- Cardiac Valve Diseases and Treatments
- Aortic aneurysm repair treatments
- Aortic Disease and Treatment Approaches
- Cardiac Structural Anomalies and Repair
- Mechanical Circulatory Support Devices
- Infective Endocarditis Diagnosis and Management
- Cardiac and Coronary Surgery Techniques
- Cardiac Imaging and Diagnostics
- Vascular Procedures and Complications
- Infectious Aortic and Vascular Conditions
- Coronary Interventions and Diagnostics
- Kawasaki Disease and Coronary Complications
- Coronary Artery Anomalies
- Congenital Heart Disease Studies
- Peripheral Artery Disease Management
- Cardiac tumors and thrombi
- Cerebrovascular and Carotid Artery Diseases
- Blood transfusion and management
- Intracranial Aneurysms: Treatment and Complications
- Cardiac, Anesthesia and Surgical Outcomes
- Testicular diseases and treatments
- Pericarditis and Cardiac Tamponade
- Cardiovascular and Diving-Related Complications
- Trauma Management and Diagnosis
- Trauma, Hemostasis, Coagulopathy, Resuscitation
Kyoto Prefectural University of Medicine
2013-2025
Mayo Clinic in Arizona
2020-2023
Mayo Clinic
2019
Ottawa Heart Institute
2018
University of Ottawa
2017
Impact
2016
Japanese Red Cross Society Kyoto Daini Hospital
2015
National Cerebral and Cardiovascular Center
2014
Kyoto first Red Cross hospital
2013
Kanazawa University
2000
Abstract Viscoelastic coagulation tests have been increasingly used for hemostasis management in cardiac surgery. The ClotPro system is a novel viscoelastic device based on principles of rotational thromboelastometry. We aimed to compare with ROTEM and plasma assays cardiopulmonary bypass (CPB) patients. Blood samples were collected from 25 CPB patients at (1) baseline, (2) start CPB, (3) end (4) EX-test, IN-test, HI-test, FIB-test parameters compared corresponding assay (EXTEM, INTEM,...
We aimed to investigate the outcomes of surgical ventricular reconstruction (SVR) for ischaemic cardiomyopathy and identify ideal candidates this procedure using cardiac magnetic resonance imaging (MRI) studies. retrospectively examined 50 patients who underwent SVR were preoperatively evaluated MRI from 2004 2014. Cine gadolinium-enhanced performed evaluate left (LV) volume scarring. The midterm (median, 2.5 years) risk factors death or major adverse events (MACEs) analysed. Patients...
To describe a single-center experience of "complete aortic repair" consisting surgical or endovascular total arch replacement/repair (TAR) followed by thoracoabdominal fenestrated-branched repair (FB-EVAR).We reviewed 480 consecutive patients who underwent FB-EVAR with physician-modified endografts (PMEGs) manufactured stent-grafts between 2013 and 2022. From those, we selected only treated open distal for aneurysms involving the ascending, segments (zones 0-9). Manufactured devices were...
The aim of this study was to compare the short- and long-term outcomes CABG in diabetes mellitus (DM) patients according eGFR.A total 573 DM receiving between 1997 2012 were stratified preoperative eGFR: normal or mild chronic kidney disease (CKD), eGFR ≥60 ml/min/1.73 m(2); moderate CKD, 30-60 severe <30 CKD requiring hemodialysis (HD). Off-pump bilateral internal thoracic artery (BITA) grafting rates 83.4 62.3%, respectively. Mediastinitis in-hospital mortality both 1.4%. On logistic...
Abstract OBJECTIVES This study analyzes the safety and outcomes of mitral valve repair for degenerative regurgitation in patients 75 years age or older. METHODS We retrospectively reviewed clinical results 343 aged ≥75 who underwent as a primary indication between January 1998 June 2017. RESULTS The median (interquartile range) was 79.4 (76.9, 82.9) years, 132 (38.5%) were women. Concomitant procedures performed 123 patients: tricuspid surgery 68 (19.8%) maze procedure pulmonary vein...
Abstract In this study, we aimed to describe the development of tissue‐engineered self‐expandable aortic stent grafts (Bio graft) using in‐body tissue architecture technology in beagles and determine its mechanical histological properties. The preparation mold was assembled by insertion an acryl rod (outer diameter, 8.6 mm; length, 40 mm) into a self‐expanding nitinol (internal 9.0 35 mm). molds ( n = 6) were embedded subcutaneous pouches three for 4 weeks. After harvesting removing each...
We report a novel method of surgical ventricular restoration for an infarcted lateral wall: the endocardial linear infarct exclusion technique. First, transmural ventriculotomy is performed at centre scar longitudinally along coronary artery. Second, inner layer sutured in longitudinal direction with 4-0 polypropylene continuous sutures to approximate border between normal and myocardium. Finally, outer closed combination interrupted buttress over-and-over felt reinforcement. The advantages...
Polyarteritis nodosa (PAN) is a necrotizing form of vasculitis that affects small- and medium- sized vessels. Cases ischemic heart disease involving coronary aneurysms in patients with PAN have been reported previously, but there only few reports artery surgery for PAN-related disease. A 46-year-old female history arrived at our emergency room due to cardiopulmonary arrest. After resuscitation, emergent angiography was performed, because an electrocardiogram demonstrated ST segment elevation...
A 79-year old man with a pulsatile mass in his left groin was admitted to our institution 2012. He had undergone an aortobifemoral bypass using bifurcated Cooley double velour knitted Dacron graft for aortoiliac occlusive disease 1982. Computed tomography detected 34 mm para-anastomotic pseudoaneurysm the limb of graft. Graft replacement performed prevent aneurysm from rupturing, and we found that ruptured longitudinally along its guideline. The disrupted portion excised examined by scanning...
<b>Objectives</b> The surgical treatment of Kommerell diverticula is associated with high mortality and morbidity rates. In the mid-2000s, hybrid aortic arch repair was developed, procedure has since been used to diverticula. present study, we focused on postoperative outcomes two-stage that required supra-aortic debranching (type I repair). <b>Methods</b> From August 2010 July 2013, a total four patients (aged 73.5 ± 9.5 years) underwent repair) for diverticula, their cases were...
When murine peritoneal macrophages were stimulated for 30 min with arachidonic acid, the growth-associated immediate early gene c-fos was induced in a concentration-dependent manner as assessed by Northern blot analysis. The acid-induced mRNA expression inhibited cyclooxygenase inhibitor, indomethacin, but not lipoxygenase nordihydroguaiaretic acid. Macrophages produced prostaglandin (PG) E2 from acid determined an enzyme immunoassay. analysis revealed of PGE receptor EP2 and EP4 subtypes,...
A 77-year old woman who underwent hybrid aortic arch repair using a Gore-TAG (Gore-Associates, Flagstaff, AZ, USA) endograft (Fig. 1A) complained of chest pain 5 months after operation. Blood cultures revealed Serratia marcescens. Computed tomography (CT) demonstrated dislocation the with formation pseudoaneurysm 1B). Ascending aorta replacement re-debranching was emergently performed 2).