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Incidence of reexpansion pulmonary edema in minimally invasive cardiac surgery
https://doi.org/10.18999/nagjms.81.4.647
https://doi.org/10.18999/nagjms.81.4.647932c3e16-55bc-4770-a520-db401b56a795
名前 / ファイル | ライセンス | アクション |
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2019-11-26 | |||||
タイトル | ||||||
タイトル | Incidence of reexpansion pulmonary edema in minimally invasive cardiac surgery | |||||
著者 |
Tamura, Takahiro
× Tamura, Takahiro× Ito, Toshiaki× Yokota, Shuichi× Ito, Shigeki× Kubo, Yoko× Ando, Masahiko× Nishiwaki, Kimitoshi |
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キーワード | ||||||
主題Scheme | Other | |||||
主題 | reexpansion pulmonary edema | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | minimally invasive cardiac surgery | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | retrospective study | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | incidence | |||||
抄録 | ||||||
内容記述 | Minimally invasive cardiac surgery requires fewer blood transfusions and mediastinitis is less frequently observed compared to conventional median sternotomy surgical intervention, and it leads to earlier recovery and discharge. However, once reexpansion pulmonary edema occurs, the patient requires long-term management in the intensive care unit. This retrospective study was performed to investigate the incidence of reexpansion pulmonary edema in minimally invasive cardiac surgery. Patients who underwent minimally invasive cardiac valve surgery using cardiopulmonary bypass and port-access by a minimal right lateral thoracic incision between January 2010 and January 2018 were enrolled in this single-center retrospective study, which was approved by the institutional review board of Japanese Red Cross Nagoya Daiichi Hospital (Nagoya, Japan), and the requirement for written informed consent was waived. All data were collected from electronic charts. The primary outcome was the incidence rate of reexpansion pulmonary edema in patients undergoing minimally invasive cardiac surgery. A total of 662 patients underwent minimally invasive cardiac surgery, and we analyzed 651 of these cases. No case of reexpansion pulmonary edema was observed in this study. The statistically-calculated incidence rate of reexpansion pulmonary edema was less than 0.6% (95% confidence interval: 0.0–0.6). The incidence of cerebral infarction was 0.92% (n = 6). Intensive care unit stay days, hospital stay days after surgery, and the death rate after 30 days were 1.5 ± 2.0 days, 9.6 ± 3.9 days, and 0.15%, respectively. Although there was no incidence of clinical reexpansion pulmonary edema in this study, the predicted incidence of reexpansion pulmonary edema by statistical analysis was less than 0.6%. | |||||
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.81.4.647 | |||||
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. 647-654, 発行日 2019-11 |
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著者版フラグ | ||||||
値 | publisher |