Search

Your search keyword '"Satou, H."' showing total 3 results
Start Over Author "Satou, H." Journal annals of thoracic and cardiovascular surgery official journal of the association of thoracic and cardiovascular surgeons of asia
3 results on '"Satou, H."'

1. Hemostatic effectiveness of a new application method for fibrin glue, the "rub-and-spray method", in emergency aortic surgery for acute aortic dissection.

Author

Minato N, Katayama Y, Yunoki J, Kawasaki H, and Satou H

Subjects
Aerosols, Aged, Aged, 80 and over, Anticoagulants adverse effects, Cardiopulmonary Bypass adverse effects, Circulatory Arrest, Deep Hypothermia Induced adverse effects, Female, Heparin adverse effects, Humans, Male, Middle Aged, Prospective Studies, Punctures adverse effects, Treatment Outcome, Aortic Dissection surgery, Aortic Aneurysm surgery, Blood Loss, Surgical prevention & control, Blood Vessel Prosthesis Implantation adverse effects, Fibrin Tissue Adhesive administration & dosage, Hemostasis, Surgical methods, Hemostatics administration & dosage
Abstract

Purpose: This study was performed to evaluate the clinical hemostatic effectiveness of a new application method for fibrin glue, the rub-and-spray method, in aortic surgery., Methods: Twenty consecutive patients undergoing emergency ascending aorta or ascending-hemiarch replacement for Stanford type A acute aortic dissection were prospectively randomized into 2 groups, one with the rub-and-spray method (group G, 10 patients) and one without fibrin glue (group C, 10 patients). The rub-and-spray method consists of using a finger to rub the fibrinogen solution over needle holes, then spraying the fibrinogen solution and the thrombin solution simultaneously over the anastomosis, using an application nozzle. The number of bleeding needle holes at the proximal and distal anastomoses just after reperfusion, the hemostatic period (time from administration of protamine sulfate until closure of the pericardium), and the amounts of blood losses during this hemostatic period were measured., Results: The values in group G and group C were as follows: proximal needle holes (26.8 +/- 1.5, 26.4 +/- 2.4, p = 0.466); proximal bleeding needle holes (0.2 +/- 0.4, 19.3 +/- 3.5, p <0.001); distal needle holes (28.7 +/- 2.5, 27.8 +/- 4.4, p = 0.675); distal bleeding needle holes (1.3 +/- 1.2, 19.9 +/- 5.0, p <0.001); estimated bleeding proportion of the proximal needle holes (0.7 +/- 1.6%, 73.8 +/- 16.0%, p <0.001); estimated bleeding proportion of the distal needle holes (4.4 +/- 3.7%, 71.9 +/- 15.7%, p <0.001); estimated median hemostatic period (41.5 min [32-49], 51 min [44-89], p = 0.036); amounts of blood losses during this hemostatic period (99 +/- 76 ml, 257 +/- 163 ml, p = 0.016). The number of bleeding needle holes, the bleeding proportion of the proximal and distal needle holes, the hemostatic period, and the amounts of bleeding during this hemostatic period were significantly less in group G., Conclusion: This new application method for fibrin glue, the rub-and-spray method, revealed significant hemostatic effectiveness, even in hemostatically difficult surgery of acute aortic dissection that requires systemic heparinization and prolonged cardiopulmonary bypass with deep hypothermia.

Published
2009

2. Aortic valve replacement combined with endoventricular circulatory patch plasty (Dor operation) in a patient with aortic valve stenosis and severe ischemic cardiomyopathy.

Author

Horiguchi K, Ohtake S, Matsumiya G, Sawa Y, Nishimura M, Satou H, Kawai N, and Matsuda H

Subjects
Aortic Valve Stenosis physiopathology, Cardiomyopathy, Dilated complications, Female, Heart Valve Prosthesis, Heart Ventricles surgery, Humans, Middle Aged, Myocardial Ischemia complications, Suture Techniques, Ventricular Dysfunction, Left etiology, Aortic Valve Stenosis surgery, Ventricular Dysfunction, Left surgery
Abstract

A 58-year-old woman with ischemic cardiomyopathy and aortic valve stenosis, underwent aortic valve replacement and simultaneous endoventricular circulatory patch plasty (Dor operation). She underwent coronary artery bypass grafting for severe triple vessel disease 10 years ago. Recently she started to show severe congestive heart failure. Aortic valve stenosis with pressure gradient of 85-mmHg was also found. Coronary bypasses were all patent, but the left ventricle (LV) was severely dilated (LVDd/Ds=71/61 mm) and the ischemic cardiomyopathy was considered as the cause. She successfully underwent aortic valve replacement and endoventricular circulatory patch plasty. The initial postoperative course was complicated with intractable ventricular arrhythmia, but subsequent course was smooth and the patient was discharged with improved symptoms (NYHA Class II). Postoperative catheterization showed decreased left ventricular volume and improved contractility. This case implies the role of LV remodeling procedure in the ischemic cardiomyopathy combined with aortic valve lesion

Published
2001

3. Surgical removal of a stent entrapped in the left main coronary artery.

Author

Fukada J, Morishita K, Satou H, Shiiku C, Koshino T, and Abe T

Subjects
Aged, Angioplasty, Balloon, Coronary, Aorta, Thoracic diagnostic imaging, Coronary Angiography, Coronary Disease diagnostic imaging, Coronary Disease therapy, Coronary Vessels surgery, Foreign-Body Migration diagnostic imaging, Foreign-Body Migration etiology, Humans, Male, Prosthesis Failure, Reoperation, Aorta, Thoracic surgery, Coronary Artery Bypass, Foreign-Body Migration surgery, Stents adverse effects
Abstract

A stent entrapped in the coronary artery, which can not be removed by a trans-catheter approach, is extremely rare but is the biggest problem cardiologists face. Surgical retrieval appears to be the only possible treatment to avoid sudden death due to stent thrombosis. We experienced with a New Parmaz-Schatz stent entrapped in the left main coronary artery (LMT) of a 65-year-old man. He underwent surgical removal of the stent with ascending aorta incision and double coronary artery bypass grafting (CABG) using saphenous veins. We believe that a stent entrapped in the LMT must be removed as rapidly as possible to avoid sudden death. Furthermore, in order to avoid the risk of peripheral thrombosis, retrieval is also the case in patients whose distal coronary flow can be maintained with CABG.

Published
1998

Catalog

Books, media, physical & digital resources
See catalog results