Intraoperative Assessment for Mitral Valve Competency in a Beatin Heart Under Retrograde Coronary Perfusion
スポンサーリンク
概要
- 論文の詳細を見る
Intraoperative assessment of a repaired mitral valve is of paramount importance for reparative mitral surgery. From September 2010 through November 2012, 20 consecutive patients underwent mitral valve plasty for mitral regurgitation. The patients who underwent surgery after June 2012 received assessment of the repair with the heart beating (HB group, <I>n</I> = 10), and the patients who underwent the operation before May 2012 were assessed for the repair only under cardioplegic heart arrest (non-HB group, <I>n</I> = 10). Intermittent cold retrograde blood cardioplegia was used in all patients. In the HB-group, after completion of the procedures, pump blood without a crystalloid additive was delivered into the coronary sinus. The function of the mitral valve was assessed under beating conditions. There were no differences between the two groups in aortic cross clamp time and operation time, although operative and concomitant procedures were slightly more complicated in the HB group than in the non-HB group. Postoperative echocardiography revealed none or mild mitral regurgitation in all the patients in both groups. Reopening of the closed left atrium for additional repair was necessary only in one patient in the HB group and 3 patients in the non-HB group. In conclusion, the method of perfusing the myocardium retrogradely via the coronary sinus with warm blood is safe and effective for assessing the competency of the mitral valve in a beating heart.
著者
-
TAKAMOTO Shinichi
Department of Cardiovascular Surgery, Mitsui Memorial Hospital
-
Ohno Takayuki
Department Of Cardiovascular Surgery Mitsui Memorial Hospital
-
Fukuda Sachito
Department Of Cardiovascular Surgery Mitsui Memorial Hospital
-
Miura Sumio
Department Of Cardiovascular Surgery Saitama Medical University
-
MIYAIRI Takeshi
Department of Cardiothoracic Surgery, University of Tokyo
-
Taketani Tsuyoshi
Department Of Cardiothoracic Surgery The University Of Tokyo
-
Takamoto Shinichi
Department Of Cardiac Surgery
-
Kusuhara Takayoshi
Department of Cardiovascular Surgery, Mitsui Memorial Hospital
-
Lee Yangsin
Department of Cardiovascular Surgery, Mitsui Memorial Hospital
-
Unai Shinya
Department of Cardiovascular Surgery, Mitsui Memorial Hospital
-
MIYAIRI Takeshi
Department of Cardiothoracic Surgery, Faculty of Medicine, Tokyo University
関連論文
- Mid-Term Results and Costs of Coronary Artery Bypass vs Drug-Eluting Stents for Unprotected Left Main Coronary Artery Disease
- 2 Next Generation LVAS as a Feasible Alternative to Heart Transplantation(Ventricular Assist Device: An Update,Topic 6 (TP-6) (IHD),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
- 3 Potential for Destination Therapy with Next Generation Left Ventricular Assist System (LVAS)(Impacts of latest developments of artificial organs/systems in the treatment of cardiovascular diseases,Topic 5 (TP-5) (IHD),Special Program,The 72nd Annual Sci
- Genetic Analysis in a Patient With Recurrent Cardiac Myxoma and Endocrinopathy
- 7 Next Generation LVAS as a Feasible Alternative to Heart Transplantation(Therapeutic Strategy for Severe Heart Failure-From LVAD to Heart Transplantation-,Symposium 11 (SY-11) (H),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
- Prevalence of Vitreous Hemorrhage Following Coronary Revascularization in Patients With Diabetic Retinopathy
- 6 Japanese Clinical Trial Results of Next Generation LVAS "EVAHEART"(Symposium 8 (SY-08) (M) New Strategies for Management of Severe Heart Failure with New Devices and Surgery,Special Program,The 72nd Annual Scientific Meeting of the Japanese Circulation
- Pulmonary Intimal Sarcoma Treated by a Left Pneumonectomy with Pulmonary Arterioplasty Under Cardiopulmonary Bypass : Report of a Case
- Invasive Lymphangioma of the Lung Manifesting as a Large Pulmonary Mass with Hemoptysis : Report of a Case
- Is Interstitial Pneumonia in Patients with Collagen Diseases a Contraindication to Lung Cancer Surgery?
- Japanese multicenter clinical evaluation of the HeartMate vented electric left ventricular assist system
- Total Aortic Arch Aneurysm Repair using a Stent Graft without Cardiac or Cerebral Ischemia
- PJ-165 Psychosocial Status of Patients with Left Ventricular Assist Device and Their Needs during Therapy in Japan(PJ028,Cardiovascular Pharmacology (Basic), Cost-health care system/DPC/Laws (H),Poster Session (Japanese),The 73rd Annual Scientific Meeting
- PE-244 Less Frequency of Native Aortic Valve Opening Causes Aortic Regurgitation in Patients with Left Ventricular Assist Device (LVAD)(PE041,Transplantation/LVAD (M),Poster Session (English),The 73rd Annual Scientific Meeting of The Japanese Circulation
- PE-241 Preoperative Clinical Profiles Predict Prognosis after Left Ventricular Assist Device Implantation(PE041,Transplantation/LVAD (M),Poster Session (English),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
- 3 Roles of Toyobo-NCVC Paracorporeal Ventricular Assist Device in the Era of Implantable Device(Ventricular Assist Device: An Update,Topic 6 (TP-6) (IHD),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
- 3 New Ventricular Assist Device can Prompt Cell Transplantation for Cardiac Regeneration(Cardiovascular Regeneration and Stem Cells 2009,Topic 4 (TP-4) (M),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
- 3 Future Perspective of Treatment of End-stage Heart Failure : How to Step Forward(Therapeutic Strategy for Severe Heart Failure-From LVAD to Heart Transplantation-,Symposium 11 (SY-11) (H),The 73rd Annual Scientific Meeting of The Japanese Circulation So
- In early-stage diabetic retinopathy, risk of cardiac events after implantation of sirolimus-eluting stent is higher than after coronary artery bypass surgery
- Anti-infectious Activity of Tryptophan Metabolites in the L-Tryptophan-L-Kynurenine Pathway(Microbiology)
- OE-177 A series of Cardiopulmonary Exercise Test for LVAS patients, Which is Combined with Pump Off-tests, Effectively Predicts Device Explantability(Exercise test/Cardiac rehabilitation(01)(H),Oral Presentation(English),The 72nd Annual Scientific Meeting
- 7 Need of prompt introduction of implantable LVAS into Japanese therapeutic strategy for severe heart failure(Symposium 8 (SY-08) (M) New Strategies for Management of Severe Heart Failure with New Devices and Surgery,Special Program,The 72nd Annual Scient
- 2 Future Perspective of Treatment of End-Stage Heart Failure Using Ventricular Assist Device(Symposium 8 (SY-08) (M) New Strategies for Management of Severe Heart Failure with New Devices and Surgery,Special Program,The 72nd Annual Scientific Meeting of t
- 2 Aortic root replacement : indications and long-term results in various aortic root pathologies(Symposium 4 (SY-04) (H) Recent Progress in the Treatment of Aortic Diseases,Special Program,The 72nd Annual Scientific Meeting of the Japanese Circulation Soc
- PJ-750 Coronary Implantation of Sirolimus-Eluting Stents (SES) in Patients with Non-Proliferative Diabetic Retinopathy(Coronary revascularization, PCI-21, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- 5 Quality Control of Cardiovascular Surgery in Japan using Risk-Adjusted Outcome(Clinical Quality Management and Clinical Indicators for Patient Care in Cardiovascular Medicine, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- A Surgical case of Acute Three-channeled Aortic Dissection in Marfan Syndrome
- PE-348 Cerebrovascular Accidents during Support with TOYOBO LVAS(PE059,Heart Failure (Treatment) 2 (M),Poster Session (English),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
- OJ-235 Experience with LVAS as Bridge for Heart Transplantation in Saitama Medical University(Heart failure, clinical-06, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- Early and Late Results of Valvular Surgery in the Elderly : PANEL DISCUSSION ON PROBLEMS IN THE TREATMENT OF CARDIOVASCULAR DISEASES IN THE ELDERLY : 51th Annual Scientific Session of the Japanese Circulation Society
- Retrospective Analysis of Cerebral Complications After Coronary Artery Bypass Grafting in Elderly Patients
- Long-Term Outcome of Percutaneous Transluminal Coronary Angioplasty and Coronary Artery Bypass Grafting in Patients With End-Stage Renal Disease
- Comparison of Aortic Valve Replacement and Percutaneous Aortic Balloon Valvuloplasty for Elderly Patients With Aortic Stenosis
- -0467-CORONARY ARTERY BYPASS UTILIZING RICHT GASTROEPIPLOIC ARTERY 4 YEAR EXPERIENCE WITH 105 PATIENTS
- -0093-RESPONSES OF THE HUMAN GASTROEPIPLOIC ARTERIES TO VASOACTIVE SUBSTANCES-DIFFERENCES TO THE INTERNAL MAMMARY ARTERIES AND THE SAPHENOUS VEINS
- -P97-EVALUATION OF MITRAL PROSTHETIC VALVE DYSFUNCTION BY TRANSESOPHAGEAL ECHOCARDIOGRAPHY : Echocardiography, Pulsed Doppler : FREE COMMUNICATIONS(III) : PROCEEDINGS OF THE 53th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- -487-COMPARISON OF LONG-TERM EFFICACY BETWEEN PTCA AND CORONARY BYPASS SURGERY IN PATIENTS WITH MULTIVESSEL DISEASE : PTCA, CABG : FREE COMMUNICATIONS(II) : PROCEEDINGS OF THE 53th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- -224-LONG-TERM RESULT OF SURGICAL PATIENTS WITH ISCHEMIC HEART DISEASE 70 YEARS OF AGE AND OLDER : Ischemic Heart Disease I : FREE COMMUNICATIONS(I) : PROCEEDINGS OF THE 53th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- PROGNOSIS OF SURGICALLY TREATED INFECTIVE ENDOCADITIS : CORRELATION WITH CLINICAL AND LABORATORY FINDINGS : Infective Endocarditis : PROCEEDINGS OF THE 50th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- ECHOCARDIOGRAPHIC DETERMINATION OF THE OPTIMUM TIMING FOR MITRAL VALVE REPLACEMENT IN PATIENTS WITH CHONIC MITRAL REGURGITATION : Valvular Heart Disease : PROCEEDINGS OF THE 50th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- ACUTE COMPLICATIONS DURING ELECTIVE PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY (PTCA) : Ischemic Heart Disease (II) : FREE COMMUNICATIONS (II) : PROCEEDINGS OF THE 49th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- PRIMARY AND SHORT-TERM RESULTS OF PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY (PTCA) ASSESSED BY ANGIOGRAPHY : Ischemic Heart Disease (IV) : IV : 48 Annual Scientific Meeting, Japanese Circulation Society
- Prolonged Veno-Arterial Bypass with Membrane Oxygenator for Profound Cardiogenic Shock Following Cardiac Surgery Experience in 13 Cases : SYMPOSIUM ON ARTIFICIAL CONTROL OF CIRCULATION : EXPERIMENTAL RESULTS AND CLINICAL APPLICATIONS
- Expression of CD 10 on Lymphoid Cells Associated With Thymoma
- Coccidioidomycosis of the Lung Contracted Abroad
- Parathyroid Adenoma Manifested by Mediastinal Hemorrhage : Report of a Case
- Redo Surgery of Thoracic Aortic Aneurysm
- OE-127 Local Delivery of Slow-releasing Synthetic Prostaglandin 12 Agonist Augments Collateral Growth in Swine Chronic Cardiac Ischemia Model(Myocardial ischemia/reperfusion, basic/clinical-1, The 71st Annual Scientific Meeting of the Japanese Circulation
- OE-008 Local Delivery of Slow-releasing Synthetic Prostaglandin 12 Agonist Augments Collateral Growth in Swine Chronic Cardiac Ischemia Model(Chronic coronary heart disease/Remodeling-1 (IHD) OE2,Oral Presentation (English),The 70th Anniversary Annual Sci
- Local Delivery of Slow-releasing Synthetic Prostaglandin I_2 Agonist Augments Collateral Growth in Swine Chronic Cardiac Ischemia Model
- Ice cyrstals grown from the vapor at temperatures lower than -15゜C
- Preoperative Angiographic Evaluation of the Descending Branch of the Lateral Femoral Circumflex Artery as a Free Graft in Coronary Artery Bypass Graft
- Venous Function and Delayed Leg Swelling Following Saphenectomy in Coronary Artery Bypass Grafting
- -237- SHORT AND LONG-TERM RESULTS OF PTCA AND CABG IN PATIENTS OVER 70 YEARS OLD : PTCA, CABG : FREE COMMUNICATIONS(II) : PROCEEDINGS OF THE 51th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- ECHOCARDIOGRAPHIC ANALYSIS OF DIASTOLIC FILLING COURSE IN MITRAL STENOSIS : Vth Auditorium : PROCEEDINGS OF THE 40TH ANNUAL MEETING OF THE JAPANESE CIRCULATION SOCIETY
- 1/ICT × 1/Dd, A NEW INDEX OF LEFT VENTRICULAR FUNCTION DERIVED FROM ECHOCARDIOGRAPHY : Vth Auditorium : PROCEEDINGS OF THE 40TH ANNUAL MEETING OF THE JAPANESE CIRCULATION SOCIETY
- Clinical Experience with Cryopreserved Allografts for Aortic Infection
- Successful Repair of Graft Failure and Abdominal Aortic Aneurysm Following Thoraco-abdominal Bypass for Atypical Aortic Coarctation
- Thrombus Originating from Frayed Distal Edge of an Aortic Stent-graft
- Coronary Artery Bypass Grafting without Cardiopulmonary Bypass in Patients with Impaired Left Ventricular Function
- Proteinases Including MMPs Are Involved in the Pathogenesis of Aortic Aneurysm : A Study of the Transcription Profile with DMA Microarray
- COMPARISON OF ECHOCARDIOGRAPHIC AND CINEANGIOGRAPHIC MEASUREMENT OF LEFT VENTRICULAR PERFORMANCE IN PATIENTS WITH CORONARY HEART DISEASE
- The Stiffness of Normal and Abnormal Mitral Valves
- Favorable Results in Patients with Small Size CarboMedics Heart Valves in the Aortic Position
- ECHOCARDIOGRAPHIC ASSESSMENT OF LEFT VENTRICULAR FUNCTION DETERMINED BY ATRIAL OR VENTRICULAR PACING : PROCEEDINGS OF THE 37TH ANNUAL MEETING OF THE JAPANESE CIRCULATION SOCIETY
- STUDY ON MEASURING OF LEFT VENTRICULAR DIMENSION USING ULTRASOUND : Proceedlngs of the 35th Annual Meetlng of the Japanese Circulation Society (part II)
- Pseudoaneurysm Developed after Aortic Root Homograft Implantation
- Coronary Artery Bypass Grafting in a Patient With Human Immunodeficiency Virus : Role of Perioperative Active Anti-Retroviral Therapy
- IS038 New mutations of FBN1 gene found in Japanese patients with Marfan syndrome
- Cardiac Function Evaluated by Transesophageal Echocardiography During Cardiopulmonary Bypass
- PJ-279 Pinpoint And Continuous Delivery of Basic Fibroblast Growth Factor Augments Functional Collaterals in a Swine Model of Chronic Myocardial Ischemia(Regeneration (angionenesis/myocardial regeneration)-8 (M) PJ47,Poster Session (Japanese),The 70th Ann
- Communication between the right pulmonary artery and left atrium with aneurysm formation
- Concomitant aortic valve-sparing operation and closed biatrial radiofrequency ablation for annuloaortic ectasia and paroxysmal atrial fibrillation
- Off-pump coronary artery bypass grafting in a patient with Werner's syndrome
- 5 Horizon of Our Own Evidence. Novel Risk Model and Risk Adjusted Mortality from Nationwide Database of Cardiac Surgery in Japan(Symposium 18 (SY-18) (H) How can we Make the Best Use of Japanese Evidences for Future Guidelines,Special Program,The 72nd Ann
- Thoracic Surgery Residency Program and Health Care System in the United States
- Prevalence of Vitreous Hemorrhage Following Coronary Revascularization in Patients With Diabetic Retinopathy
- Successful Thromboendarterectomy for Chronic Pulmonary Embolism in a Patient With Systemic Lupus Erythermatosus and Antiphospholipid Syndrome
- Dynamic Patch Artificial Myocardium; Effects on the Residual Myocardial Function : SYMPOSIUM ON ARTIFICIAL CONTROL OF CIRCULATION : EXPERIMENTAL RESULTS AND CLINICAL APPLICATIONS
- Intra-Aortic Oxygen Distribution during Veno-Arterial Bypass (VAB) without Oxygenation in Circulatory Assist
- Hemodynamic Effects of the Concomitant Use of Intra-Aortic Balloon Pumping and Venoarterial Bypass without Oxygenation in Cardiogenic Shock
- Successful Thrombolytic Therapy for Acute Massive Pulmonary Thrombosis after Total Cavo-pulmonary Shunt
- Ultrathin-wall vascular grafts for endovascular surgery
- Editorial
- Dissecting Aortic Aneurysm Presenting as Pyrexia of Unknown Origin:Report of a Case
- A novel external counterpulsation system for coronary artery disease and heart failure : pilot studies and initial clinical experiences
- Study of device malfunctions in patients with implantable ventricular assist devices living at home
- Upper Hemisternotomy as Conversion from Minimally-Invasive Coronary Artery Bypass Grafting
- Thrombotic occlusion of the ascending aorta after Toyobo LVAD implantation with descending aortic perfusion in a post-Bentall patient
- Outcomes of midterm circulatory support by left ventricular assist device implantation with descending aortic anastomosis
- Use of DuraHeart^【○!R】 support for more than 1 year as the first successful bridge to heart transplantation in Japan
- Left ventricular assist device support with a centrifugal pump for 2 months in a 5-kg child
- Circulating Transforming Growth Factor β-1 Level in Japanese Patients With Marfan Syndrome
- Intraoperative Assessment for Mitral Valve Competency in a Beatin Heart Under Retrograde Coronary Perfusion
- Oxygen Utilization and Hemodynamic Response during Exercise in Children after Fontan Procedure.
- Risk Model of Cardiovascular Surgery in 845 Marfan Patients Using the Japan Adult Cardiovascular Surgery Database
- Guidelines for Diagnosis and Treatment of Aortic Aneurysm and Aortic Dissection (JCS 2011) : Digest Version
- Guidelines for the Clinical Application of Bypass Grafts and the Surgical Techniques (JCS 2011) Published in 2012 : Digest Version
- Guidelines for Elective Percutaneous Coronary Intervention in Patients With Stable Coronary Artery Disease (JCS 2011) Published in 2012 : Digest Version
- Coronary Artery Spasm Following Off-Pump Coronary Artery Bypass Surgery