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Start Over Author "Tsuchioka H" Topic aortic dissection
6 results on '"Tsuchioka H"'

1. [Acute aortic dissection in a patient with Marfan's syndrome and severe pectus excavatum--emergency surgical repairs of ascending aortic dissection and aortic regurgitation complicated by pectus excavatum in Marfan's syndrome].

Author

Shioi K, Nagata Y, Sugimoto I, Mase T, Katoh S, and Tsuchioka H

Subjects
Acute Disease, Adult, Aortic Dissection complications, Aortic Aneurysm complications, Aortic Valve surgery, Aortic Valve Insufficiency complications, Blood Vessel Prosthesis, Emergencies, Female, Funnel Chest complications, Heart Valve Prosthesis, Humans, Aortic Dissection surgery, Aorta surgery, Aortic Aneurysm surgery, Aortic Valve Insufficiency surgery, Funnel Chest surgery, Marfan Syndrome complications
Abstract

A case of acute aortic dissection Stanford Type A occurring in a patient with Marfan's syndrome, complicated with aortic regurgitation and severe pectus excavatum, is reported with successful surgical correction. The patient was a 33-year-old woman, who suffered from severe back pain riding to work. An emergency operation consisting of Cabrol's procedure for aortic dissection Stanford Type A and sternal turnover for pectus excavatum was performed simultaneously. Because of the postoperative mediastinal bleeding the implanted sterno-costal complex was removed on the second POD and the prosthetic sternum was reimplanted on the tenth POD. The two-stage operation seems preferable in such an emergency case to avoid postoperative bleeding and infection.

Published
1992

2. [A case of acute dissecting aneurysm associated with AAE (annuloaortic ectasia) necessitating coronary bypass surgery].

Author

Nagata Y, Uwadoko K, Shioi K, and Tsuchioka H

Subjects
Acute Disease, Adult, Aortic Dissection complications, Aortic Aneurysm complications, Aortic Valve Insufficiency complications, Humans, Male, Aortic Dissection surgery, Aortic Aneurysm surgery, Aortic Valve Insufficiency surgery, Coronary Artery Bypass
Abstract

We report a successful surgical treatment of acute dissecting aneurysm of the ascending aorta associated with annuloaortic ectasia. The patient was a 29-year-old male, who was admitted to the hospital 5 hours after the onset of anterior chest pain. Aortography revealed acute dissection of the ascending aorta (DeBakery type I) with AAE. The intimal tear surrounding the right coronary ostium was found. The procedure between the right coronary artery and aorta (replaced artificial graft) using saphenous vein graft was also required in addition to Bentall's operation. Postoperative studies revealed disappearance of the dissection, patency of the bypass graft. The postoperative course was uneventful and the patient is in active life two years after operation.

Published
1991

3. Spontaneous coronary artery dissection with left ventricular aneurysm--a case report of successful surgical repair.

Author

Shioi K, Nagata Y, and Tsuchioka H

Subjects
Aortic Dissection complications, Aortic Dissection diagnostic imaging, Coronary Aneurysm complications, Coronary Aneurysm diagnostic imaging, Coronary Artery Bypass, Heart Aneurysm complications, Heart Aneurysm diagnostic imaging, Heart Ventricles diagnostic imaging, Humans, Male, Middle Aged, Radiography, Aortic Dissection surgery, Coronary Aneurysm surgery, Heart Aneurysm surgery, Heart Ventricles surgery
Abstract

An aorto-coronary artery bypass operation combined with left ventricular aneurysmectomy was performed successfully in a 56-year-old man who had suffered spontaneous coronary artery dissection with left ventricular aneurysm. It is important to perform myocardial revascularization surgery even if the region for anastomosis is dissected.

Published
1989
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5. Spontaneous coronary artery dissection with left ventricular aneurysm--a case report of successful surgical repair

Author

Tsuchioka H, Shioi K, and Y. Nagata

Subjects
Pulmonary and Respiratory Medicine, Male, medicine.medical_specialty, Myocardial revascularization, Heart Ventricles, Anastomosis, Ventricular aneurysmectomy, Internal medicine, medicine, Humans, cardiovascular diseases, Coronary Artery Bypass, Heart Aneurysm, Artery dissection, Surgical repair, business.industry, Coronary Aneurysm, Middle Aged, Radiography, Aortic Dissection, medicine.anatomical_structure, Left Ventricular Aneurysm, Bypass operation, cardiovascular system, Cardiology, Surgery, Cardiology and Cardiovascular Medicine, business, Artery
Abstract

An aorto-coronary artery bypass operation combined with left ventricular aneurysmectomy was performed successfully in a 56-year-old man who had suffered spontaneous coronary artery dissection with left ventricular aneurysm. It is important to perform myocardial revascularization surgery even if the region for anastomosis is dissected.

Published
1989

6. Usefulness of echocardiography in the long-term follow-up study after surgical treatment of annuloaortic ectasia

Author

Yoshihisa Nagata, Shioi K, and Tsuchioka H

Subjects
Aortic valve, Cardiac function curve, Adult, Male, medicine.medical_specialty, Aortic Valve Insufficiency, Hemodynamics, Pseudoaneurysm, Aneurysm, Blood vessel prosthesis, medicine.artery, Ascending aorta, medicine, Humans, Postoperative Period, Aorta, business.industry, General Medicine, Annuloaortic ectasia, Middle Aged, medicine.disease, Surgery, Aortic Aneurysm, Blood Vessel Prosthesis, Aortic Dissection, medicine.anatomical_structure, Echocardiography, Heart Valve Prosthesis, cardiovascular system, Female, Radiology, medicine.symptom, business, Follow-Up Studies
Abstract

From July, 1979 to August, 1987, 10 patients at our institution underwent a repair of annuloaortic ectasia (AAE), either with a separate aortic graft and valve or with Bentall's operation. There were no hospital deaths, although there were two late deaths from unrelated accidental causes. In nine of the patients, echocardiograms were recorded to evaluate the postoperative cardiac function and possible complications. M-mode echocardiography facilitated the evaluation of cardiac function, and two-dimensional echocardiography was better suited to studying the postoperative structures. On the other hand, the real time two-dimensional Doppler flow mapping ensured the diagnosis of dissecting aneurysms through the blood flow pattern. Although the postoperative hemodynamics improved significantly, pseudoaneurysms between the native aortic wall and the graft were detected in three patients, with compression to the composite conduit in one, and residual distal aortic dissection was noted in another three patients. It was thus concluded that the composite graft replacement of the ascending aorta and aortic valve in patients with AAE can be accomplished with a low risk, but pseudoaneurysm formation at the coronary ostial or aortic suture line may be observed late after surgery. Regular postoperative follow-up study is therefore of great importance, and echocardiography would be the most pertinent, non-invasive method of meeting this purpose.

Published
1988

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