Published in The Japanese Journal of Thoracic and Cardiovascular Surgery
ObjectivesPatients with Stanford type B dissection who have been treated successfully with medical hypotensive therapy during the acute phase (
Published in The Japanese Journal of Thoracic and Cardiovascular Surgery
ObjectiveWe have developed a surgical method for atrial septal defect repair through a limited right lateral thoracotomy in which the incision line begins 2 cm caudal from the lower angle of the scapula and ends at the midaxial line, thereby improving patient satisfaction with the cosmetic results of treatment.MethodsWe performed a retrospective re...
Published in The Japanese Journal of Thoracic and Cardiovascular Surgery
Postoperative empyema associated with artificial material infection involves several treatment problems. We report the successful treatment of a case of post-bullectomy empyema with a small alveolar fistula that was associated with artificial material infection by Streptococcus viridans. In this case, complete empyema space sterilization was obtain...
Published in The Japanese Journal of Thoracic and Cardiovascular Surgery
ObjectiveLiver cirrhosis is recognized as one of the risk factors for severe complications after cardiac surgery. However, there are no established methods for risk stratification of the patients with liver cirrhosis (LC) regarding cardiac surgery. We present our experience of preoperative evaluation of liver function using asialoscintigraphy.Metho...
Published in The Japanese Journal of Thoracic and Cardiovascular Surgery
A 30-year-old man who had undergone repair for coarctation of the thoracic aorta at age 7 and mitral valve annuloplasty at age 9 was admitted for shortness of breath and claudication of both lower legs. The preoperative angiogram showed severe aortic regurgitation, moderate coarctation of the thoracic aorta beyond the left subclavian artery, a degr...
Published in The Japanese Journal of Thoracic and Cardiovascular Surgery
We report first-stage palliation consisting of pulmonary artery angioplasty and a systemic-to-pulmonary shunt using a minimized cardiopulmonary bypass technique performed with modified ultrafiltration for two patients with a single ventricle, pulmonary atresia, patent ductus arteriosus, and pulmonary coarctation during early infancy. Postoperative ...
Published in The Japanese Journal of Thoracic and Cardiovascular Surgery
Mitral valve replacement in the presence of severe annular calcification and an infectious lesion may be complicated by atrioventricular rupture, left circumflex coronary artery injury, and recurrence of infective endocarditis. Confronted with these circumstances, we have developed a technique of annular reconstruction for mitral valve replacement....
Published in The Japanese Journal of Thoracic and Cardiovascular Surgery
We report successful surgery for malignant pleural mesothelioma (MPM) in a 14-year-old boy with right aortic arch. Pleural biopsy by video-assisted thoracic surgery yielded a diagnosis of MPM, epithelial type. As the disease was not changed after combination chemotherapy with three cycles of cisplatin and gemcitabine, we performed left extrapleural...
Published in The Japanese Journal of Thoracic and Cardiovascular Surgery
A 24-year-old woman who had undergone excision of the membrane for discrete subaortic stenosis when 6 years old displayed recurrent subaortic stenosis and had a small aortic annulus, with a peak pressure gradient of 60 mmHg. We chose to perform the Konno operation with a mechanical valve. This released the left ventricular outflow tract obstruction...
Published in The Japanese Journal of Thoracic and Cardiovascular Surgery
ObjectiveThe Heartstring is one of the devices that enable proximal anastomosis without clamping the aorta. We have applied the device not only to low-risk patients with normal aortas but also to high-risk patients with diseased aortas. The purpose of this study was to investigate the initial outcomes of using this device.MethodsThe Heartstring was...
