1.Arterial Switch Operation (Jatene Procedure) for Posterior TGA (Transposition of the Great Arteries) Type Double Outlet Right Ventricle
Shuichi Shiraishi ; Masashi Takahashi ; Maya Watanabe ; Ai Sugimoto ; Masanori Tsuchida
Japanese Journal of Cardiovascular Surgery 2015;44(1):21-24
We report a rare case of double outlet right ventricle (DORV) with sub-pulmonary type ventricular septal defect (VSD). The great arteries were almost side-by-side, and the ascending aorta was located slightly posterior to the right of the pulmonary artery. We performed complete repair at the age of 25 days. Intra-cardiac rerouting (VSD closure) was carried out through the tricuspid valve. Arterial switch procedure was performed without the Lecompte maneuver. His postoperative course was uneventful and he was discharged 19 days after the operation without any complications.
2.Complete Repair of Double Outlet Right Ventricle and Interrupted Aortic Arch (Arch Reconstruction+Arterial Switch Operation+Intra-ventricular Rerouting) after Bilateral Pulmonary Artery Banding
Shuichi Shiraishi ; Masashi Takahashi ; Maya Watanabe ; Ai Sugimoto ; Masanori Tsuchida
Japanese Journal of Cardiovascular Surgery 2014;43(5):265-269
We performed bilateral pulmonary artery banding (BPAB) through a median sternotomy on a four-day-old male infant with a double-outlet right ventricle (DORV) and interrupted aortic arch (IAA) who was delivered at 40 weeks of gestation. After urinary output improved, definitive repair was carried out 5 days later. Intra-ventricular rerouting was followed by arterial switch with the Lecompte maneuver. The aortic arch was reconstructed with direct anastomosis and the right ventricular outflow tract was augmented with a patch. The sternum was left open at the end of the procedure and the chest was closed on post-operative day (POD) 4. The patient was discharged from hospital on POD 78 after receiving treatment for pneumonia and chylothorax.
3.Sartorius Muscle Flap Coverage in Patients with Groin Wound Complications Subsequent to Vascular Surgical Procedure
Satoko Funata ; Tetsuro Uchida ; Azumi Hamasaki ; Atsushi Yamashita ; Jun Hayashi ; Ai Takahashi ; Mitsuaki Sadahiro
Japanese Journal of Cardiovascular Surgery 2017;46(6):330-333
After vascular surgical procedures, complications of the wounds in the groin region may sometimes lead to prosthetic graft infections or prolonged hospital stays. While some wounds heal completely during re-suture and VAC therapy, healing of other wounds that involve refractory graft infection, lymphorrhea, or a dead space, is extremely difficult. We performed tissue coverage using a Sartorius muscle flap for such difficult cases. The muscle is twisted onto itself to fill the dead space with some blood supply. Tissue coverage using a Sartorius muscle flap with adequate blood flow was effective in improving lymphorrhea and infection. We report four such cases where complications in the groin region were managed using a Sartorius muscle flap for wounded coverage.
5.Perceptions of older adults and generativity among older citizens in Japan: a descriptive cross-sectional study
Yuho SHIMIZU ; Tomoya TAKAHASHI ; Kenichiro SATO ; Susumu OGAWA ; Daisuke CHO ; Yoshifumi TAKAHASHI ; Daichi YAMASHIRO ; Yan LI ; Keigo HINAKURA ; Ai IIZUKA ; Tomoki FURUYA ; Hiroyuki SUZUKI
Osong Public Health and Research Perspectives 2023;14(5):427-432
Objectives:
As the population ages worldwide, including in Japan, there is a growing expectation for older adults to remain active participants in society. The act of sharing one’s experiences and knowledge with younger generations through social engagement not onlyenriches the lives of older individuals, but also holds significant value for our society. In thisstudy, we examined both positive and negative perceptions of older adults and investigated the correlation between these perceptions and generativity among older citizens. Additionally, we evaluated the impact of life satisfaction on these factors.
Methods:
We conducted a survey of 100 older adults in Japan (mean age, 71.68 years) and utilized multiple regression analyses, using positive and negative perceptions of older adults, life satisfaction, and demographic factors as independent variables. The sub-categories of generativity—namely, generative action, concern, and accomplishment—were used as dependent variables.
Results:
Participants who held a more positive perception of older adults demonstrated a higher level of generative actions and concerns. Additionally, participants who reported higher levels of life satisfaction also exhibited more generative actions, concerns, and accomplishments. Conversely, those who held a more negative perception of older adults were found to have higher levels of generative actions.
Conclusion
Enhancing positive perceptions of older adults among them can boost the subcategories of generativity. This study, which was conducted from an exploratory perspective, has several limitations, including a potential sampling bias. A more comprehensive examination of the relationship between perceptions of older adults and generativity is anticipated in future research.
6.Double-Orifice Tricuspid Valve Visualized by Three-Dimensional Transthoracic Echocardiography.
Kikuko OBASE ; Karima ADDETIA ; Kazue TAKAHASHI ; Katsunori YAMAMOTO ; Ai KAWAMURA ; Tomoko TAMADA ; Koichiro IMAI ; Shiro UEMURA
Journal of Cardiovascular Ultrasound 2016;24(3):253-255
No abstract available.
Echocardiography*
;
Echocardiography, Three-Dimensional
;
Tricuspid Valve*
7.U-40 Column Advanced Lecture Course
Kunihiko YOSHINO ; Kenichiro TAKAHASHI ; Eigo IKUSHIMA ; Ai ISHIZAWA ; Keiichi ISHIDA ; Yuki IMAMURA ; Yusuke KINUGASA ; Kazuma DATE ; Sayako NAKAGAWA ; Toshihiko NISHI ; Ryosuke NUMAGUCHI ; Shotaro HIGA ; Yutaro MATSUNO ; Chiharu TANAKA
Japanese Journal of Cardiovascular Surgery 2022;51(2):2-U1-2-U4
The importance of off the job training in surgical education are widely recognized. The Japanese Board of Cardiovascular Surgery has required a board candidate to do at least 30 hours of off the job training from 2017. U-40 Basic Lecture Course are held annually for young cardiovascular surgeon to learn about basic surgical skills. U-40 Advanced Lecture Course was started to provide opportunity to have more advanced hands-on lecture for young cardiovascular surgeon. However, after the COVID-19 pandemic, the opportunity to hold hands-on seminars are highly limited. In such circumstances, we held a hybrid hands-on seminar. We report details about the hybrid hands-on seminar.
8.Population based cohort study for Pediatric Infectious Diseases research in Vietnam
Lay-Myint Yoshida ; Motoi Suzuki ; Vu Dinh Thiem ; Wolf Peter Smith ; Ataru Tsuzuki ; Vu Thi Thu Huong ; Kensuke Takahashi ; Masami Miyakawa ; Nguyen Thi Hien Anh ; Kiwao Watanabe ; Nguyen Thu Thuy Ai ; Le Huu Tho ; Paul Kilgore ; Hiroshi Yoshino ; Michiko Toizumi ; Michio Yasunami ; Hiroyuki Moriuchi ; Dang Duc Anh ; Koya Ariyoshi
Tropical Medicine and Health 2014;():-
A population-based cohort study on pediatric infectious diseases was established at Khanh Hoa Province, central Vietnam in 2006, to determine the etiology and risk factors for severe pediatric infectious diseases (SPID) such as acute respiratory infection (ARI), diarrhea and dengue which are the major causes of under 5 mortality. A population census survey was conducted in Nha-Trang and Ninh-Hoa to collect demographic, social-behavioral data and disease burden on SPID. The study site covered a population of 353,525 residing in 75,826 households with 24,781 children less than 5 years. Hospital databases from two hospitals covering the region were obtained. Linking the census and hospital databases, we were able to investigate on a variety of SPID such as environmental tobacco smoking exposure and increased risked of pediatric pneumonia hospitalization, population density, water supply and risk of dengue fever and animal livestock and risk of hospitalized diarrhea. To determine incidence, viral etiology and risk factors for pediatric ARI/pneumonia, we setup a population based prospective hospitalized Pediatric ARI surveillance at Khanh Hoa General Hospital, Nha-Trang in February 2007. The study has revealed RSV, rhinovirus and influenza A as major viral pathogens, role of multiple viral infection and its interaction with bacteria in the development of pneumonia. In addition, we are also conducting a birth cohort study to investigate the incidence of congenital infection and its impact on physical-neurological development, and role of host genetic polymorphism on SPID hospitalization in Vietnam. Population mobility, high cost of regular census update and low mortality are the challenges.
9.Population Based Cohort Study for Pediatric Infectious Diseases Research in Vietnam
Lay-Myint Yoshida ; Motoi Suzuki ; Vu Dinh Thiem ; Wolf Peter Smith ; Ataru Tsuzuki ; Vu Thi Thu Huong ; Kensuke Takahashi ; Masami Miyakawa ; Nguyen Thi Hien Anh ; Kiwao Watanabe ; Nguyen Thu Thuy Ai ; Le Huu Tho ; Paul Kilgore ; Hiroshi Yoshino ; Michiko Toizumi ; Michio Yasunami ; Hiroyuki Moriuchi ; Dang Duc Anh ; Koya Ariyoshi
Tropical Medicine and Health 2014;42(2SUPPLEMENT):S47-S58
A population-based cohort study on pediatric infectious diseases was established at Khanh Hoa Province, central Vietnam in 2006, to determine the etiology and risk factors for severe pediatric infectious diseases (SPID) such as acute respiratory infection (ARI), diarrhea and dengue which are the major causes of under 5 mortality. A population census survey was conducted in Nha-Trang and Ninh-Hoa to collect demographic, social-behavioral data and disease burden on SPID. The study site covered a population of 353,525 residing in 75,826 households with 24,781 children less than 5 years. Hospital databases from two hospitals covering the region were obtained. Linking the census and hospital databases, we were able to investigate on a variety of SPID such as environmental tobacco smoking exposure and increased risked of pediatric pneumonia hospitalization, population density, water supply and risk of dengue fever and animal livestock and risk of hospitalized diarrhea. To determine incidence, viral etiology and risk factors for pediatric ARI/pneumonia, we setup a population based prospective hospitalized Pediatric ARI surveillance at Khanh Hoa General Hospital, Nha-Trang in February 2007. The study has revealed RSV, rhinovirus and influenza A as major viral pathogens, role of multiple viral infection and its interaction with bacteria in the development of pneumonia. In addition, we are also conducting a birth cohort study to investigate the incidence of congenital infection and its impact on physical-neurological development, and role of host genetic polymorphism on SPID hospitalization in Vietnam. Population mobility, high cost of regular census update and low mortality are the challenges.