Motomi Shiono

..Her postoperative course was uneventful, and the serum concentration of C-reactive protein remained within normal limits. Strict follow-up care is required to avoid further anastomotic dehiscence...

..Emergency surgery for acute type A dissection is associated with a high mortality rate in aged patients. This study was designed to explore perioperative risk factors and prognosis in octogenarians with acute type A aortic dissection...

..This study was designed to evaluate the rationale of tear-oriented conservative ascending/hemiarch replacement, comparing it against total arch replacement...

..Between June 1968 and March 1977, Starr-Edwards cloth-covered ball valves were used for valve replacement on a routine basis...

..Between June 1968 and March 1977, Starr-Edwards cloth-covered ball valves were exclusively implanted, in a total of 74 patients at our institution, on a routine basis...

..3% after 10 years. Tissue necrosis or aneurismal degeneration was not demonstrated at reoperation. In conclusion, GRF glue demonstrats excellent tissue adhesion and hemostasis capability, and contributes to improve surgical results...

..Although some disadvantages have been reported, complications can be avoided by proper use of the glue and proper selection of surgical procedure, based on the pathology of the patient...

..The aim of this study was to assess the mid-term results of operation for type A acute aortic dissection with the aid of gelatin resorcin formalin glue...

..The ATS valve is expected to achieve favorable results in the future because it may improve the quality of life (QOL) of patients and produce fewer valve-related complications...

..Using this method, RA harvest is therefore considered to be acceptable even for patients with pathological findings on Allen's test...

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..However, the proton pump inhibitor given in the early postoperative period proved more effective than the H2-receptor antagonist for relieving GI symptoms and preventing upper GI disorders after cardiac surgery...

..In this study, the effects of a change-over from candesartan to olmesartan on renin-angiotensin-aldsterone system, cardiomegaly and peripheral circulation were studied...

..The aim of this study is to assess the long-term outcome of medical treatment and determine recent surgical indications for type B acute aortic dissection...

..The patient did not develop any complications thereafter and was discharged on 47th day after surgery. LDH was nearly normal at the time of discharge...

..The aim of the present study was to evaluate the efficacy of prophylactic treatment with selective serotonin reuptake inhibitors (SSRIs) in female patients at high risk of suffering depression after cardiac surgery...

..We retrospectively investigated the cause and management of primary spontaneous pneumothorax recurrence after thoracoscopic stapler blebectomy...

..In the present study the clinical effects of this "hANP shot" were examined...

..The aim of this study was to evaluate a new flow analyze device that can intraoperatively measure compliance and resistance of coronary artery bypass grafting (CABG) by the parameter identification method...

..In the future, the new valve is expected to be the optimum mechanical valve for a narrow annulus...

..Emergency surgery for octogenarians remains controversial, however. We report the first surviving, non-operative case of an octogenarian with pulseless shock due to aortic dissection...

..In the present study, we investigated the efficacy of increasing the dose and administration period of landiolol for prevention of postoperative AF, as well as the effect of oral bisoprolol in the early postoperative period...

..The aim of the present study was to assess the long-term graft patency rate of the radial artery (RA), in comparison to the saphenous vein (SV) in patients harvested for both vessels...

..We suggest that immediate percutaneous coronary intervention (PCI) with mechanical supports is required prior to CABG for survival of patients with left main shock syndrome...

..We hypothesized that the vascular protecting effect of an angiotensin receptor blocker (ARB) reduced endothelial damage of the radial artery (RA) after coronary bypass and conducted a comparative study...

..She had no recurrence during one year after operation. PTX and TOR therapy were effective for advanced breast tumor, and can improve patient QOL and the clinical outcomes in Stage IIIC advanced breast cancer...

..The best results are obtained by combining good surgical technique and perioperative management with the long-term outcome in mind...

..Severe inflammatory changes were pathologically observed, and we diagnosed myocarditis. The patient was discharged from the hospital on 43 days post admission, and currently attends school...

..The purpose of this comparative study is to prove the efficacy of the human atrial natriuretic peptide (hANP) in patients with chronic kidney disease (CKD) undergoing coronary artery bypass graft surgery (CABG)...

..Our tear-oriented surgery could be justified in many patients in order to improve the surgical results. In patients with preoperative organ malperfusion, it is still challenging to improve the mortality and morbidity...

..We performed successful surgical treatment for a rare case of innominate artery aneurysm with a coronary pulmonary artery fistula...

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..Chronic kidney disease (CKD) is an independent risk factor for cardiovascular disease. We investigated the effectiveness of human atrial natriuretic peptide (hANP) infusion in CKD patients undergoing coronary artery bypass grafting (CABG)...

..His postoperative course was uneventful and a postoperative computed tomographic scan confirmed a good result...

..According to a review of previous reports, recent advances in surgical techniques are quite likely to have lowered the mortality of emergency operations for AAD to less than 10%...

..To discuss the aetiology and determine the optimal surgical treatment of catamenial pneumothorax...

..She was diagnosed with acute heart failure due to prosthetic valve thrombosis. Following termination of pregnancy, the mitral valve was replaced with an ATS valve (25 mm). She was discharged 10 days after surgery without complications...

..To assess an optimal radial artery harvest technique for forearm circulation, we designed a prospective randomized trial...

..The aim of the present study was to evaluate the efficacy of alpha-human atrial natriuretic peptide (hANP) in cardiac surgery under cardiopulmonary bypass (CPB)...

..To investigate retrospectively the treatment strategies for chronic expanding hematoma (CEH) of the thorax...

..We found it to be effective for postoperative hemostasis and for preventing ischemic reperfusion injury...

..Cloth wear should be concerned for those surviving patients who have received the Starr-Edwards ball valve during long-term follow-up...

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..Here, we report a survival case for an emergency operation using LIQR to treat an octogenarian diagnosed with type A acute aortic dissection complicated by multiple organs failure...

..The postoperative course was unremarkable, and no complaints were reported during follow-up at the outpatient clinic...

..HRT at the early stage in AMI stabilized the hemodynamic conditions and reduced infarct size and complications in a swine model. These results suggest that HRT can improve the prognosis of patients with AMI...

..Therefore, the pulsatile flow we obtained with the Abiomed was maintained even after we started using the oxygenator. The pulsatile flow had positive effects on renal circulation and peripheral circulation...

..The aim of the present study was to determine the predictors of depression as a complication after open heart surgery and influence of depression on the patients' prognosis...

..We use the left internal thoracic artery (LITA) even when flow is very low. In this study, we investigated midterm outcome of coronary artery bypass graft surgery with low free-flow LITA...

..If the rotary blood pump stops, back flow will occur. In this study, a new method was examined that can estimate cardiac function without stopping the pump...

..We investigated whether landiolol hydrochloride, an ultrashort-acting beta-blocker, could reduce postoperative atrial fibrillation in a randomized controlled trial...

..001, odds ratio: 2.7). CONCLUSION: Recent 8-year results of emergency surgical intervention for AAD showed satisfactory early and late mortality. However, it is still very hard to rescue patients requiring preoperative CPR...

..The aim of this study was to discuss the diagnosis and determine the optimal thoracoscopic surgical treatment of mediastinal bronchogenic cysts...

..The patient had an uncomplicated postoperative course and was discharged from the hospital on postoperative day 5. No recurrence was observed during the 6-month observation period...

..This study examines the midterm outcome and postoperative quality of life of octogenarian patients who underwent less invasive quick replacement...

..These procedures are now considered to be the thoracoscopic treatment of choice for SP...

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..In primary care for patients with mental or physical stress due to their daily life, it is important to assess these individuals for the presence of sleep disorders...

..In this study we investigated the period required for menstruation recovery after the therapy...

..There were two early deaths and three late deaths; none valve-related. Postoperative aortogram showed an excellent shape. The mortality, morbidity, and clinical events after the procedure were acceptable...

..A gene analysis revealed chimera genes of Ewing's sarcoma and Wilms' tumor by reverse transcription polymerase chain reaction...

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..A four-branched woven Dacron vascular prosthesis was implanted in a double barrel fashion. Although this case was successfully managed, an emergent operation should have been conducted...

..This case suggested that a treatment strategy for elderly breast cancer patients should have been determined carefully...

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..Using immunohistochemistry, we measured CYP3A4 expression in primary lesions and compared their treatment responses to DOC with those of recurrent breast cancer lesions...

..Upper gastrointestinal bleeding is a lethal complication after open heart surgery. We designed a prospective randomized trial to test the efficacy of different antisecretory agents to prevent upper gastrointestinal disease after operation...

..As a result, he was allowed to return home and followed as an outpatient. Our experience suggests that positive palliative treatment improves the quality of life (QOL) of patients and provides survival benefits...

..We report a case of ruptured coronary arteriovenous fistula who underwent successful emergent surgery...

..0. LITA Doppler wave with D/S of more than 1.0 was associated with a good angiographic finding. This technique was considered not only noninvasive but also noninfective method for postoperative early graft assessment...