Publishing type：Research paper (scientific journal)   Publisher：Elsevier BV  

DOI： 10.1016/j.atssr.2024.06.009

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Publishing type：Research paper (scientific journal)   Publisher：SAGE Publications  

A one-month-old baby boy with a complete atrioventricular septal defect underwent pulmonary artery banding. A high take-off of the left coronary artery, overlooked on the echocardiogram, was identified. It was compressed by the right pulmonary artery that was dilated owing to pulmonary artery banding. The patient developed severe heart failure, and a Lecompte maneuver was performed. The procedure helped effectively treat this congenital heart disease with a high take-off coronary artery compressed by the right pulmonary artery.

DOI： 10.1177/02184923231203109

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Other Link： http://journals.sagepub.com/doi/full-xml/10.1177/02184923231203109

Publishing type：Research paper (scientific journal)   Publisher：SAGE Publications  

This is the first report of total arch replacement to repair re-coarctation. A 14-year-old boy with hypoplastic left heart syndrome developed re-coarctation, severe stenosis of neck vessels, and right ventricle dysfunction after a Norwood procedure. We performed total arch replacement; the postoperative course was unremarkable. He was followed up until 18 years of age and did not need re-intervention. Using artificial blood vessels in total arch replacement is rarely indicated but can be safely achieved when required. Mismatch between patient and graft size may be an issue in the future.

DOI： 10.1177/02184923231151568

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Other Link： http://journals.sagepub.com/doi/full-xml/10.1177/02184923231151568

Publishing type：Research paper (scientific journal)   Publisher：Forum Multimedia Publishing LLC  

Background: No study has examined the association of the calcification of abdominal artery orifices with nonocclusive mesenteric ischemia (NOMI) in dialysis patients undergoing cardiac surgery. Thus, this study aimed to determine whether calcification of abdominal blood vessel orifices in hemodialysis patients may be a risk factor for NOMI and examine the long-term survival of dialysis patients after undergoing cardiac surgery.Methods: From April 2014 to September 2020, 100 dialysis patients underwent cardiac surgery at our hospital. The calcification of the celiac artery (CA) and superior mesenteric artery (SMA) was evaluated by computed tomography, and the degree of orifice stenosis was graded as follows: patent, 0; partial occlusion, 1; and complete occlusion, 2.Results: Eight patients experienced NOMI, and all of them died. SMA calcification scores were not significantly different between the NOMI and non-NOMI groups (1.38±0.52 vs. 1.13±0.69; P = 0.247). However, the average CA orifice calcification score was significantly greater in the NOMI group than in the non-NOMI group (1.63±0.52 vs. 1.15±0.65; P = 0.039), and the SMA+CA orifice calcification scores were significantly different between the groups (3.00±0.76 vs. [non-NOMI] 2.25±1.18; P = 0.028). In all patients, the 30-day and in-hospital mortality rates were 13% and 18%, respectively. All patients were completely followed up with a mean follow-up period of 604±585 days. Kaplan–Meier survival curves showed that patients with SMA and CA calcification tended to have a shorter overall survival than patients without calcification; however, no significant difference was noted.Conclusions: The calcification of CA and/or SMA orifices was associated with postoperative NOMI and poor long-term survival among dialysis patients undergoing cardiac surgery.

DOI： 10.1532/hsf.4859

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Publishing type：Research paper (scientific journal)   Publisher：Elsevier BV  

DOI： 10.1016/j.athoracsur.2021.06.079

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Language：Japanese   Publishing type：Research paper (scientific journal)  

Management of tricuspid regurgitation( TR) before right ventricular dysfunction is critical in patients with hypoplastic left heart syndrome (HLHS);however, appropriate tricuspid valvuloplasty (TVP) is challenging. We report a TVP technique for TR in a 4-year-old girl with HLHS, who had undergone Norwood operation, bidirectional cavopulmonary shunt, and TVP. Preoperative echocardiography revealed the etiology of TR as anterior leaflet prolapse, annulus dilatation, and relative tethering of the septal leaflet. We performed surgical reconstruction of the anterior leaflet with artificial chordae. Before annuloplasty, the posterior leaflet and a part of the septal leaflet were detached from the annulus with a 1 mm margin using the Key-Reed technique. Furthermore, the posterior leaflet was slid to augment the septal leaflet. We managed to regulate the TR by enlarging the septal leaflet, thus increasing the coaptation zone. We believe that this technique will be useful for TR with annulus dilatation in HLHS.

PubMed

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Publishing type：Research paper (scientific journal)   Publisher：Hindawi Limited  

DOI： 10.1111/jocs.15717

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Other Link： https://onlinelibrary.wiley.com/doi/full-xml/10.1111/jocs.15717

Publishing type：Research paper (scientific journal)   Publisher：Oxford University Press (OUP)  

Abstract

Surgical treatment is challenging in pediatric patients with left ventricular outflow tract (LVOT) stenosis (LVOTS). We herein present the case of a 2-year-old male patient with porencephaly who was diagnosed with LVOTS accompanied by moderate mitral valve regurgitation (MR) with systolic anterior motion (SAM). Edge-to-edge mitral valve reconstruction and myectomy of the abnormal cardiac muscle were performed, with an uneventful postoperative course. LVOT myectomy and edge-to-edge mitral valve repair may be considered as a safe and acceptable approach with good clinical outcomes in pediatric patients with LVOTS accompanied by MR with SAM.

DOI： 10.1093/jscr/rjab240

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Language：Japanese   Publisher：(NPO)日本小児循環器学会  

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Language：Japanese   Publisher：(NPO)日本心臓血管外科学会  

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Publishing type：Research paper (scientific journal)   Publisher：Oxford University Press (OUP)  

Abstract

A Kommerell’s diverticulum is a rare congenital aortic arch anomaly associated with a high rate of aortic rupture or dissection. Therefore, surgical or endovascular repair should be considered early. A 64-year-old man was incidentally found to have an aortic arch anomaly, Kommerell’s diverticulum, with a right aberrant subclavian artery and distal arch aneurysm. Hybrid total arch replacement with bilateral extra-anatomical axillary artery bypass and frozen elephant trunk technique was performed. This particular surgical approach would be a treatment option for any type of Kommerell’s diverticulum.

DOI： 10.1093/jscr/rjz211

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Publishing type：Research paper (scientific journal)   Publisher：The Editorial Committee of Annals of Vascular Diseases  

DOI： 10.3400/avd.cr.18-00050

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Publishing type：Research paper (scientific journal)   Publisher：Oxford University Press (OUP)  

DOI： 10.1093/jscr/rjy172

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Language：Japanese   Publisher：[札幌] : 北海道外科学会  

CiNii Books

CiNii Research

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Other Link： https://ndlsearch.ndl.go.jp/books/R000000004-I031624248

Language：Japanese   Publisher：Japanese Society for Abdominal Emergency Medicine  

An 80-year-old woman presented for examination in our department complaining of left lower abdominal pain that had persisted for approximately 1 month. Localized tenderness and muscular guarding of the left lower abdomen were present. Abdominal contrast-enhanced computed tomography (CT) revealed a 5-cm mass constituting a suspected abscess, together with a 4-cm-long linear hyperdensity in the greater omentum adjacent to the transverse colon. The patient had accidentally swallowed a salmon bone a few days before the lower abdominal pain appeared；therefore, peritoneal abscess due to perforation of the digestive tract with a fish bone was diagnosed, and surgery was performed. An omental mass adjacent to the transverse colon was removed by single-incision laparoscopy. The transverse colon serosa around the mass was reddened with some erosion, but no obvious perforation site was identified. Although there have been a few reported cases of peritoneal abscesses caused by fish bones in which the perforation or penetration site was unclear, the site can be roughly identified on preoperative CT. Single-incision laparoscopic surgery, which has been increasing in popularity in recent years, may therefore provide one option for treatment.

DOI： 10.11231/jaem.39.901

CiNii Research

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