Junzo Inamura
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View article: Late post-endovascular abdominal aortic repair rupture due solely to type II endoleak without other types of endoleak
Late post-endovascular abdominal aortic repair rupture due solely to type II endoleak without other types of endoleak Open
Rupture of abdominal aortic aneurysm (AAA) due to an isolated type II endoleak (TIIEL) is rarely reported, accounting for less than 1% of all TIIELs; typically, rupture associated with TIIEL is accompanied by type I or type III endoleaks. …
View article: Hemostatic Proximal Anastomosis for Type A Acute Aortic Dissection: Reversed Turn-Up Technique (Akita Method)
Hemostatic Proximal Anastomosis for Type A Acute Aortic Dissection: Reversed Turn-Up Technique (Akita Method) Open
In surgery for acute type A aortic dissection, controlling bleeding from the posterior wall of the proximal anastomosis is particularly challenging. To address this, we use the "reversed turn-up technique." For the reinforcement of the pro…
View article: Gradual development of left bundle branch current of injury during left bundle branch pacing lead implantation
Gradual development of left bundle branch current of injury during left bundle branch pacing lead implantation Open
A larger left bundle branch (LBB) potential or LBB current of injury (COI) indicates a low LBB capture threshold in LBB pacing. During LBB pacing in an 85‐year‐old woman, achieving a low LBB capture threshold did not initially present with…
View article: A Case of a Giant Internal Iliac Artery Aneurysm due to Endotension
A Case of a Giant Internal Iliac Artery Aneurysm due to Endotension Open
症例は81歳，男性．2年前に他院で右内腸骨動脈瘤に対して腹部ステントグラフト内挿術，右内腸骨動脈コイル塞栓術を施行された．外来フォロー中にendoleakは認めないものの瘤拡大があり，追加治療を本人が希望せずに経過観察となっていた．今回，腹痛と尿閉を主訴に前医を受診し，右内腸骨動脈瘤の切迫破裂の可能性も考慮されて当科紹介となった．来院後，造影CTを施行すると右内腸骨動脈瘤が径125mmと著明に拡大し，骨盤内を占拠しており，骨盤内臓器が圧迫されて尿閉および右水腎症を呈していた…
View article: A Case of a Coronary-pulmonary Artery Fistula with a Giant Aneurysm
A Case of a Coronary-pulmonary Artery Fistula with a Giant Aneurysm Open
症例は73歳，男性．検診で胸部異常影を指摘され，当院循環器内科を受診した．冠動脈造影CTを施行し，直径65mmの巨大冠動脈瘤・肺動脈瘻の診断となった．冠動脈瘤は左冠動脈対角枝末梢に存在しており，瘤から主肺動脈に向かう異常血管を認めた．本症例は無症候性であったが，非常に巨大であり，破裂の可能性を考慮して手術の方針となった．手術は人工心肺補助下に供血血管である対角枝を瘤の中枢で結紮した後に冠動脈瘤を切開した．瘤内を探索して肺動脈への流出血管を認め，内側から閉鎖した．術後経過は良…
View article: Coexisting Left Atrial Myxoma and Aortic Valve Papillary Fibroelastoma
Coexisting Left Atrial Myxoma and Aortic Valve Papillary Fibroelastoma Open
心臓原発腫瘍は稀な疾患であり，組織学的には粘液腫が最も多く，ついで乳頭状弾性線維腫（Papillary fibroelastoma : PFE）が多いと言われている．今回われわれは，左房粘液腫と大動脈弁PFEを同時に認めた1例を経験したので報告する．症例は77歳女性．夜間胸痛で前医を受診され，冠動脈CTにて左房粘液腫を指摘され，当科紹介となった．心臓超音波検査にて左房内に20 mm大の可動性の乏しい腫瘤を認め，待機手術の方針となった．術中の経食道超音波検査（Transeso…