Hisao Suda
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View article: Aortic Root Replacement in Patients With Ventricular Septal Defect
Aortic Root Replacement in Patients With Ventricular Septal Defect Open
View article: Perioperative management and outcomes of surgical pulmonary valve replacement following tetralogy of fallot repair: A retrospective study
Perioperative management and outcomes of surgical pulmonary valve replacement following tetralogy of fallot repair: A retrospective study Open
Interventions on the pulmonary valves following TOF repair can be safely performed with appropriate perioperative management. The primary goal of surgical pulmonary valve replacement is to preserve the right ventricular function and recons…
View article: The Bentall Procedure on the Anatomic Right Ventricular Outflow Tract for Posterior Transposition of the Great Arteries
The Bentall Procedure on the Anatomic Right Ventricular Outflow Tract for Posterior Transposition of the Great Arteries Open
The patient was a 21-year-old male who underwent the Jatene procedure at 5 months of age for posterior transposition of the great arteries (double-outlet right ventricular type). At 4 years of age, the patient underwent mechanical aortic v…
View article: Strategy for Cardiac Surgery in Patients with Antithrombin III Deficiency
Strategy for Cardiac Surgery in Patients with Antithrombin III Deficiency Open
View article: Left atrioventricular valve regurgitation repair with concomitant outflow obstruction release on repaired atrioventricular septal defect case
Left atrioventricular valve regurgitation repair with concomitant outflow obstruction release on repaired atrioventricular septal defect case Open
View article: The effect of hydrogen gas on the oxidative stress response in adipose tissue
The effect of hydrogen gas on the oxidative stress response in adipose tissue Open
Oxidative stress in adipose tissue may alter the secretion pattern of adipocytokines and potentially promote atherosclerosis. However, the therapeutic role of hydrogen in adipose tissue under oxidative stress remains unclear. In this study…
View article: A case of recurrent mass complicated with mitral annular calcification in a patient with systemic lupus erythematosus
A case of recurrent mass complicated with mitral annular calcification in a patient with systemic lupus erythematosus Open
View article: A Shaped Pectoralis Major Muscle Flap under Indocyanine Green Fluorescence Angiography for Sternal Wound Infection
A Shaped Pectoralis Major Muscle Flap under Indocyanine Green Fluorescence Angiography for Sternal Wound Infection Open
Summary: The treatment of a sternal wound infection is challenging because it requires radical debridement and reconstruction with a well-vascularized flap. The defects after debridement are three-dimensionally complex, especially if synth…
View article: Surgical management of systemic right ventricular failure
Surgical management of systemic right ventricular failure Open
Severe systemic right ventricular failure with tricuspid regurgitation is associated with poor prognosis. Here, we report a case of 49-year-old patient who experienced severe systemic right ventricular failure following atrial switch. We c…
View article: Valve-sparing double root replacement after the Ross procedure
Valve-sparing double root replacement after the Ross procedure Open
An inherent limitation of the Ross procedure is long-term two valve disease which will require repetitive reintervention. In this case, a 31-year-old man who had underwent Ross operation due to congenital bicuspid valve 20 years before, un…
View article: Myocardial Infarction with Non-obstructive Coronary Arteries Complicated by a Ventricular Septal Rupture: The Challenge of Achieving Hemodynamic Stability Using Impella Devices
Myocardial Infarction with Non-obstructive Coronary Arteries Complicated by a Ventricular Septal Rupture: The Challenge of Achieving Hemodynamic Stability Using Impella Devices Open
The prognosis of myocardial infarction with non-obstructive coronary arteries (MINOCA) is reported to be as worse as myocardial infarction with obstructive coronary arteries. However, its mechanical complications are still poorly understoo…
View article: Left atrioventricular valve regurgitation after complete atrioventricular septal defect repair
Left atrioventricular valve regurgitation after complete atrioventricular septal defect repair Open
Background: Left ventricular outflow tract stenosis and atrioventricular valve regurgitation are often problems encountered in adulthood after complete atrioventricular septal defect repair. The surgical approach and indications for managi…
View article: Divided omental flap wrapping a multiple-branched graft replaced with an infected thoracic aortic aneurysm: A case report
Divided omental flap wrapping a multiple-branched graft replaced with an infected thoracic aortic aneurysm: A case report Open
View article: Treatment of Infectious Thoracic Aortic Aneurysm with a Prosthetic Graft Wrapped in a Latissimus Dorsi Flap
Treatment of Infectious Thoracic Aortic Aneurysm with a Prosthetic Graft Wrapped in a Latissimus Dorsi Flap Open
Background: In cases of infectious thoracic aortic aneurysm (TAA), in which the omentum is unavailable, the aortic graft can be wrapped in a latissimus dorsi (LD) flap. However, it remains unclear which intrathoracic approach is best for L…
View article: Single-stage repair for ascending aortic aneurysm, artery stenosis and occlusion of neck vessels caused by Takayasu arteritis
Single-stage repair for ascending aortic aneurysm, artery stenosis and occlusion of neck vessels caused by Takayasu arteritis Open
Takayasu arteritis results in a variety of vascular symptoms, and there are some cases in which progressive vascular lesions require surgical intervention. We present a case with ascending aortic aneurysm, right common carotid artery steno…
View article: Split Latissimus Dorsi Muscle Flap Wrapping of a Graft for Infectious Aneurysm of the Proximal Descending Thoracic Aorta
Split Latissimus Dorsi Muscle Flap Wrapping of a Graft for Infectious Aneurysm of the Proximal Descending Thoracic Aorta Open
In cases of infectious thoracic aortic aneurysm in which the omentum is unavailable, the aortic graft can be wrapped with a latissimus dorsi muscle (LDM) flap. However, it is difficult to use a simple LDM flap to wrap the proximal descendi…
View article: Life-threatening massive bleeding in the pulmonary trunk adjacent to the right ventricular outflow tract during the resection of a large mediastinal germ cell tumor: proposed safety measures in the absence of cardiovascular surgeons: a case report
Life-threatening massive bleeding in the pulmonary trunk adjacent to the right ventricular outflow tract during the resection of a large mediastinal germ cell tumor: proposed safety measures in the absence of cardiovascular surgeons: a case report Open
This report presents an unusual case of life-threatening massive bleeding in the pulmonary trunk adjacent to the right ventricular outflow tract during resection of a large primary mediastinal nonseminomatous germ cell tumor (PMNSGCT) in t…
View article: Intraoperative Findings of an Atypical Type II Endoleak from an Artery within the Aneurysmal Wall after Endovascular Aneurysm Repair
Intraoperative Findings of an Atypical Type II Endoleak from an Artery within the Aneurysmal Wall after Endovascular Aneurysm Repair Open
A 75-year-old man underwent emergent endovascular aortic repair for a ruptured abdominal aortic aneurysm. Two years later, computed tomography revealed aneurysm enlargement with endoleaks. Next, late open conversion was performed. Intraope…
View article: Multiple large pancreaticoduodenal artery aneurysms due to celiac artery occlusion: Combination of the aorto-hepatic bypass and coil embolization with a dual approach through both the superior mesenteric artery and bypass
Multiple large pancreaticoduodenal artery aneurysms due to celiac artery occlusion: Combination of the aorto-hepatic bypass and coil embolization with a dual approach through both the superior mesenteric artery and bypass Open
View article: A Case of Surgical Treatment for a Primary Aortoduodenal Fistula
A Case of Surgical Treatment for a Primary Aortoduodenal Fistula Open
一次性大動脈腸管瘻は非常に稀な病態であるが，未治療では高率で死に至ることで知られている．今回，腹部大動脈瘤による一次性大動脈十二指腸瘻を経験したため報告する．症例は78歳，男性．吐血を主訴に受診した．CTで十二指腸に隣接する最大短径65mmの腹部大動脈瘤および瘤内遊離ガス像を認めたことから，大動脈十二指腸瘻が疑われ，緊急手術となった．術中，瘤内から十二指腸水平脚に瘻孔を認め，瘻孔を直接縫合閉鎖した．また，腎動脈下腹部大動脈と両側総腸骨動脈をリファンピシン浸漬人工血管で解剖学…
View article: Surgery of Tricuspid Valve Infective Endocarditis Associated with Myelodysplastic Syndrome
Surgery of Tricuspid Valve Infective Endocarditis Associated with Myelodysplastic Syndrome Open
View article: Aortic Valve Repair for Infective Endocarditis of an Aortic Valve
Aortic Valve Repair for Infective Endocarditis of an Aortic Valve Open
大動脈弁位感染性心内膜炎は弁輪部膿瘍などの構造的破壊を来しやすく，大動脈弁置換術が一般的な手術法である．しかし，大動脈弁形態の理解がすすみ，感染性心内膜炎においても大動脈弁形成術の報告が散見されるようになっている．今回われわれはα-Streptococcusを起因菌とする大動脈弁位感染性心内膜炎に対する大動脈弁形成術を施行し，良好な結果であったため報告する．症例は50歳男性，2カ月前からの不明熱のため当院を紹介された．経胸壁心臓超音波検査（UCG）で大動脈弁位感染性心内膜炎…
View article: A successful case of percutaneous fistula closure in a patient with high output heart failure and extracardiac arteriovenous fistula
A successful case of percutaneous fistula closure in a patient with high output heart failure and extracardiac arteriovenous fistula Open
View article: Preserved Vasoconstriction and Relaxation of Saphenous Vein Grafts Obtained by a No-Touch Technique for Coronary Artery Bypass Grafting
Preserved Vasoconstriction and Relaxation of Saphenous Vein Grafts Obtained by a No-Touch Technique for Coronary Artery Bypass Grafting Open
The results suggest that the NT technique preserves the functions of vasoconstriction and relaxation. Also, the presence of PVAT-released vasoconstrictive factors was suspected.
View article: Beating Heart Mitral Valve Replacement via Right Thoracotomy for Ischemic Mitral Valve Regurgitation after Coronary Artery Bypass Surgery
Beating Heart Mitral Valve Replacement via Right Thoracotomy for Ischemic Mitral Valve Regurgitation after Coronary Artery Bypass Surgery Open
再開胸を伴う開心術では心大血管損傷や，創部，胸骨感染などのリスクが高く，なかでも冠動脈バイパス術後の再手術では，剥離に伴うグラフト損傷のリスクがあり術式の工夫が必要である．症例は冠動脈バイパス術を受けた既往のある69歳の男性で，息切れと心雑音の精査目的に紹介された．バイパスグラフトはすべて開存していたが，重度の虚血性僧帽弁閉鎖不全症のため，右開胸，内視鏡補助下に心拍動下両弁尖腱索温存の僧帽弁置換術を施行した．術後の経過は良好で術当日に人工呼吸器を離脱し，術後7日で合併症なく…
View article: Three-Dimensional Printing of Life-Like Models for Simulation and Training of Minimally Invasive Cardiac Surgery
Three-Dimensional Printing of Life-Like Models for Simulation and Training of Minimally Invasive Cardiac Surgery Open
Objective As the use of minimally invasive surgery in cardiothoracic surgery increases, so does the need for simulation and training. We developed a heart model for simulation and training of minimally invasive cardiac surgery, particularl…
View article: A Successful Case of Prosthetic Valve Endocarditis with Previous Aortic Root Replacement
A Successful Case of Prosthetic Valve Endocarditis with Previous Aortic Root Replacement Open
人工弁置換術後の人工弁感染（Prosthetic Valve Endocarditis：以下PVE）は重篤な合併症であり手術のタイミング，術式の選択に難渋することが多い．今回，大動脈基部置換（Aortic Root Replacement：以下ARR）後のPVE症例に対して，疣贅除去が奏功し良好な結果を得た1例を経験したので報告する．症例は58歳男性．2013年3月に大動脈基部拡張症に対して，ARRを施行した．同年12月中旬，歯科治療後から発熱が継続し，炎症反応の上昇を認め…
View article: Infected Aortic Aneurysm Mimicking Anti-proteinase 3-Antineutrophil Cytoplasmic Antibody-associated Vasculitis
Infected Aortic Aneurysm Mimicking Anti-proteinase 3-Antineutrophil Cytoplasmic Antibody-associated Vasculitis Open
We herein report an unusual case of an infected descending aortic pseudoaneurysm with luminal pathognomonic oscillating vegetation with serological findings and clinical features mimicking anti-proteinase 3-antineutrophil cytoplasmic antib…
View article: A Rare Complication after Tricuspid Annuloplasty
A Rare Complication after Tricuspid Annuloplasty Open
症例は83歳女性．僧帽弁閉鎖不全症（mitral valve regurgitation ; MR）による心不全のため前医より紹介された．僧帽弁置換術（mitral valve replacement ; MVR），三尖弁輪形成術（tricuspid annuloplasty ; TAP）を施行した．術直後は良好な経過であった．術後7日目から心不全症状を認め，心エコーで重症大動脈弁閉鎖不全（aortic valve regurgitation ; AR）を指摘された．心不全…
View article: Pre-operative endostent placement to allow the complete and safe resection of a recurrent tumor that had tightly adhered to the subclavian artery: A case report
Pre-operative endostent placement to allow the complete and safe resection of a recurrent tumor that had tightly adhered to the subclavian artery: A case report Open
Radiation and tumor infiltration confer a high risk of bleeding on surgical removal of tumor. We report on the case of a 42-year-old woman with a recurrent occult subclavian tumor in her right breast. Computed tomography revealed enhanced …