Purpose To evaluate morphological features of filtering blebs after trabeculectomy with limbus-based versus fornix-based conjunctival flaps (LBCF and FBCF, respectively) using in vivo confocal microscopy (IVCM) ultrasound biomicroscopy (UBM). Patients Methods Seventy-five eyes 62 patients glaucoma were recruited. Thirty-eight 31 received LBCF 37 34 FBCF. Successful bleb was defined as postoperative intraocular pressure (IOP) ≤15 mm Hg IOP reduction ≥20% without antiglaucoma medication....

Massive pulmonary embolism is relatively rare but a potentially life-threatening condition. The purpose of this study was to analyse the outcome embolectomy in registered data from Japanese Society Pulmonary Embolism Research (JaSPER). From 1994 2006, 1661 cases acute were JaSPER database. Retrospective analysis 32 patients undergoing conducted. overall incidence 1.9% [95% confidence interval (CI): 1.8–3.2%]. mean age 57 years and 66% female. Overall mortality 18.8% CI: 5.2–25.6%]. Most had...

Background: Venous drainage in cardiopulmonary bypass is a very important factor for safe cardiac surgery. However, the ideal shape of venous cannula has not been determined. In present study, we evaluated effect side-hole number under fixed total area and flow to elucidate increasing numbers. Method: Computed simulation was performed. Cannulas were divided into six models: an end-hole model (EH) models containing four (4SH), (6SH), eight (8SH), 10 (10SH) or 12 side-holes (12SH). Total...

Background: The complete removal of port-wine stains has remained challenging. Based on the principle treating with a dye laser, intravenous injection artificial red cells (hemoglobin vesicles) immediately before laser treatment might improve clinical outcome therapy. hemoglobin vesicle increases concentration in microvessels. Photons are absorbed by mixture blood and this newly added hemoglobin, potentially producing more heat photocoagulation and, ultimately, necrosis endothelial...

The purpose of this report is to demonstrate a novel endovascular technique for gaining and producing the maximal landing zone thoracic stent graft in patient with chronic type B aortic dissection.The was 64 year old man dissection. He had developed acute dissection undergone descending replacement (Zone 2-Th10) 12 years earlier. During follow-up, he an anastomotic false aneurysm distally. In initial operation, distal anastomosis performed fenestration dissecting membrane. Computed...

Purpose Ventricular assist devices are a potent alternative or bridge therapy to heart transplants for dilated cardiomyopathy patients. However, ventricular have problems related biocompatibility, hemocompatibility, and thromboembolic events, especially in younger The present study examined the hemodynamic effects of direct cardiac compression device using circumferential artificial rubber muscles young swine model cardiomyopathy. Methods Dilated was established 6 pigs ( – 8 weeks rapid...

Objective: Endovascular repair has become the treatment of choice for ruptured abdominal aortic aneurysms (RAAAs). To improve surgical outcomes, preoperative management is important. In 2011, we introduced integrated management, which involves endovascular aneurysm repair, stabilization hemodynamics by clamping, and open decompression to address compartment syndrome (ACS). Methods: evaluate efficacy this strategy, 62 patients who had undergone emergency surgery an RAAA were analyzed...

Repair of multiple thoracic aneurysms with vocal fold palsy represents a surgical challenge. Here, we present case cervical and aortic right successfully treated two-stage hybrid repair using retrograde in situ branched grafting.

The exact geometric pathogenesis of leaflet tethering in ischemic mitral regurgitation (IMR) and the relative contribution each component valve complex (MVC) remain largely unknown. In this study, we sought to further elucidate (MV) remodeling papillary muscle dynamics an ovine model IMR with magnetic resonance imaging (MRI) 3-dimensional echocardiography (3DE).Multimodal combining 3DE MRI was used analyze MVC at baseline, 30 minutes post-myocardial infarction (MI), 12 weeks post-MI models....

A 65-year-old woman underwent total correction of tetralogy Fallot with closure ventricular septal defect, right outflow patch, pulmonary valve replacement and tricuspid repair. Pacemaker implantation using epicardial electrodes was simultaneously needed because she had complete atrioventricular block. The postoperative course excellent. Eighteen months postoperatively, admitted severe congestive heart failure frequent arrhythmia. Echocardiography cardiac catheterization revealed depressed...

The patient was a 71-year-old man complaining of postprandial abdominal pain and weight loss. Computed tomography angiography showed occlusion the superior mesenteric artery celiac axis. inferior artery, supplying circulation, stenotic at its origin. had portal vein thrombosis diagnosed as having antiphospholipid antibody syndrome. reimplantation successfully performed after failed bypass grafting to from aorta.

Neurologic complications of open thoracic aortic surgery are devastating problems in patients with severely diseased aortas. This study aimed to clarify whether directing the cannula tip toward root affects postoperative cardiac function undergoing surgery.A total 16 who underwent or partial arch replacement between January 2014 and April 2019 were enrolled divided into two groups. Ascending aorta perfusion was performed by placing (reversed direction group, seven patients) (standard nine...

There have been limited data available regarding aortic arch replacement in dialysis patients. The purpose of this study was to examine real-world and determine the impact preoperative status other risks on surgical using Japan Cardiovascular Surgery Database.A total 5044 patients who underwent elective, isolated antegrade cerebral perfusion during 2014-2017 were eligible for study. Of these, 89 received haemodialysis preoperatively. divided into 6 groups according their estimated glomerular...

Treatment for an extensively dissected aortic aneurysm is a surgical challenge. Open surgery using left thoracotomy promising but can be dangerous in patients with pulmonary comorbidity. We treated 63-year-old man chronic type B dissection aneurysmal change and ascending dilation. The thoracoabdominal aorta was also dissected, dilated, tapered; thus, simple hybrid strategy not possible, even open fenestration. performed replacement reconstruction of the cervical vessels extra-anatomic bypass...