[Zasshi] [Journal]. Nihon Kyōbu Geka Gakkai
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Nihon Kyobu Geka Gakkai Zasshi · Jun 1995
Case Reports[A surgical case of aortic dissection Stanford type A caused by blunt chest trauma--a report of a successful case].
A case of successfully repaired traumatic aortic dissection was reported. A 66-year-old woman with a blunt chest trauma from the car accident was transferred to our hospital. ⋯ The postoperative course was uneventful. Blunt chest trauma is very rare to cause aortic dissection, and the operative indication should be determined with careful consideration of the associated organ injuries.
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Nihon Kyobu Geka Gakkai Zasshi · Jun 1995
Case Reports[A case of surgical treatment of acute aortic dissection without an intimal tear].
We experienced a case of acute aortic dissection without an intimal tear. A 55-year-old woman with SLE presented with acute chest pain. TEE study showed dissection of the ascending aorta, and accompanied by pericardial effusion. ⋯ However, intimal tear was not found. She underwent graft replacement of the ascending aorta and the total aortic arch, and had an uneventful postoperative course. Histological examination of a segment of ascending aorta showed no evidence of mucinous degeneration and pathological rupture of the elastic fiber.
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Nihon Kyobu Geka Gakkai Zasshi · Jun 1995
Case Reports[A case of tricuspid valve endocarditis in the drug addict].
We reported a case of tricuspid valve endocarditis in a drug addict. A 25-year-old woman with a history of drug abuse was admitted to our hospital for high fever. ⋯ Excision of the posterior leaflet including vegetation, and direct suture of the residual posterior leaflet along with annuloplasty was successfully done. Postoperative course was uneventful and endocarditis was eradicated.
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Nihon Kyobu Geka Gakkai Zasshi · Apr 1995
Case Reports[A successful surgical case of bilateral partial anomalous pulmonary venous connection without atrial septal defect].
We performed the new operative method for bilateral partial anomalous pulmonary connections (PAPVC) without atrial septal defect (ASD). A 11-years-old boy was admitted for operation. The right upper pulmonary vein returned to the superior vena cave (SVC), and left upper pulmonary vein returned to the innominate vein. ⋯ The left pulmonary vein was mobilized as much as possible, and was anastomosed to the posterior wall of LA by end-to-side fashion. He has normal sinus rhythm and no evidence of pulmonary venous obstructions on both sides. We support the efficacy of this method as an alternative in the management of this disorder.