Intraoperative Endotoxin Adsorption as a New Therapeutic Option for Mycotic Aortic Aneurysm
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概要
- 論文の詳細を見る
An 82-year-old man with a mycotic aortic aneurysm of the distal arch underwent urgent surgery because of sepsis. The infected aortic arch was excised, replaced with a rifampicin-bonded prosthetic graft, and covered with omentum. Direct hemoperfusion using polymyxin B-immobilized fiber (PMX-DHP) was intraoperatively carried out in parallel with the cardiopulmonary circuit. Intraoperative PMX-DHP dramatically reduced the level of plasma endotoxin, and ameliorated hemodynamic instability and oxygenation, resulting in smooth weaning from cardiopulmonary bypass. Intraoperative endotoxin adsorption is technically simple and easy, effective in hemodynamic stabilization, and so could be a new therapeutic option for mycotic aortic aneurysm.
- 社団法人日本循環器学会の論文
- 2007-12-20
著者
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Yoshitaka Hidenori
Department of Cadiovascular Surgery, Institute of Cardiovasculology, Sakakibara Hospital
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TSUSHIMA Yoshimasa
Department of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama
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Yoshitaka Hidenori
榊原病院 心臓血管外科
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Yoshitaka Hidenori
Department Of Cardiovascular Surgery The Sakakibara Heart Institute Of Okayama
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Yoshitaka Hidenori
Department Of Cadiovascular Surgery Institute Of Cardiovasculology Sakakibara Hospital
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Kuinose Masahiko
Department Of Cardiovascular Surgery The Sakakibara Heart Institute Of Okayama
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Kuinose Masahiko
十全会心臓病センター榊原病院 心臓血管外科
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Kuinose Masahiko
Department Of Cadiovascular Surgery Institute Of Cardiovasculology Sakakibara Hospital
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Kuinose Masahiko
Department Of Cardiovascular Surgery Cardiovascular Center Sakakibara Hospital
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ISHIDA ATSUHISA
Department of Thoracic and Cardiovascular Surgery, Kawasaki Medical School
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TOTSUGAWA Toshinori
Department of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama
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ISHII Satoko
Department of Anesthesiology, The Sakakibara Heart Institute of Okayama
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Ishii Satoko
Department Of Anesthesiology The Sakakibara Heart Institute Of Okayama
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Isihda Atsuhisa
Department Of Cardiovascular Surgery The Sakakibara Heart Institute Of Okayama
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Tsushima Yoshimasa
Department Of Cardiovascular Surgery The Sakakibara Heart Institute Of Okayama
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Tsushima Yoshimasa
Department Of Cardiovascular Surgery Cardiovascular Center Sakakibara Hospital
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Totsugawa Toshinori
Department Of Cardiovascular Surgery The Sakakibara Heart Institute Of Okayama
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