The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai zasshi
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Jpn. J. Thorac. Cardiovasc. Surg. · Apr 2005
Case ReportsThoracoabdominal coarctation of the aorta: surgical repair in a 7-year-old boy.
Atypical coarctation of the lower descending or the abdominal aorta is a relatively rare disease which occurs in about 0.5 to 2% of all coarctation cases. The majority of these diseases present with circumscribed narrowing of the abdominal aorta. However, we treated a 7-year-old boy with a rare form: a long, diffuse hypoplasia of the thoracoabdominal aorta.
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Jpn. J. Thorac. Cardiovasc. Surg. · Apr 2005
Early results of off-pump coronary artery bypass grafting for patients on chronic renal dialysis.
Renal dialysis is one of the independent risk factors for coronary artery bypass graft surgery. Off-pump coronary artery bypass grafting (OPCAB) may become a good option for these patients. In this study, early results as well as surgical techniques of OPCAB in dialysis patients were analyzed compared with non-dialysis patients. ⋯ The rationale for OPCAB for dialysis patients has been established. Total arterial revascularization without aortic clamping is applicable for dialysis patients who require multivessel bypass grafts.
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Jpn. J. Thorac. Cardiovasc. Surg. · Apr 2005
Case ReportsOssifying cardiac myxoma with neovascularity.
We report a 64-year-old man with ossifying cardiac myxoma which radiographically demonstrated visible calcification. A lateral chest radiograph showed abnormal calcification in the cardiac shadow. ⋯ The resected tumor was composed of round or spindle shaped cells with myxoid stroma, accompanied by extensive calcification and ossification containing fatty and hematopoietic marrow tissue. Although a left atrial calcified myxoma is less common than a right sided myxoma, and such radiographically detectable calcified tumors are rare, the presence of radiographic visualized calcification in the cardiac shadow should be ruled out for left as well as right atrial myxomas.
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Jpn. J. Thorac. Cardiovasc. Surg. · Mar 2005
Comparative StudyOff-pump coronary artery bypass grafting attenuates proinflammatory markers.
Cardiac surgery with cardiopulmonary bypass (CPB) has been considered the main causative factors of postoperative inflammatory reactions. The aim of this study was to compare surrogate markers of the proinflammatory response in patients who underwent coronary artery bypass grafting (CABG) with or without CPB. ⋯ Compared with off-pump CABG, on pump CABG induced higher serum levels of proinflammatory markers including neutrophil elastase and soluble Fas.
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Jpn. J. Thorac. Cardiovasc. Surg. · Feb 2005
Dissection and rupture of the left subclavian artery presenting as hemothorax in a patient with von Recklinghausen's disease.
Hemothorax is a rare and life-threatening complication of von Recklinghausen's disease. We present a case of a 48-year-old man with this disease who developed hemothorax caused by rupture of a left subclavian artery dissection. To our knowledge, the case presented here is the first to describe successful surgical management--graft replacement of the left subclavian artery--in hemothorax due to arterial dissection associated with von Recklinghausen's disease.