Junpei Kawamura, Y. Nomura, Naohiro Shiokawa, D. Hazeki, K. Ueno, Yuji Tanaka, K. Masuda, M. Nishibatake, M. Yoshinaga
{"title":"High Accuracy of School-Based Cardiovascular Screening System in Kagoshima City","authors":"Junpei Kawamura, Y. Nomura, Naohiro Shiokawa, D. Hazeki, K. Ueno, Yuji Tanaka, K. Masuda, M. Nishibatake, M. Yoshinaga","doi":"10.9794/jspccs.37.96","DOIUrl":"https://doi.org/10.9794/jspccs.37.96","url":null,"abstract":"Background: A school-based cardiovascular (CV) screening in Kagoshima City is characterized by a group discussion system. Pediatric cardiologists discuss whether electrocardiograms (ECGs), screened by a cardiolo-gist, should be referred for the second examination. Here, we examined the accuracy of the screening system in Kagoshima City. Methods: Subjects comprised 67,723 elementary and junior high school students who underwent the screening between 1989 and 2018. In Kagoshima City, the standard 12-lead ECG recording at the first screening was started in 1994, and the group discussion system was introduced in 2001. We analyzed the rate of the first ECG screening, the rate of patients with CV diseases through the screening, and the rate of patients with CV diseases, including those already diagnosed (total prevalence). Results: The rate of the first screening after the group discussion system (1.5 % [1.2 ‒ 2.2 % ] (median [range])) was significantly lower than that before the system (2.4 % [1.9 ‒ 3.0 % ]). The CV disease rate through the screening between 2001 and 2018 was significantly higher than that between 1994 and 2000 (43 % [33 ‒ 50 % ] vs. 28 % [26 ‒ 35 % ]). The total CV disease rate was 0.60 % [0.50 ‒ 0.85 % ]. Conclusions: The accuracy of the screening system in Kagoshima City was sufficiently high because the total CV disease rate was similar to that of the national average (0.9 % ), although the first screening rate was lower than that of the national average (3.0 % ). The group discussion system might support this high accuracy in addi-tion to the use of 12-lead ECGs.","PeriodicalId":89701,"journal":{"name":"Nihon Shoni Junkanki Gakkai zasshi = Pediatric cardiology and cardiac surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45514704","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}
S. Ishibashi, K. Nakano, Susumu Urata, Ryo Nakagawa, H. Asakai, Y. Hirata, M. Hiwatari, K. Imadome, M. Ikemura, R. Inuzuka
{"title":"Identification of Peripheral Blood Cells Infected with Epstein–Barr Virus: A Practical Method for Choosing the Initial Treatment for Post-Transplantation Lymphoproliferative Disease","authors":"S. Ishibashi, K. Nakano, Susumu Urata, Ryo Nakagawa, H. Asakai, Y. Hirata, M. Hiwatari, K. Imadome, M. Ikemura, R. Inuzuka","doi":"10.9794/jspccs.37.133","DOIUrl":"https://doi.org/10.9794/jspccs.37.133","url":null,"abstract":"Seijiro Ishibashi1), Katsutoshi Nakano1), Susumu Urata1), Ryo Nakagawa1), Hiroko Asakai1), Yoichiro Hirata1), Mitsuteru Hiwatari1), Kenichi Imadome2), Masako Ikemura3), and Ryo Inuzuka1) 1) Department of Pediatrics, e University of Tokyo Hospital, Tokyo, Japan 2) Division of Advanced Medicine for Virus Infections, National Center for Child Health and Development, Tokyo, Japan 3) Department of Pathology, e University of Tokyo Hospital, Tokyo, Japan","PeriodicalId":89701,"journal":{"name":"Nihon Shoni Junkanki Gakkai zasshi = Pediatric cardiology and cardiac surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43600280","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}
{"title":"Natural Color Pictures of Cross-sections of Fetal Rat Heart with Trunks Arteriosus","authors":"K. Momma, Y. Maeno","doi":"10.9794/jspccs.37.88","DOIUrl":"https://doi.org/10.9794/jspccs.37.88","url":null,"abstract":"Truncus arteriosus is a congenital heart disease that is caused by insufficient septation of the cardiac outflow tract and arterial truncus. Fetal echocardiographic diagnosis of this disease is important because of its high neonatal mortality. About 30 % of chromosome 22q11.2 deletion syndrome is associated with truncus arteriosus. Bis-diamine, administered to pregnant rats, induces these congenital anomalies similar to those seen in chromosome 22q11.2 deletion syndrome. This is a study of cross-section of the truncus arteriosus which is induced by bis-diamine in fetal rats. Bis-diamine was administered to pregnant rats on 9th and 10th day, and full-term fetuses were fixed with a whole-body freezing method. The frozen fetal thorax was cut with a freezing microtome transversely, and the cut surface was photographed serially for subsequent stereo-microscopic study. Congenital heart disease was present in 90 % of the studied hearts, including truncus arteriosus in 17 % . Study of four typical cases of truncus arteriosus in cross-section revealed ventricular septal defect, absence of the right ventricular outflow tract, and proximal main pulmonary artery. In addition, there were dysplasia of the truncal valve including prolapse, thickening, quadricuspid-leaflets, large and small leaflets, and origin of the distal main pulmonary artery or right and left pulmonary artery from the truncus arteriosus. Moreover, right-sided truncus arteriosus arch and anomalous origin of the right subclavian artery, were clearly shown. These model pictures of truncus arteriosus will be helpful in clinical fetal echocardiographic diagnosis of truncus arteriosus.","PeriodicalId":89701,"journal":{"name":"Nihon Shoni Junkanki Gakkai zasshi = Pediatric cardiology and cardiac surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47049990","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}
{"title":"What Is It Like Being a Cardiac Surgeon in the UK?","authors":"H. Uemura","doi":"10.9794/jspccs.37.156","DOIUrl":"https://doi.org/10.9794/jspccs.37.156","url":null,"abstract":"","PeriodicalId":89701,"journal":{"name":"Nihon Shoni Junkanki Gakkai zasshi = Pediatric cardiology and cardiac surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41336191","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}
T. Tanabe, Sung-hae Kim, M. Ishigaki, Keisuke Sato, J. Yoshimoto, N. Mitsushita, M. Nii, Yasuhiko Tanaka
{"title":"Methods for and Clinical Effects of Trans-Catheter Puncture and Fenestration to Fontan Conduit","authors":"T. Tanabe, Sung-hae Kim, M. Ishigaki, Keisuke Sato, J. Yoshimoto, N. Mitsushita, M. Nii, Yasuhiko Tanaka","doi":"10.9794/jspccs.37.106","DOIUrl":"https://doi.org/10.9794/jspccs.37.106","url":null,"abstract":"Background : With improved treatment of single ventricle physiology, Fontan-type repaired cases are continu-ously increasing. After Fontan procedures, patients may have severe complications such as supraventricular tachyarrhythmia or failing Fontan circulation. Trans-catheter puncture and fenestration (TPF) to the Fontan conduit have been used as a catheter treatment to address these complications. Due to the technical challenges of the procedures, there are few reports on the effects of trans-catheter re-interventions and the possible complications. Methods : We retrospectively reviewed the effects and complications of TPF in 7 cases (a total of 9 procedures) performed from 2010 to 2019 in our hospital. Results : The indications for catheter treatment were: (1) supraventricular tachyarrhythmia (n = 4, with 5 pro-cedures); (2) plastic bronchitis (PB) (n = 3); and (3) protein-losing gastroenteropathy (PLE) (n = 1). In cases of PB and PLE, stent implantation was added into the percutaneously created fenestration. In 3 out of 4 cases, a decrease in central venous pressure was confirmed. Ablation was successful with an efficient catheter approach in all cases. All 9 TPF procedures were completed without complications. Conclusions : TPF is a feasible and safe therapeutic option compared to open-heart surgery. Additionally, it has a potential for improving specific complications after Fontan completion.","PeriodicalId":89701,"journal":{"name":"Nihon Shoni Junkanki Gakkai zasshi = Pediatric cardiology and cardiac surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42302072","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}
{"title":"The Regenerative Medicine for Heart Failure: From Transplant Therapy to In Vitro Study","authors":"S. Miyagawa","doi":"10.9794/jspccs.37.73","DOIUrl":"https://doi.org/10.9794/jspccs.37.73","url":null,"abstract":"","PeriodicalId":89701,"journal":{"name":"Nihon Shoni Junkanki Gakkai zasshi = Pediatric cardiology and cardiac surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44752314","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}
{"title":"German Training System in Pediatric Cardiac Surgery","authors":"M. Ono","doi":"10.9794/jspccs.37.153","DOIUrl":"https://doi.org/10.9794/jspccs.37.153","url":null,"abstract":"","PeriodicalId":89701,"journal":{"name":"Nihon Shoni Junkanki Gakkai zasshi = Pediatric cardiology and cardiac surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48958666","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}