- Cardiac Valve Diseases and Treatments
- Cardiac and Coronary Surgery Techniques
- Aortic Disease and Treatment Approaches
- Anesthesia and Neurotoxicity Research
- Infective Endocarditis Diagnosis and Management
- Aortic aneurysm repair treatments
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac Structural Anomalies and Repair
- Cardiovascular Function and Risk Factors
- Cardiac Imaging and Diagnostics
- Anesthesia and Sedative Agents
- Coronary Artery Anomalies
- Case Reports on Hematomas
- Vascular Anomalies and Treatments
- Pulmonary Hypertension Research and Treatments
- Acute Kidney Injury Research
- Takotsubo Cardiomyopathy and Associated Phenomena
- Mechanical Circulatory Support Devices
- Anesthesia and Pain Management
- Chronic Kidney Disease and Diabetes
- Tracheal and airway disorders
- Vascular anomalies and interventions
- Coronary Interventions and Diagnostics
- Trauma Management and Diagnosis
- Infectious Aortic and Vascular Conditions
Chiba-Nishi General Hospital
2019-2024
Sapporo Higashi Tokushukai Hospital
2024
Tokyo Women's Medical University
2023
Red Cross Hospital
1999
Abstract OBJECTIVES In patients with atherosclerotic disease, minimally invasive cardiac surgery using retrograde perfusion for cardiopulmonary bypass via femoral cannulation (FC) carries a higher risk of brain embolization compared antegrade perfusion. However, guidelines selecting versus do not exist. We developed computed tomography (CT)-based strategy and assessed outcomes. METHODS studied 270 patients, aged 68 ± 13, 124 female, body surface area 1.6 0.2 m2. Antegrade axillary (AC) was...
Abstract Objectives This study analyzed the experience of a single institution with minimally invasive mitral valve repair (MIMVr) via right mini-thoracotomy (RT), including short and mid-term morbidity mortality as surgical outcomes, rates reoperation. Late follow-up findings regarding regurgitation (MR) were also assessed. Methods Between January 2014 2020, total 141 consecutive patients underwent MIMVr for at our an RT, late results (median 35 ± 15 months) available 129 (91.4%). Findings...
Objectives There are few reports regarding minimally invasive aortic valve replacement concomitant with mitral surgery (MIAMVS). The aim of this study was to evaluate early and midterm MIAMVS results. Methods We reviewed the medical records 21 consecutive patients (nine females, 43%) who underwent through a right mini-thoracotomy from December 2014 April 2017. Mean patient age 73 ± 7.4 years four (19%) were New York Heart Association Class III or IV. Aortic stenosis insufficiency most common...
Objective The da Vinci Xi surgical system (Intuitive Surgical, Sunnyvale, CA, USA) cannot give tactile feedback to surgeons. This shortcoming may increase the risk of left internal thoracic artery (LITA) injury during its harvest. We utilized Firefly Fluorescence Imaging (Firefly) assess LITA quality in robot-assisted minimally invasive direct coronary bypass (R-MIDCAB). Methods retrospectively reviewed clinical records and intraoperative videos 30 consecutive patients who underwent R-MIDCAB...
There is no report on silent brain infarction (SBI) after minimally invasive cardiac surgery (MICS) with retrograde perfusion. Thus, the current study aimed to investigate incidence of SBI MICS using magnetic resonance imaging (MRI).This included 174 patients who underwent perfusion between July 2014 and 2018. Preoperative computed tomography (CT) angiography was routinely performed vascular pathology evaluated for patient selection. Postoperative MRI occurrence SBI.Out total patients, 26...
Background: Minimally invasive mitral valve surgery has been established as a routine procedure at our institution. In the present study, early and mid-term outcomes of patients who underwent minimally replacement (MIMVR), including redo-operations elderly patients, during 5-year post-surgery period were analyzed to review short-term morbidity mortality, results. Methods: Preoperative variables, intraoperative findings, postoperative MIMVR treated from January 2014 November 2020...
Background and aim: The incidence of symptomatic cerebral infarction after minimally invasive cardiac surgery (MICS) with retrograde perfusion has been increasing. However, there is no report about silent brain (SBI) MICS perfusion. Because SBI may cause delirium decline cognitive function, this condition important clinically. Thus, the current study aimed to investigate occurrence via magnetic resonance imaging (MRI). Methods: Between July 2014 2018, 174 patients underwent postoperative MRI...
Abstract Background: Acute kidney injury (AKI) has high morbidity and mortality. Apoptosis inhibitor of macrophage (AIM) is key to improving AKI, enhancing the phagocytic clearance dead cells within proximal renal tubules. Free AIM (fAIM) comprises short fAIM (S-fAIM) full-length (F-fAIM). Although S-fAIM F-fAIM appear in urine during association between AKI prognosis remains unclear. Methods: We studied 102 patients who underwent cardiac surgery from December 2020 June 2021. Urine was...
Background: Myocardial flow reserve (MFR) derived from 13N-ammonia positron emission tomography is an index used to evaluate ischemic cardiomyopathy and predict the prognosis of patients with coronary artery disease (CAD). This study aimed short-term changes in MFR who underwent bypass grafting (CABG) compare CABG, percutaneous intervention (PCI), optimal medical therapy (OMT) patient groups.Methods:To determine effects CABG CAD left ventricular dysfunction, myocardial blood (MBF) were...
Membranous ventricular septum aneurysm (MVSA) is extremely rare, especially when coexisting with aortic stenosis (AS), and reports regarding the available treatment for MVSA AS are limited. Aortic valve replacement (AVR) can be challenging because of anatomical reasons. In this case report, a patient severe was treated AVR sutureless Perceval bioprosthesis. After implantation, no paravalvular leakage detected in echocardiography, other postoperative complications were observed. Postoperative...
Abstract Background: Minimally invasive mitral valve surgery has been established as a routine procedure at our institution. In the present study, early and mid-term outcomes of patients who underwent minimally replacement (MIMVR), including redo-operations elderly patients, during 5-year post-surgery period were analyzed to review short-term morbidity mortality, results. Methods: Preoperative variables, intraoperative findings, postoperative MIMVR treated from January 2014 November 2020...