she was 20 years old. In recent years, she was frequently hospitalized due to acute heart failure and atrial tachyarrhythmia. After further examination, we performed aortic and tricuspid valve replacement, and upgraded her cardiac resynchronization therapy pacemaker (CRT-P). Her post-operative course was uneventful, although she was administered catecholamine for an extended duration. Electrocardiogram revealed a decreased duration of QRS from 204 ms to 112 ms, following the CRT-P upgrade, and her brain natriuretic peptide level also markedly improved. She is doing well 2 years and 9 months after the surgeries.","PeriodicalId":89701,"journal":{"name":"Nihon Shoni Junkanki Gakkai zasshi = Pediatric cardiology and cardiac surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49451544","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
日本小児循環器学会第16回教育セミナー特集にあたって 日本小儿循环器官学会第16回教育研讨会特辑,
{"title":"日本小児循環器学会第16回教育セミナー特集にあたって","authors":"","doi":"10.9794/jspccs.36.177","DOIUrl":"https://doi.org/10.9794/jspccs.36.177","url":null,"abstract":"","PeriodicalId":89701,"journal":{"name":"Nihon Shoni Junkanki Gakkai zasshi = Pediatric cardiology and cardiac surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47860709","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
Issue of Specialist Registration for Intensive and Critical Care in Pediatric Cardiology in Japan 日本儿科心内科重症监护专家注册问题
Hikoro Matsui, H. Ota, Kaname Uchida, Kenichiro Hayashi, R. Inuzuka
{"title":"Issue of Specialist Registration for Intensive and Critical Care in Pediatric Cardiology in Japan","authors":"Hikoro Matsui, H. Ota, Kaname Uchida, Kenichiro Hayashi, R. Inuzuka","doi":"10.9794/jspccs.36.232","DOIUrl":"https://doi.org/10.9794/jspccs.36.232","url":null,"abstract":"Background: Role of specialist of pediatric critical care is signi cant, especially for management of congenital heart diseases because most critical cardiac patients have been cared by pediatric cardiologists or cardiovascular surgeons in Japan. Objects: To clarify future issues in the eld of critical care in pediatric cardiology by investigating current situation of board certi cation and medical insurance in Japan. Methods: In this study, we investigated relationship between board certi cation and situation of training centers for the board-certi ed intensivist with pediatric cardiologists, pediatric cardiac surgeons and pediatricians in Japan from databases of o cial registration in the website. Results: Only 0.6% of board-certi ed pediatricians and 1.1% of board-certi ed pediatric cardiologists obtained board-certi ed intensivist. Certi cation of training center is 56% in all pediatric cardiac hospitals and their training systems is not appropriate for pediatricians because of lack of pediatric intensive care units especially in most university hospitals or general hospitals. ere is a gap between cities and regional area in the number of board-certi ed pediatricians with board certi ed intensivists. Conclusions: Signi cant gaps of board certi cation and medical insurance are recognized among regional areas in Japan requiring improvement of system and current situation in the eld of critical care of pediatric cardiology.","PeriodicalId":89701,"journal":{"name":"Nihon Shoni Junkanki Gakkai zasshi = Pediatric cardiology and cardiac surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46706855","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
Importance of Pharmacology in Pediatric Cardiology Clinical Practice 药理学在小儿心脏病临床实践中的重要性
T. Murakami
{"title":"Importance of Pharmacology in Pediatric Cardiology Clinical Practice","authors":"T. Murakami","doi":"10.9794/jspccs.36.186","DOIUrl":"https://doi.org/10.9794/jspccs.36.186","url":null,"abstract":"心不全治療薬を語る上でまず心不全とは何かを理解 することは重要である.薬剤使用の観点から心不全の 理解に便利なのはガイドラインにもよく取り上げられ ている心不全のステージ分類である .Fig. 1に心不 全のステージ分類と使用される薬剤を示す.ステー ジ Aは心不全基質,ステージ Bは構造異常を認める が無症状,ステージ Cは有症状,ステージ Dは難治 性心不全である.例を挙げれば,ステージ Aは拡張 型心筋症の家族歴あり,ステージ Bとなると症状は ないが心拡大を認める状態,症状が出現するとステー ジ C,そして移植待機となればステージ Dなのであ る.何を目的に薬物療法を行うかといえば,ステー ジ B(一部ステージ A)では予後改善を目的に心保護 薬であるレニン・アンジオテンシン系の遮断薬やベー タ遮断薬が投与され,ステージ Cにおいてはそれに 症状に対する治療が加わる.すなわち鬱血・浮腫に対","PeriodicalId":89701,"journal":{"name":"Nihon Shoni Junkanki Gakkai zasshi = Pediatric cardiology and cardiac surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47268686","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
Issues around Pediatric Cardiology and Critical Care Medicine in Japan, from Intensivist’s Perspective 从重症医师的角度来看,日本儿科心脏病学和重症医学的问题
M. Osaki
{"title":"Issues around Pediatric Cardiology and Critical Care Medicine in Japan, from Intensivist’s Perspective","authors":"M. Osaki","doi":"10.9794/jspccs.36.239","DOIUrl":"https://doi.org/10.9794/jspccs.36.239","url":null,"abstract":"","PeriodicalId":89701,"journal":{"name":"Nihon Shoni Junkanki Gakkai zasshi = Pediatric cardiology and cardiac surgery","volume":"104 2","pages":"239-240"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41288696","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
Circumstances Surrounding Measures Toward Pediatric Cardiovascular Diseases in the Lifelong Health Care: Viewed from 2020 under Coronavirus Crisis 从2020年冠状病毒危机看终身医疗中儿科心血管疾病防治措施的环境
Y. Mitani
{"title":"Circumstances Surrounding Measures Toward Pediatric Cardiovascular Diseases in the Lifelong Health Care: Viewed from 2020 under Coronavirus Crisis","authors":"Y. Mitani","doi":"10.9794/jspccs.36.175","DOIUrl":"https://doi.org/10.9794/jspccs.36.175","url":null,"abstract":"","PeriodicalId":89701,"journal":{"name":"Nihon Shoni Junkanki Gakkai zasshi = Pediatric cardiology and cardiac surgery","volume":"36 1","pages":"175-176"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44730724","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
Treatment Strategy for Severe Systemic Right Ventricular Failure in Patients with Congenitally Corrected Transposition of the Great Arteries 先天性大动脉移位术后严重系统性右心室衰竭的治疗策略
H. Ozawa
{"title":"Treatment Strategy for Severe Systemic Right Ventricular Failure in Patients with Congenitally Corrected Transposition of the Great Arteries","authors":"H. Ozawa","doi":"10.9794/jspccs.36.249","DOIUrl":"https://doi.org/10.9794/jspccs.36.249","url":null,"abstract":"","PeriodicalId":89701,"journal":{"name":"Nihon Shoni Junkanki Gakkai zasshi = Pediatric cardiology and cardiac surgery","volume":"36 1","pages":"249-251"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46082800","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
Symptomatic Portosystemic Shunt via the Unligated Vertical Vein Following Repair of a Mixed-Type Total Anomalous Pulmonary Venous Connection: A Case Report 混合型全异常肺静脉连接修复后经未结扎垂直静脉出现症状性门静脉分流1例
A. Shishido, T. Hasegawa, Naoya Kamei, Ken Hayashi, Hironori Matsuhisa, Y. Oshima, Toshikatsu Tanaka
{"title":"Symptomatic Portosystemic Shunt via the Unligated Vertical Vein Following Repair of a Mixed-Type Total Anomalous Pulmonary Venous Connection: A Case Report","authors":"A. Shishido, T. Hasegawa, Naoya Kamei, Ken Hayashi, Hironori Matsuhisa, Y. Oshima, Toshikatsu Tanaka","doi":"10.9794/jspccs.36.263","DOIUrl":"https://doi.org/10.9794/jspccs.36.263","url":null,"abstract":"Mixed-type total anomalous pulmonary venous connection (TAPVC) with univentricular circulation has a wide variation of pulmonary venous anatomy and drainage. Surgical intervention for mixed-type TAPVC, including management of the vertical vein, remains controversial. Herein, we report a rare case of symptomatic portosystemic shunt via the unligated vertical vein following repair of the mixed-type TAPVC. An 18-day-old male neonate with a mixed-type TAPVC and asplenia underwent surgical repair of the TAPVC. e right vertical vein draining to the superior vena cava, and the le vertical vein draining to the portal vein were le patent. Elevated liver enzymes, coagulation abnormalities, hyperammonemia, and hypoglycemia were detected following surgery. Echocardiography revealed a portosystemic shunt draining from the portal vein to the le -sided atrium via the le unligated vertical vein. Elevated atrial pressure was detected on cardiac catheterization, and as a result, we performed banding of the le unligated vertical vein. is case highlights the need to discuss the portosystemic shunt as a postoperative complications in mixed-type TAPVC with univentricular circulation when considering both the surgical procedure and postoperative management.","PeriodicalId":89701,"journal":{"name":"Nihon Shoni Junkanki Gakkai zasshi = Pediatric cardiology and cardiac surgery","volume":"36 1","pages":"263-268"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43803902","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: 1
Hemodynamic Analysis-Based Therapeutic Intervention for Circulatory Failure in Pediatric Patients 基于血流动力学分析的儿科患者循环衰竭治疗干预
Hirofumi Saiki
{"title":"Hemodynamic Analysis-Based Therapeutic Intervention for Circulatory Failure in Pediatric Patients","authors":"Hirofumi Saiki","doi":"10.9794/jspccs.36.192","DOIUrl":"https://doi.org/10.9794/jspccs.36.192","url":null,"abstract":"Circulatory failure is a life threating condition for which every pediatric cardiologist should be prepared to perform physiological analyses, make optimal therapeutic decisions, and secure the best outcome. The correct approach for determining the cause of circulatory failure can accelerate the patients ʼ recovery from a critical condition, as well as mitigate in allowing their outcome, whereas patients can rapidly deteriorate if their management is inadequate. The integrated concept of cardio-vascular interactions, the pressure-volume relationship, is not novel, but it is vital in allowing clinicians to understand the underlying physiology of circulatory failure. Furthermore, the pressure-volume relationship has the advantage of describing both cardiac function and its loading condition in the same dimension. Accordingly, the pressure-volume relationship can help clinicians to determine the best available therapeutic intervention. This review aimes to convey the initial steps involved in assessing hemodynamic issues in children with circulatory failure.","PeriodicalId":89701,"journal":{"name":"Nihon Shoni Junkanki Gakkai zasshi = Pediatric cardiology and cardiac surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48991514","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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