1.Simplified Model for Cardiovascular System and Its Regulation
Junko OKUBO ; Masao URAYAMA ; Shigekatsu AIZAWA ; Yuji OHTA ; Yoshihiro AIKAWA
The Journal of The Japanese Society of Balneology, Climatology and Physical Medicine 2010;73(2):109-121
By using a simplified model for cardiovascular system which consists of the cardiac resistance Rh, the artery Ca, the vein Cb and the peripheral vessel Rs, the ratio of the arteriovenous pressure difference Δp to the maximum arteriovenous pressure difference ΔpM was defined as the circulatory ratio θ ≡Δp ⁄ ΔpM. It was shown that the circulatory ratio θ was θ=1 ⁄ 2 regardless of the exercise. It was revealed that this regulation is done by keeping Rh ⁄ Rs constant and the ratio is equal to the arterial compliance fraction ka.
2.A Case of Acute Descending Aortic Rupture Associated with Splenic Rupture and Pelvic Fracture.
Yuji Hanafusa ; Noboru Murata ; Atsushi Ozawa ; Hirosi Ohta ; Makoto Funami ; Kouichi Inoue ; Toshihiro Takaba
Japanese Journal of Cardiovascular Surgery 1997;26(6):388-391
A 24-year-old woman had been injured in an automobile accident. The chest X-ray showed widening of the mediastinum and computed tomography showed mediastinal hematoma around the aortic arch. Aortic rupture was suspected, so we performed aortography, which revealed pseudoaneurysm of the descending aorta. Moreover, she also had splenic rupture and pelvic fracture. She underwent an emergency operation 4 hours after the accident. Medial tear of the descending aorta was replaced with a graft under temporary bypass without heparin. Simultaneously, splenectomy was performed. Her postoperative course was uneventful. We consider that temporary bypass without heparin is a useful method during repair of the descending aortic rupture due to trauma.