Search Results 1-20 of 222

  • Fontan Conversion for Patients with Protein-Losing Enteropathy after a Björk Procedure with Patent Right Atrium to Innominate Vein Bypass  [in Japanese]

    Shiraishi Shuichi , Sugimoto Ai , Tsuchida Masanori

    <p>症例は37歳男性.三尖弁閉鎖の診断で左Blalock Taussigシャント手術原法,Glenn手術原法,左肺動脈形成術の既往あり.10歳時にBjörk手術を施行したが,術後に循環不全となり心肺補助装置を装着された.上下大静脈間の著明な圧較差を認めたため,人工血管による右房・無名静脈バイパス術を追加し心肺補助装置を離脱し得た.術後他院にて経過観察されていたが,30歳頃より心房頻拍 …

    Japanese Journal of Cardiovascular Surgery 49(5), 257-260, 2020

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  • Risk Factors for Mid-Term Liver Disease After the Fontan Procedure

    Oka Norihiko , Miyamoto Takashi , Tomoyasu Takahiro , Hayashi Hidenori , Miyaji Kagami

    … <p>The Fontan procedure is a palliative surgery performed for patients with complex congenital heart disease who exhibit functional single ventricular physiology. … Although clinical outcomes of the Fontan procedure have improved in recent years and most patients who undergo the procedure reach adulthood, Fontan-associated liver disease (FALD) is a noncardiovascular complication that has become increasingly common; …

    International Heart Journal 61(5), 979-983, 2020

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  • An Overview of Pediatric Extracorporeal Membrane Oxygenation  [in Japanese]

    Matsuhisa Hironori

    <p>小児呼吸循環不全患者に対する体外式膜型人工肺装置(ECMO)の歴史は古く,確立された補助手段である.その対象は心疾患症例の急性循環不全のみならず,種々の呼吸器感染症や敗血症,蘇生補助装置としても適応は拡大している.また重度の心機能低下例や高度低酸素血症例に対してもカニュレーションの工夫により一定の効果を得ている.しかしながら,右心バイパス症例のように依然救命困難な疾患群は存在し, …

    Pediatric Cardiology and Cardiac Surgery 36(2), 107-115, 2020

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  • Two Cases of Extracardiac Conduit Stenosis after Fontan Completion  [in Japanese]

    Mitsuo Hiroshi , Tatewaki Hideki , Sakamoto Ichiro , Ono Tomoyuki , Shiose Akira

    <p>フォンタン手術後の外科的再介入としては,TCPC (Total cavopulmonary connection)コンバージョン,ペースメーカー植え込み術,房室弁形成/置換がある.導管狭窄は稀な合併症であるが再導管置換の報告はほとんどない.今回,心外導管型フォンタン手術後遠隔期に導管狭窄をきたし再手術を施行した2症例を経験したので報告する.症例1は20歳男性.三尖弁閉鎖症に対して …

    Pediatric Cardiology and Cardiac Surgery 36(1), 84-89, 2020

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  • Pregnancy with Fontan circulation: A report of case series in Japan

    Eto Eriko , Maki Jota , Akagi Teiji , Ito Hiroshi , Masuyama Hisashi

    … Owing to new surgical procedures and medications, more women who have undergone the Fontan procedure reach childbearing ages. … We report five cases of pregnancy with Fontan circulation. … This report discusses pregnant women with Fontan circulation by focusing on affected Japanese women. …

    Journal of Cardiology Cases 21(4), 161-163, 2019-12-30

    IR 

  • Case Report : Implantation of Drug-Eluting Stent in the Vertical Vein of a Patient with Obstructed Total Anomalous Pulmonary Venous Connection Associated with Right Atrial Isomerism

    Ono Shin , Ueda Hideaki , Kim Ki-sung , Asou Toshihide

    Journal of pediatric cardiology and cardiac surgery 3(1), 39-43, 2019

  • Predictors of Early Postoperative Supraventricular Tachyarrhythmias in Children After the Fontan Procedure

    Yasuhara Jun , Sumitomo Naokata , Kuno Toshiki , Taki Moe , Toda Koichi , Kumamoto Takashi , Kojima Takuro , Shimizu Hiroyuki , Yoshiba Shigeki , Kobayashi Toshiki

    … <p>Postoperative arrhythmias are a frequent and fatal complication after the Fontan operation. … However, clinical evidence demonstrating early postoperative arrhythmias in children undergoing the Fontan operation is limited. …

    International Heart Journal 60(6), 1358-1365, 2019

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  • Liver tumor resection in a patient with Fontan circulation and monitoring with a Pulse Contour Cardiac Output catheter  [in Japanese]

    Yonezawa Mihoko , Miyamoto Masashi , Takubo Issei , Matsumoto Shinsaku , Goto Takashi , Terada Noriko , Fujinaka Waso , Takatori Makoto

    … 今回Fontan循環成人患者における肝腫瘍切除術の全身麻酔管理を経験した。 … 今回の症例では人工呼吸器による陽圧換気と手術操作での門脈遮断によってFontan循環が破綻することが危惧された。 …

    Cardiovascular Anesthesia 23(1), 79-82, 2019

    J-STAGE  Ichushi Web 

  • Extracorporeal Membrane Oxygenation in Patients with Complex Congenital Heart Disease  [in Japanese]

    IWASAKI Tatsuo , KANAZAWA Tomoyuki , SHIMIZU Kazuyoshi , KAWASE Hirokazu , MORIMATSU Hiroshi , KASAHARA Shingo

    <p>小児におけるECMO(Extracorporeal Membrane Oxygenation)治療は,先天性心疾患に対しても重要な適応がある.小児複雑心奇形周術期におけるECMO導入のコンセンサスの得られた明確な基準はないが,循環破綻による多臓器障害を合併した状態での導入より,計画的早期の導入の方が離脱率の向上につながると考えられる.出血性合併症が問題となりやすいが,病態を把握し …

    THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA 39(2), 148-154, 2019

    J-STAGE  Ichushi Web 

  • General Anesthesia Management during Lip Repair and Palatoplasty in a Patient Following Glenn Surgery  [in Japanese]

    YAMASHITA Kaoru , SUGIMURA Mitsutaka , KIBE Toshiro , KOHJITANI Atsushi , HIGA Yurina , NIIRO Ayako , UCHINO Minako , AOYAMA Kanae , SHIDOU Rumi , HASHIGUCHI Kohei

    … <p>  In patients with single ventricle heart disease, non-cardiac surgery using the Glenn procedure can be performed to alleviate cyanosis prior to repair using the Fontan procedure. …

    Journal of Japanese Dental Society of Anesthesiology 47(2), 65-67, 2019

    J-STAGE  Ichushi Web 

  • A Case of Intravenous Sedation in a Post-Fontan Operation Patient with Mental Retardation  [in Japanese]

    SEKINO Reiko , USUI Midori , SATOMI Hitomi , KAJIWARA Mie , OKA Shunichi , MISAKI Toru , OI Yoshiyuki

    … She had been diagnosed as having tetralogy of Fallot soon after her birth and had undergone several surgical treatments including bidirectional Glenn procedures and a Fontan procedure, etc., for the treatment of corrected transposition of great arteries, ventricular septal defects, and pulmonary atresia prior to the age of 11 years. … Despite the fact that a Fontan circulation had been established, her daily Sp<span style="font-variant: small-caps;">o</span><sub>2</sub> …

    Journal of Japanese Dental Society of Anesthesiology 47(2), 62-64, 2019

    J-STAGE  Ichushi Web 

  • Outcomes of Common Atrioventricular Valve Repair in Patients With Single-Ventricle Physiology ― Indication, Timing and Repair Techniques ―

    He Fengpu , Qi Lei , Wang Guanxi , Feng Zicong , Li Shoujun , Jiao Yiping , Ma Kai , Hua Zhongdong , Zhang Hao , Yan Jun , Yang Keming , Pang Kunjing , Zhang Sen

    <p><b><i>Background: </i></b>Common atrioventricular valve (CAVV) repair in patients with a single ventricle remains a great challenge and a refractory issue for pediatri …

    Circulation Journal 83(3), 647-653, 2019

    J-STAGE  Ichushi Web 

  • Development of acquired intrapulmonary venous anastomosis contributing to establishment of Fontan circulation

    Hayabuchi Yasunobu , Homma Yukako , Sugano Mikio , Kitaichi Takashi , Kagami Shoji

    … It can also interfere with the successful completion of Fontan circulation in patients with complex congenital heart disease. … Although bilateral total occlusion of the inferior PVs was identified postoperatively, the formation of the anastomosis and collateral vessels into the superior and middle PVs enabled successful completion of Fontan circulation. …

    Pulmonary Circulation 9(1), 2018-11-13

    IR 

  • Regenerative Therapy for Patients with Congenital Heart Disease

    Kimura Naritaka

    … Among CHDs, single ventricle (SV) physiologies, such as hypoplastic left heart syndrome and tricuspid atresia, are particularly severe conditions that require multiple palliative surgeries, including the Fontan procedure. … Although the management strategies for SV patients have markedly improved, the prevalence of ventricular dysfunction continues to increase over time, especially after the Fontan procedure. …

    The Keio Journal of Medicine 68(2), 29-38, 2018

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  • Transition of Aortopulmonary Collateral Arteries before and after the Fontan Procedure  [in Japanese]

    Go Kiyotaka , Kuraoka Ayako , Kodama Yoshihiko , Ishikawa Yuichi , Nakamura Makoto , Sagawa Koichi , Ishikawa Shiro

    … <p><b>背景</b>:単心室疾患群では,体肺動脈側副血管(APCA)の増加がFontan術後の合併症につながるため,術前にコイル塞栓を行うことがある.その目標については術後のAPCAの推移も考慮することが必要である.</p><p><b>方法</b>: 2009年から2015年に当院でFontan手術を行った連続163人を対象とした.APCAの発達の程度を,心カテでの大動脈造影から3段階に点数化し,左右内 …

    Pediatric Cardiology and Cardiac Surgery 34(4), 182-188, 2018

    J-STAGE  Ichushi Web 

  • To Do or Not to Do Fontan Procedure in Adults: A Classical Question?  [in Japanese]

    Yamamura Kenichiro

    Pediatric Cardiology and Cardiac Surgery 34(3), 153-154, 2018

    J-STAGE  Ichushi Web 

  • Midterm Prognosis and Effectiveness of Fontan Procedure with Total Cavopulmonary Connection Performed in Adults  [in Japanese]

    Ishii Taku , Ando Makoto , Takahashi Yukihiro , Yoshikawa Tadahiro , Yazaki Satoshi , Kobayashi Takumi , Kishiki Kanako , Inage Akio , Hamamichi Yuji , Ueda Tomomi , Wada Naoki

    … 飽和度の有意な上昇と心胸郭比の有意な改善が見られた.一方,手術後の心係数は平均1.9 L/min/m<sup>2</sup>と低値であった.</p><p><b>結論</b>:成人期TCPCの生存率は良好で,チアノーゼの改善と心拡大の改善が得られるため,成人期であってもTCPCによるFontan手術を行う意義はある.ただ,上室頻拍をはじめとした術後の合併症頻度が高いことや心拍出量低下などは念頭におく必要がある.</p> …

    Pediatric Cardiology and Cardiac Surgery 34(3), 143-152, 2018

    J-STAGE  Ichushi Web 

  • Imaging Assessment of Hepatic Changes after Fontan Surgery:Computed Tomography, Ultrasonography, and Transient Elastography

    Song Jinyoung , Kim Kyunghee , Huh June , Kang I-Seok , Kim Sung Hoon , Yang Ji-Hyuk , Jun Tae Gook , Kim Ji Hye

    … <p>The aim of this study was to evaluate hepatic dysfunction over 10 years following Fontan surgery. … We assessed the clinical usefulness of diagnostic tools for the detection and follow-up of hepatic dysfunction in patients with Fontan circulation.</p><p>A total of 26 post-Fontan patients (median age 13 years, range 10-35 years; … median duration from Fontan procedure 10.5 years, range 4-17 years) were enrolled in this study. …

    International Heart Journal 59(5), 1008-1014, 2018

    J-STAGE  Ichushi Web 

  • Prediction of Fontan-Associated Liver Disease Using a Novel Cine Magnetic Resonance Imaging "Vortex Flow Map" in the Right Atrium

    Ishizaki Umiko , Nagao Michinobu , Shiina Yumi , Fukushima Kenji , Takahashi Tatsunori , Shimomiya Yamato , Matsuo Yuka , Inai Kei , Sakai Shuji

    … <p><b><i>Background:</i></b>Long-term hepatic dysfunction is an increasingly recognized complication of the Fontan operation for univentricular hearts. …

    Circulation Journal 82(8), 2143-2151, 2018

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  • A Case of Asplenia Syndrome With Microgastria and Hiatal Hernia Surgically Managed With Hunt-Lawrence Pouch  [in Japanese]

    Naito Chie , Yamoto Masaya , Mitsunaga Maki , Fukumoto Koji , Urushihara Naoto

    … 経験したので報告する.症例は男児,生後1か月で単心室に対する姑息術,生後3か月で食道裂孔ヘルニア手術,胃瘻造設術を行った.その後も胃の容量が小さく,高度な胃食道逆流症が残存したため,2歳時のFontan手術を経て2歳6か月時に胃容量拡大目的にHunt-Lawrence pouchを付加した胃空腸吻合術を施行し,経過は良好である.無脾症候群は心血管疾患,消化器疾患ともに複雑な疾患であるため,各科連携をとり,手術の時 …

    Journal of the Japanese Society of Pediatric Surgeons 54(2), 280-284, 2018

    J-STAGE  Ichushi Web 

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