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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 81(4)

Routine presternotomy extracorporeal circulation for redo surgery

https://doi.org/10.18999/nagjms.81.4.549
https://doi.org/10.18999/nagjms.81.4.549
89d4d735-8b44-474f-9325-82a85ea0cf40
名前 / ファイル ライセンス アクション
02_Yamamoto.pdf 02_Yamamoto.pdf (190.5 kB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2019-11-26
タイトル
タイトル Routine presternotomy extracorporeal circulation for redo surgery
著者 Yamamoto, Toshikuni

× Yamamoto, Toshikuni

WEKO 94385

Yamamoto, Toshikuni

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Saito, Shunei

× Saito, Shunei

WEKO 94386

Saito, Shunei

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Matsuura, Akio

× Matsuura, Akio

WEKO 94387

Matsuura, Akio

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Miyahara, Ken

× Miyahara, Ken

WEKO 94388

Miyahara, Ken

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Takemura, Haruki

× Takemura, Haruki

WEKO 94389

Takemura, Haruki

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Otsuka, Ryohei

× Otsuka, Ryohei

WEKO 94390

Otsuka, Ryohei

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キーワード
主題Scheme Other
主題 cardiac reoperation
キーワード
主題Scheme Other
主題 extracorporeal circulation
抄録
内容記述 To reduce the risk of adverse events, presternotomy extracorporeal circulation (ECC) is routinely performed at our institution for patients who require resternotomy. We report our 10-year experience of performing presternotomy ECC for cardiac reoperation and the clinical results. Fifty-seven consecutive cardiac reoperations involving resternotomy were performed between January 2006 and December 2015. ECC was established prior to median sternotomy in all patients. Two patients sustained injury to the right ventricle during sternotomy. Eleven patients sustained injury to the mediastinal structures during dissection (right atrium in 3; superior vena cava in 2; inferior vena cava in 3; left internal thoracic artery in 1; and saphenous vein graft in 2 patients). Longer ECC time and greater transfusion volume were necessary. Two patients (3.5%) died within 30 days of operation. Perioperative morbidity included reexploration for bleeding in 4 (7.0%), stroke in 1 (1.8%), acute renal failure that required hemodialysis in 5 (8.8%), sepsis in 5 patients (8.8%), prolonged ventilation in 9 (15.8%) and tracheostomy in 5 (8.8%). Routine establishment of presternotomy ECC reduces the risk of injury to the mediastinal structures during reentry and facilitates easier repair in the event of structural injury during reentry or dissection. However, longer ECC time and significantly greater transfusion volume requires attention.
内容記述タイプ Abstract
出版者
出版者 Nagoya University Graduate School of Medicine, School of Medicine
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
ID登録
ID登録 10.18999/nagjms.81.4.549
ID登録タイプ JaLC
関連情報
関連タイプ isVersionOf
識別子タイプ URI
関連識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/814.html
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0027-7622
ISSN(Online)
収録物識別子タイプ ISSN
収録物識別子 2186-3326
書誌情報 Nagoya Journal of Medical Science

巻 81, 号 4, p. 549-555, 発行日 2019-11
著者版フラグ
値 publisher
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