A5046856506- Congenital Heart Disease Studies
- Kawasaki Disease and Coronary Complications
- Infectious Encephalopathies and Encephalitis
- Cardiac Arrhythmias and Treatments
- Cardiac tumors and thrombi
- Aortic Disease and Treatment Approaches
- Pulmonary Hypertension Research and Treatments
- Cardiovascular and Diving-Related Complications
- Mechanical Circulatory Support Devices
- Tracheal and airway disorders
- Cardiovascular Conditions and Treatments
- Atrial Fibrillation Management and Outcomes
- Venous Thromboembolism Diagnosis and Management
- Bacterial Infections and Vaccines
- Cerebral Venous Sinus Thrombosis
- Acute Ischemic Stroke Management
- Traumatic Ocular and Foreign Body Injuries
- Tissue Engineering and Regenerative Medicine
- Viral Infections and Immunology Research
- Ophthalmology and Eye Disorders
- Cardiac Valve Diseases and Treatments
- Streptococcal Infections and Treatments
- Long-Term Effects of COVID-19
- Congenital heart defects research
- Intracerebral and Subarachnoid Hemorrhage Research
Hiroshima City Asa Citizens Hospital
2016-2024
Citizens Specialty Hospitals
2017-2023
Hospital do Coração
2021
City Hospital
2011
Kobe Steel (Japan)
2006-2008
Okayama Red Cross General Hospital
2008
Okayama University
2003
This study was designed to explore whether it possible evaluate the severity of VSD, PDA, and ASD by measuring brain natriuretic peptide (BNP) levels. We also investigated normal BNP levels in children provide a baseline for our study. measured 253 children, including 11 neonates, 91 VSD patients, 29 PDA 34 patients. showed no age-related differences (the mean value: 5.3 +/- 3.8 pg/ml). In healthy rose from 10.4 11.9 pg/ml cord blood 118.8 83.2 on day 0, then fell 15.3 7.8 7. correlated...
Safety and efficacy of two drug regimens used for sedation analgesia during lower-extremity angiography were studied. Midazolam (loading dose 14.5 micrograms/kg; maintenance dose, 7.2 micrograms/kg) with or without fentanyl 0.725 0.362 was administered in a blind fashion as an IV bolus to 50 patients. Hemodynamic responses monitored, standardized questionnaire given the patient before, immediately after, 8-24 hr after procedure. Physicians also asked questions Heart rate oxygen saturation...
Isolated left atrial appendage ( LAA ) ostial stenosis is a very rare entity found coincidentally in adults by transesophageal echocardiography. A 3‐month‐old healthy infant was suspected as having cor triatriatum. His brother had history of surgical treatment cardiac catheterization revealed narrowed ostium the and confirmed echocardiographic diagnosis isolated stenosis. This first pediatric case idiopathic The siblings called our attention to differential etiopathogenesis between
Abstract Background: The minimum diameter of the patent ductus arteriosus measured in lateral angiographic view is usually used to determine device size. Sometimes can be easily removed from arteriosus, even if it appears optimum Methods: From 2016 2021, 29 patients who underwent contrast-enhanced CT prior closure included. Morphological evaluation narrowest part was performed on CT. We also examined whether there were differences morphology depended Krichenko classification, age, and...
Cardiosphere-derived cell (CDC) infusion was associated with better clinical outcomes at 2 years in patients single ventricle heart disease. The current study investigates time-to-event 8 years.
Double aortic arch (DAA) and pulmonary artery sling (PAS) are vascular ring formations that present in neonates infants with symptoms of respiratory stenosis.The patient was a girl suspected ventricular septal defect (VSD), right (AA), left patent ductus arteriosus, bilateral superior vena cava (SVC) on foetal echography the first day life. The delivered at 40 weeks 4 days gestation. Ventricular defect, DAA, coarctation AA, SVC were diagnosed. Contrast-enhanced computed tomography Day 16...
Foreign bodies entering the maxillary sinus have often been reported. However, it is very rare that theyare naturally dislodged from sinus.We report a case of foreign body on extraction an upper wisdom tooth. On theday after entrance body, we attempted to remove surgically, but could not locate object in themaxillary sinus. x-ray film, was found stomach. The apparently dislodgedfrom hiatus and swallowed. In cooperation with surgeon internist, wasremoved endoscopically identified be dental...
背景：ACHD患者では定期受診を怠ることで病状が悪化し，高度な管理が必要となる可能性がある．目的：ドロップアウト（DO）を経験したACHD患者の問題点と対策について検討すること．対象と方法：ACHD患者56例61回のDO．A群：DO後，再診した27回/26例，B群：DO後受診がない34回/34例に分類．診断，手術歴，DO時年齢，NYHA分類，DOの理由，再診理由，再診時の病歴紹介の有無，再診後の治療，転帰を調査，分析した．結果：A群：DO年齢15歳以下3例，16〜19歳12例，成人期12例．DOの理由：小児期は診断/治療不能，思春期は自覚症状なし，治療拒否，成人期は自覚症状なし，治療拒否，転居が多かった．再診理由は自覚症状が多く，他の理由での受診例より状態が悪かった．再診時に18例（67％）で病歴把握が困難だった．再診の全例で治療介入を必要とし死亡1例を除きNYHA分類は維持/改善した．B群：NYHA class I 28例と大多数が軽症例であったがclass II...
Veno-venous collaterals are sometimes seen in patients after the Fontan procedure.A 28-year-old female with tricuspid atresia who underwent procedure had oxygen desaturation due to a giant veno-venous collateral.Coil embolization was performed for collateral.After procedure, she complained of severe back pain.Anti-inflammatory analgesics and steroids were not effective, although carbamazepine promptly relieved intractable pain.Treatment-related pain coil physiology is quite rare,...
Although central nervous system complications occasionally accompany during the acute phase of Kawasaki disease, clinically problematic arrhythmia is quite rare. We report a case accompanied by encephalitis and several kinds arrhythmia. Following diagnosis Taussig–Bing anomaly coarctation aorta, patient underwent aortic arch reconstruction, an arterial switch operation, ventricular septal defect closure. No significant arrhythmias were observed. At age 5 years, presented with fever, rash,...
Warfarinによる経口抗凝固薬療法には，効果不足に起因する血栓性合併症と，効果過剰に起因する出血性合併症という双方のリスクが伴う．後者の中で特に重大な合併症である頭蓋内出血の死亡率は50％を超える．予後改善には早急かつ完全なWarfarin拮抗が必須である．新鮮凍結血漿が第一選択だが，Vitamin K依存性凝固因子の含有量が製剤間で異なり必要量が一概に予測できない，拮抗に時間を要する，容量負荷が大きいという側面を有する．緊急時には血液凝固第IX因子複合体が有用だが，適応外使用である．Warfarin拮抗の際には同時に血栓塞栓症の予防も念頭に置かなければならず，特に機械弁挿入患者では完全な止血を確認後，早期からヘパリンを併用し，発症1～2週間でWarfarin再開を考慮する．また機械弁不全をみた場合，血栓溶解療法を行うか否かには血栓弁とパンヌスの鑑別が重要である．さらに頭蓋内出血既往例が血栓弁を生じた場合，血栓溶解療法は禁忌に準じると考えるべきである．
Background: In addition to muscular and medium arteries, Kawasaki disease causes inflammation in nerves the myocardium. However, arrhythmia severe enough be problematic is rare. Patient: At age 1 day, patient was a state of shock diagnosed with Taussig-Bing anomaly aortic arch coarctation. 4 days, he underwent reconstruction pulmonary arterial banding. 2 months, switch operation ventricular septal defect closure. No significant arrhythmias were observed. 5 years 6 had fever, days later,...
Background: Central nervous system inflammation sometimes occurs in Kawasaki disease (KD). In 2012, we reported the first case of KD complicated with mild encephalitis/encephalopathy a reversible splenial lesion (MERS) 14-year-old. Since then, similar cases have been reported. We studied incidence and MERS. Methods: selected 36 patients (22 boys 14 girls; age: range, 5-80 months; mean, 22 months) from 42 who had undergone electroencephalography (EEG) before intravenous immunoglobulin (IVIG)...
Abstract Objectives We examined the diameter of cross section PDA minimum portion using contrast-enhanced CT findings to know accurate morphology and size them. Background Ordinarily, device is determined based on minimal measured in lateral view angiography. Occasionally, may come out from easily even if seems optimal. Methods From 2016 2021, 29 patients who underwent computed tomography (CT) prior closure included. Morphological evaluation narrowest part was performed CT. also whether...
Aims Limited data exist on risk factors for the long-term outcome of pulmonary arterial hypertension (PAH) associated with congenital heart disease (CHD-PAH). We focused index vascular (IPVD), an assessment system artery pathology specimens. The IPVD classifies lesions into four categories based severity: (1) no intimal thickening, (2) cellular thickening intima, (3) fibrous and (4) destruction tunica media, overall grade expressed as additive mean these scores. This study aimed to...
背景:周術期経食道心エコー(TEE)は体格の問題から乳幼児での使用や効果に制限があった. 目的:小児用マルチプレーンプローベ(PMP)を用いた周術期TEEの有用性について調査検討すること. 対象と方法:2007年以降に周術期TEEを試みた412例を使用プローベによりA群(PMP), B群(小児用バイプレーン), C群(成人用MP), D群(挿入不能)の4群に分類した. 年齢分布, 基礎心疾患, 手技追加の有無, 術後経過, 挿入不能理由とその影響について調査した. 結果:A群は0～4歳が86％(乳児33％), B群は5～9歳が57％, C群は15歳以上が70％, D群は乳児が83％であった. 手術手技追加はA群16例, C群6例で, B群に該当例はなかった. 単純心奇形はA群で35％, B群で94％, C群で48％であった. A群の手術手技追加は右室流出路再建7件, 房室弁再形成6件, 残存短絡閉鎖3件, 上大静脈狭窄解除1件であった. D群は心臓外疾患, 低体重が多く, 1例で術後15日で再手術を必要とした....
エホバの証人は宗教上の理由から輸血を拒否し, 比較的侵襲の大きな手術を予定する際にさまざまな問題を生じる可能性がある。今回われわれは, 2名のエホバの証人患者に口腔癌手術を行ったので報告する。症例1は64歳女性の下顎歯肉癌 (T2N2bM0) で, 頸部郭清, 下顎骨辺縁切除を施行した。出血量は300gであった。症例2は50歳男性の舌癌 舌半側切除, 大胸筋皮弁移植を施行した。出血量は445gであった。いずれも術前に患者と免責証書を取り交わし, 手術は低血圧麻酔下で行われた。エホバの証人の治療に関する問題点についても考察を行った。
Abstract Background Platelet count and function change following atrial septal defect (ASD) closure with the Amplatzer occluder (ASO). However, clinical significance of these changes remains unclear. We examined in platelet mean volume (MPV) before after ASO placement, association between count, MPV various factors. discussed mechanism MPV. Methods evaluated 109 patients ASD who underwent we performed analyses Results Younger typically had higher counts lower on admission. They also large...