Advance

ASADA Satoshi

    Department of Medicine　Lecturer
Last Updated :2024/05/15

Researcher Information

Degree

  • Doctor of Philosophy（2019/07 Kyoto Prefectural University of Medicine）

URL

Research funding number

  • 00567646

ORCID ID

J-Global ID

Published Papers

  • Satoshi Asada; Shinichiro Oda; Yoshinobu Maeda; Shuhei Fujita; Hisayuki Hongu; Eijiro Yamashita; Hiroki Nakatsuji; Takashi Nagase; Rie Nakai; Takaaki Hayashi; Jin Ikarashi; Yasutaka Goto; Masaaki Yamagishi
    European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery 2024/03 
    OBJECTIVES: After staged reconstruction for hypoplastic left heart syndrome (HLHS), the neoaortic root tends to dilate, and the incidence of significant neoaortic valve insufficiency increases with time. This study aimed to evaluate the mid-term outcomes of the neoaortic root geometries and valve function after chimney reconstruction in the Norwood procedure. METHODS: Between 2013 and 2021, 20 consecutive patients who underwent chimney reconstruction during the Norwood procedure for HLHS and its variants in our institution were enrolled. The actual diameters of the following points were measured, and Z-scores were calculated based on the normal aortic root geometries using the long axis view of echocardiography at the pre-Norwood stage and the lateral view of angiography at pre-Glenn, pre-Fontan, post-Fontan, and follow-up (age 5-6 years) stages: neoaortic valve annulus; sinus of Valsalva; sinotubular junction; and ascending aorta just proximal to the anastomosis to the aortic arch. The degree of neoaortic valve regurgitation was evaluated by echocardiography at each stage. RESULTS: The median follow-up period was 3.9 years. Neo-aortic roots after chimney reconstruction were spared from progressive dilation over time. With growth, the conical configuration of the neoaortic roots was preserved without geometrical distortion. The Z-scores of the annulus, sinus of Valsalva, sinotubular junction, and ascending aorta ranged roughly from 4 to 6, 4 to 6, 2 to 4, and 0 to 2, respectively. All neoaortic valves at each stage had mild or no regurgitation. CONCLUSIONS: Chimney reconstruction prevented neoaortic root dilation and avoided significant neoaortic valve regurgitation in the mid-term. These neoaortic dimensions with smooth flow profiles in the neo-aorta after chimney reconstruction may have contributed to the current results. Further studies are needed to clarify the long-term outcomes.
  • Yuki Tamagawa; Masashi Kawamura; Kana Shibata; Satoshi Asada; Masahiro Ryugo; Yasush I Tsutsumi; Osamu Monta
    General thoracic and cardiovascular surgery 2023/09 
    OBJECTIVE: Aortic dilatation concurrent with aortic valve disease is a common condition. However, the incidence of aortic dissection after aortic valve replacement for tricuspid aortic valve has not been fully investigated. Therefore, we performed a risk factor analysis for the incidence of aortic dissection after aortic valve replacement in patients with tricuspid aortic valve. METHODS: We retrospectively reviewed 599 patients who underwent aortic valve replacement at our hospital between January 2000 and December 2020. We performed a risk factor analysis for the incidence of aortic dissection after aortic valve replacement in patients with tricuspid aortic valve. RESULTS: Seven patients developed late aortic dissections during the follow-up period. All patients with aortic dissection underwent aortic valve replacement for aortic regurgitation. Multivariable analysis revealed that aortic regurgitation was an independent predictor of aortic dissection (p < 0.0001). The mean ascending aortic diameter at aortic valve replacement for aortic regurgitation was significantly greater in patients with aortic dissection than in those without aortic dissection (46 [43.5-46] mm vs. 39 [36-42] mm, p < 0.001). The predictive cutoff value of ascending aortic diameter was indicated using receiver operating characteristic curve analysis; 46.0 mm (area under the curve: 0.8987). Freedom rates from aortic dissection in patients with aortic regurgitation and an ascending aortic diameter ≥ 46 mm were significantly lower than those in patients with an ascending aortic diameter < 46 mm (66.7% vs. 100% at 5 years, p < 0.0001). CONCLUSION: Aortic regurgitation combined with ascending aortic dilatation at aortic valve replacement could be a significant risk factor for late aortic dissection.
  • Satoshi Asada; Masaaki Yamagishi; Shinichiro Oda; Yosinobu Maeda; Shuhei Fujita; Hisayuki Hongu; Eijiro Yamashita; Hiroki Nakatsuji; Takashi Nagase; Rie Nakai; Takaaki Hayashi
    JTCVS techniques 20 138 - 142 2023/08
  • Koichi Akiyama; Isaac Y Wu; Kei Hori; Hiroatsu Sakamoto; Reiko Kosumi; Hirokazu Koto; Satoshi Asada; Yasufumi Nakajima
    Journal of cardiothoracic and vascular anesthesia 37 (9) 1833 - 1834 2023/05
  • Hisayuki Hongu; Shinichiro Oda; Yoshinobu Maeda; Satoshi Asada; Shuhei Fujita; Eijiro Yamashita; Takashi Nagase; Masaaki Yamagishi
    European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery 64 (2) 2023/05 
    OBJECTIVES: To more accurately predict the optimal pulmonary artery (PA) reconstruction procedure (Lecompte manoeuvre or original Jatene procedure) during the arterial switch operation (ASO), we focused on the horizontal sectioning (HS) angle between the left hilum PA and the great arteries using preoperative computed tomography (CT) imaging. METHODS: We defined the HS angle α (β) as the angle between the tangential line from the posterior (anterior) wall of the left PA at the hilum to the left anterior (right posterior) surface of the main PA and the tangential line from the left surface of the ascending aorta to the left anterior (right posterior) surface of the main PA. We identified 14 consecutive patients diagnosed with transposition of the great arteries (TGA) or TGA-type double-outlet right ventricle who underwent preoperative CT imaging. The original Jatene or Lecompte procedure was used for nine (OJ group) and five (L group) patients. Relationships of the great arteries of the OJ and L groups were side-by-side in eight and two patients, oblique in one and one patient, and anteroposterior in zero and two patients, respectively. RESULTS: In the OJ group, β was greater than α in all patients. The median α/β value was 0.618. In group L, α was greater than β in all patients. The median α/β was 1.307. Left PA stenosis caused by stretching was not observed in the L group. Coronary obstruction was not identified in the OJ group. Left PA stenosis behind the neo-ascending aorta was observed in one patient in the OJ group and required reoperation. CONCLUSIONS: The HS angle may be a useful predictor of optimal intraoperative PA reconstruction during ASO, especially for side-by-side or oblique relationships.
  • Takashi Nagase; Masaaki Yamagishi; Yoshinobu Maeda; Satoshi Asada; Hisayuki Hongu; Eijiro Yamashita; Rie Nakai; Hitoshi Yaku
    The Annals of thoracic surgery 115 (1) e11-e13  2023/01 
    In pediatric cardiovascular surgery, the autologous pericardium is useful for pulmonary artery augmentation. However, in some cases, the autologous pericardium may not be available for various reasons. Since 2014, we have developed tissue-engineered vascular grafts (TEVGs) and obtained good results. We report a successful case of multiple pulmonary artery plasty with TEVGs for pulmonary atresia/ventricular septal defect with major aortopulmonary collateral arteries. TEVGs are useful alternatives to autologous pericardium in pediatric cardiovascular operations that often require multistage procedures.
  • Takashi Nagase; Masaaki Yamagishi; Yoshinobu Maeda; Satoshi Asada; Hisayuki Hongu; Eijiro Yamashita; Rie Nakai; Hitoshi Yaku
    Asian cardiovascular & thoracic annals 30 (8) 931 - 934 2022/10 
    Left ventricular aneurysms are rarely encountered in pediatric patients. A 4-year-old boy was diagnosed with severe mitral regurgitation and a posterior left ventricular aneurysm associated with a viral infection. The aneurysm was surgically resected and plicated longitudinally with a combination of an interrupted mattress and continuous over-and-over sutures with an outer felt reinforcement. The mitral regurgitation was reduced to a trivial degree postoperatively. The patient's postoperative recovery was good. He was discharged 31 days after surgery without cardiac dysfunction or lethal arrhythmia. Considering the location and spread of the aneurysm, an appropriate surgical procedure should be adopted for pediatric patients.
  • Yu Hohri; Masaaki Yamagishi; Yoshinobu Maeda; Satoshi Asada; Hisayuki Hongu; Satoshi Numata; Hitoshi Yaku
    Interactive cardiovascular and thoracic surgery 35 (2) 2022/07 
    OBJECTIVES: Coronary artery bypass grafting (CABG) has been reported for coronary artery diseases in patients with Kawasaki disease and coronary artery complications after arterial switch operations for transposition of the great arteries. However, only a few studies have explored this modality for congenital coronary artery anomalies. As congenital coronary artery anomalies, particularly left coronary artery atresia and stenosis, are one of the reasons for sudden death, coronary revascularization is often required in infants and young children. Therefore, we aimed to investigate the outcome of CABG for such anomalies in infants and young children. METHODS: From 2014 to 2018, 3 infants and 2 children (median age: 10 months; range: 6-40 months) with coronary artery anomalies underwent CABG at our hospital. The indications for the procedure included left main coronary artery atresia and stenosis in 2 and 3 patients, respectively. Graft patency was evaluated postoperatively by contrast-enhanced computed tomography or coronary angiography, and postoperative outcomes (including death and cardiac events) were assessed during the follow-up period. RESULTS: No 30-day or in-hospital mortalities were noted. Postoperative examinations revealed patent grafts in all patients. They were discharged without any cardiac complications. Regarding the outcomes at the follow-up period, the graft patency rate was 80.0% (4/5 grafts), with no deaths or cardiac events. CONCLUSIONS: CABG is a useful strategy for coronary revascularization in infants and young children with coronary artery anomalies. Although the mid-term outcomes and patency are satisfactory, careful follow-up is necessary because the long-term outcomes remain unknown.
  • Satoshi Asada; Masaaki Yamagishi; Keiichi Itatani
    JTCVS open 10 350 - 351 2022/06
  • Satoshi Asada; Masaaki Yamagishi; Yoshinobu Maeda; Keiichi Itatani; Shuhei Fujita; Hisayuki Hongu; Hiroki Nakatsuji; Hitoshi Yaku
    European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery 60 (6) 1408 - 1416 2021/12 
    OBJECTIVES: Pulmonary artery (PA) compression by the neoaorta is a serious complication after the Norwood-type palliation (NP) for hypoplastic left heart syndrome. Either excess patch tailoring or limited use of autologous tissue may cause narrowing of the subaortic space. The chimney technique could theoretically provide a wide subaortic space. METHODS: Twenty-nine patients with both pre- and post-NP computed tomography data available of the 37 consecutive patients who underwent NP in our institution were reviewed. Arch height, arch width, sinus of Valsalva diameter, area under the neoaortic arch and arch angle were measured. These patients were divided according to the neo-arch reconstruction technique, chimney reconstruction technique (CR) or conventional direct reconstruction technique (DR). RESULTS: Median age and weight at NP were 2.1 months and 3.5 kg, respectively. Twenty-two patients underwent previous bilateral PA banding. During NP, 17 CR and 12 DR were performed. Four patients in the DR group developed PA compression. No neoaortic arch dilatation was found in either group. Post-NP arch width, area under the neo-arch and the arch angle were significantly larger in the CR group. Pre-NP arch height was significantly smaller in DR patients with PA compression than in those without. CONCLUSIONS: The chimney technique decreased the risk of PA compression and provided a wider subaortic space and a less acute arch angle. This technique had no short-term effect on the neoaortic root. Small preoperative arch height is a potential risk factor for PA compression in DR, and the chimney technique could be an effective solution.
  • Hisayuki Hongu; Masaaki Yamagishi; Yoshinobu Maeda; Keiichi Itatani; Satoshi Asada; Shuhei Fujita; Hiroki Nakatsuji; Hitoshi Yaku
    Interactive cardiovascular and thoracic surgery 33 (1) 101 - 109 2021/06 
    OBJECTIVES: To compare conventional procedures with the half-turned truncal switch operation (HTTSO) for the management of complete transposition of the great arteries with left ventricular outflow tract (LVOT) obstruction using time-resolved 3-dimensional magnetic resonance phase-contrast imaging. METHODS: We identified 2 cases that underwent the Rastelli procedure and one case that underwent the Réparation a l'étage ventriculaire before 2002 [conventional procedures group (group C)], and 16 cases of HTTSO that were performed between 2002 and 2020 [HTTSO group (group H)]. Postoperative haemodynamics were assessed using time-resolved 3-dimensional magnetic resonance phase-contrast imaging in cases in both groups. RESULTS: The median follow-up period was 20.4 years in group C, and 6.1 years in group H. In group C, all 3 patients underwent reoperation because of postoperative right ventricular outflow tract obstruction and/or insufficiency. In addition, permanent pacemaker implantation was needed in 1 patient because of complete atrioventricular block complicated by ventricular septal defect enlargement. In group H, reoperation for LVOT/right ventricular outflow tract obstruction was not needed. A time-resolved 3-dimensional magnetic resonance phase-contrast imaging examination revealed high energy loss and wall shear stress in the winding LVOT in the group C. In contrast, low energy loss and wall shear stress, with straight and smooth LVOT, were identified in group H. CONCLUSIONS: HTTSO was shown to be superior to conventional procedures because a straight and wide LVOT could be obtained. Therefore, HTTSO should be the first choice for complete transposition of the great arteries with LVOT obstruction.
  • Shuhei Fujita; Masaaki Yamagishi; Takako Miyazaki; Yoshinobu Maeda; Keiichi Itatani; Yusuke Yamamoto; Satoshi Asada; Hisayuki Hongu; Hiroki Nakatsuji; Hitoshi Yaku
    European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery 58 (6) 1274 - 1280 2020/12 
    OBJECTIVES: In Japan, homograft and bovine jugular vein are available in very limited institutions for the reconstruction of the right ventricular outflow tract, and handmade expanded polytetrafluoroethylene (ePTFE)-valved conduits have been widely used instead. This study aimed to clarify the long-term outcomes and the durability of the ePTFE-valved conduits purely by narrowing down to those with large sizes to eliminate the influence of the body growth. METHODS: Between January 2002 and December 2015, patients who underwent right ventricular outflow tract reconstruction in 34 Japanese institutions using ePTFE-valved conduits with a diameter of ≥18 mm were included. All the valved conduits were made in the authors' institution and delivered to each participating institution. RESULTS: Overall, 502 patients were included. Early mortality was 1.4% and not related to conduit failure. The overall survival rate was 98.2% at 5 years and 96.6% at 10 years. Freedom from conduit explantation was 99.5% at 5 years and 89.0% at 10 years. Three patients (0.13 per 100 patient-years) developed infective endocarditis of the conduit, and only 1 patient required conduit removal. Pulmonary insufficiency was mild or less in 480 (96%) patients, and conduit stenosis was mild or less in 436 (88%) patients at the latest follow-up. CONCLUSIONS: By narrowing the analyses down to only ePTFE conduits with a large size, satisfactory long-term outcomes of these conduits with a fan-shaped valve and bulging sinuses were shown. These conduits would be among the optimal choices for right ventricular outflow tract reconstruction.
  • Masahiro Ryugo; Osamu Monta; Shunsuke Saitou; Satoshi Asada; Yuuki Tamagawa; Takayuki Takehara; Yasushi Tsutsumi
    Kyobu geka. The Japanese journal of thoracic surgery 73 (11) 895 - 900 0021-5252 2020/10 
    OBJECTIVE: We aimed to determine the incidence and risk of acute kidney injury (AKI) in patients after cardiac surgery, and to assess the effects of less invasive cardiac surgery on the prevention of postoperative AKI. METHODS: We retrospectively analyzed perioperative parameters in patients who underwent cardiac surgery. Risk factors for AKI were determined using univariate and multiple logistic regression models. The incidence of postoperative AKI was also compared between conventional and minimally invasive cardiac surgeries. RESULTS: Among 126 patients, 36 (28.6%) who developed postoperative AKI stayed significantly longer in the intensive care unit(ICU), required prolonged postoperative ventilation and had a higher frequency of renal replacement therapy. Multivariate analysis revealed cardio-pulmonary bypass (CPB) duration and red blood cell transfusion as independent risk factors for postoperative AKI. The incidence of postoperative AKI was significantly lower after off-pump coronary artery bypass grafting than conventional coronary artery bypass grafting (CABG)(0% versus 11%, p=0.025), and after minimally invasive cardiac surgery compared with conventional valve surgery( 4% versus 44%, p=0.01) Conclusion:The duration of CPB and red blood cell transfusion were considered independent factors for the development of postoperative AKI. Less invasive cardiac surgeries might protect against postoperative AKI.
  • Shuhei Fujita; Masaaki Yamagishi; Yoshinobu Maeda; Keiichi Itatani; Satoshi Asada; Hisayuki Hongu; Eijiro Yamashita; Yuji Takayanagi; Hiroki Nakatsuji; Hitoshi Yaku
    European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery 57 (6) 1105 - 1112 2020/06 
    OBJECTIVES: The aim of this study was to clarify the impact of valved systemic ventricle-pulmonary artery (SV-PA) shunt on outcomes after stage-1 Norwood-type palliation (NP) compared with the modified Blalock-Taussig shunt. METHODS: Consecutive patients who underwent NP between 2003 and 2019 were enrolled. SV-PA shunts using the expanded polytetrafluoroethylene valved conduit were implanted in 18 patients (valved SV-PA group), and another 18 patients underwent modified Blalock-Taussig shunt during NP (modified Blalock-Taussig shunt group). All valved conduits were made in our institution in advance. RESULTS: No differences in baseline characteristics were found between the groups, except for shunt size. During a median 2.9 (interquartile range 0.4-6.4, maximum 14.2) years of follow-up, 8 (22.2%) patients died across both groups. There were no statistically significant differences in early mortality (5.5% vs 11.1%, P = 0.55) and overall survival rates at 5 years (80.8% vs 71.4%, P = 0.48) in the valved SV-PA and modified Blalock-Taussig shunt groups. No statistically significant difference was observed in the frequency of interventions between the groups (31% vs 33%, P = 1.0). At the time of the bidirectional Glenn procedure, the systemic ventricular end-diastolic volume index was significantly lower (84 ± 24 vs 106 ± 31 ml/m2, P = 0.05) and the ejection fraction was significantly greater (62 ± 8% vs 55 ± 9%, P = 0.03) in the valved SV-PA group. There was no statistically significant difference in the pulmonary artery index (228 ± 85 vs 226 ± 60 mm2/m2, P = 0.92). CONCLUSIONS: A valved SV-PA shunt using an expanded polytetrafluoroethylene valved conduit was associated with preserved ventricular function after NP and did not impair pulmonary artery growth by controlling pulmonary regurgitation.
  • Takako Miyazaki; Masaaki Yamagishi; Yusuke Yamamoto; Keiichi Itatani; Satoshi Asada; Shuhei Fujita; Hisayuki Hongu; Yoshinobu Maeda; Hitoshi Yaku
    European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery 56 (4) 671 - 678 2019/10 
    OBJECTIVES: The objective of this study was to evaluate our late outcomes using expanded polytetrafluoroethylene (ePTFE) valved patches with bulging sinuses and a fan-shaped valve for right ventricular outflow tract (RVOT) reconstruction. METHODS: Six hundred and ninety patients underwent RVOT reconstruction using fan-shaped ePTFE valves and ePTFE valved patches with a bulging sinus. The patients' median age and weight were 1.3 years [range 4 days-64.2 years, interquartile range (IQR) 0.9-2.3 years] and 8.7 (range 2.8-83.1, IQR 7.4-10.5) kg, respectively. The patches were monocuspid in 634 patients, bicuspid in 49 patients and tricuspid in 7 patients. Preoperative and postoperative data were collected retrospectively from the patients' medical records. The longest follow-up period was 17.5 (7.6 ± 3.9) years. RESULTS: There were no deaths related to the ePTFE patch. Pulmonary insufficiency was less than mild in 77.3%, and the peak RVOT gradient was <36 mmHg in 92.3% at the latest follow-up. Redo of RVOT reconstruction was performed in 40 patients, in no cases because of patch infection. Overall freedom from reoperation at 5, 10 and 15 years was 96.5%, 93.1% and 87.9%, respectively; by patient age, the rates at 5, 10 and 15 years for those younger than 1 year were 93.2%, 91.0% and 88.9%, respectively, while for those 1 year or older, they were 97.9%, 94.0% and 88.3%, respectively. CONCLUSIONS: Satisfactory long-term outcomes were achieved with ePTFE patches with a bulging sinus and a fan-shaped valve. This ePTFE valved patch could be the optimal choice for RVOT reconstruction.
  • Satoshi Asada; Masaaki Yamagishi; Keiichi Itatani; Yoshinobu Maeda; Satoshi Taniguchi; Shuhei Fujita; Hisayuki Hongu; Hitoshi Yaku
    Interactive cardiovascular and thoracic surgery 29 (2) 252–259  2019/08 
    OBJECTIVES: The ideal configuration of a reconstructed aortic arch in the Norwood procedure for hypoplastic left heart syndrome is still a matter of debate. Chimney reconstruction was developed to avoid postoperative complications and turbulent flow in the aortic arch. This study sought to clarify early outcomes of the procedure and verify its haemodynamic advantages using computational fluid dynamics (CFD). METHODS: Fourteen consecutive patients with hypoplastic left heart syndrome or a variant who underwent chimney reconstruction in the Norwood procedure between January 2013 and March 2018 were enrolled. Median age and body weight at the time of operation were 2.5 months and 4.1 kg, respectively. Thirteen patients (93.9%) had been palliated with previous bilateral pulmonary artery (PA) banding. In addition, patient-specific CFD models of neoarches based on postoperative computed tomograms from 6 patients were created and the flow profiles analysed. RESULTS: Survival rates at 1, 3 and 5 years were 76.6%, 67.3% and 67.3%, respectively. No patient developed left PA compression by neoaorta, neoaortic dilation or neoaortic insufficiency. Only 2 patients (14.3%) required surgical intervention for recoarctation. Fontan completion was performed on 5 patients. On CFD analysis, all reconstructed aortic arches showed low energy loss (9.16-14.4 mW/m2) and low wall shear stresses. CONCLUSIONS: Chimney reconstruction was a feasible technique when homografts were not readily available. CFD analyses underscored the fact that this technique produced excellent flow profiles. Larger studies should be conducted to clarify long-term outcomes.
  • Takura Taguchi; Shunsuke Saito; Osamu Monta; Masahiro Ryugo; Satoshi Asada; Shohei Yamada; Yasushi Tsutsumi
    The Annals of thoracic surgery 108 (2) e123  2019/08
  • Hisayuki Hongu; Masaaki Yamagishi; Yoshinobu Maeda; Keiichi Itatani; Satoshi Asada; Shuhei Fujita; Hitoshi Yaku
    The Journal of thoracic and cardiovascular surgery 157 (5) 1970 - 1977 2019/05 
    OBJECTIVE: Conventional procedures for partial anomalous pulmonary venous return (PAPVR) to the superior vena cava (SVC) still have serious complications, such as late SVC and/or pulmonary venous obstruction and supraventricular arrhythmia. We aimed to introduce our newly developed surgical technique with minimum right atriotomy and double-barreled arrangement of systemic and pulmonary venous channels (double-decker technique). METHODS: From 1998 to 2018, 21 consecutive patients with PAPVR to the SVC underwent this new procedure. The patients' median age and body weight were 4.4 years and 16.5 kg, respectively. Two female patients underwent lateral thoracotomy. Postoperative hemodynamics of both venous channels were assessed using time-resolved 3-dimensional magnetic resonance phase contrast imaging in 6 patients. RESULTS: The median follow-up period was 11.0 years. There was no early mortality and late death. No patient required reoperation and/or intervention. All patients maintained normal sinus rhythm, and supraventricular arrhythmia did not occur. The median blood flow velocity of the neo-SVC and neopulmonary venous channel was 0.40 and 0.30 m/s, respectively. Using time-resolved 3-dimensional magnetic resonance phase contrast imaging, the straight and nonrestrictive flow and low wall shear stress were visualized in both venous channels. CONCLUSIONS: Our newly developed double-decker technique is a useful alternative surgical procedure for PAPVR to the SVC. Late complications can be completely avoided using this method. Growth potential of both channels is also maintained.
  • Satoshi Asada; Masaaki Yamagishi; Koichi Nishida; Shintaro Okazaki; Yoshinobu Nakayama; Osamu Monta; Yasushi Tsutsumi; Hirokazu Ohashi
    The Annals of thoracic surgery 107 (1) e51-e53  2019/01 
    Anomalous origin of the coronary artery from the aortic arch associated with hypoplastic left heart syndrome is an extremely rare anomaly. Coronary anomalies can significantly deteriorate the clinical outcomes of hypoplastic left heart syndrome. We describe the case of a newborn with concomitant hypoplastic left heart syndrome and abnormal origin of the left coronary artery arising from the distal aortic arch.
  • Hisayuki Hongu; Masaaki Yamagishi; Takako Miyazaki; Yoshinobu Maeda; Satoshi Taniguchi; Satoshi Asada; Shuhei Fujita; Hitoshi Yaku
    The Annals of thoracic surgery 106 (5) 1421 - 1428 2018/11 
    BACKGROUND: Conventional Rastelli, Lecompte, and Nikaidoh operations are accepted as standard techniques for complete transposition of the great arteries (TGA) with left ventricular outflow tract (LVOT) obstruction. These operations show serious drawbacks, however, including postoperative obstruction of both ventricular outflow tracts. We developed the half-turned truncal switch operation (HTTSO) to address these problems. METHODS: Between 2002 and 2017, 14 patients underwent HTTSO. Median age was 1.2 years and median body weight was 8.3 kg. Diagnosis was TGA with pulmonary stenosis in 9 cases, TGA-type double-outlet right ventricle in 4, and TGA with degenerative pulmonary valve after pulmonary arterial banding in 1. The coronary artery was Yacoub type A in 13 and type D in 1. Four patients had a small right ventricle. Pulmonary-aortic annular diameter ratio ranged from 0.43 to 1.00. The right ventricular outflow tract was augmented using a monocuspid polytetrafluoroethylene valved patch in 8 cases. Autologous pulmonary annulus was preserved in 6 cases. RESULTS: Median follow-up was 5.2 years. No early mortality was encountered. Only 1 patient was lost due to arrhythmia, 11 months after HTTSO. No patients showed coronary insufficiency and no outflow tract obstruction was identified. Aortic regurgitation was within mild degree in 12 cases. Additional mitral valvular annuloplasty was required in 3 cases late after HTTSO for moderate-to-severe mitral regurgitation. Risk factors for late death and reoperation were low age and body weight at HTTSO. CONCLUSIONS: HTTSO is useful for TGA with LVOT obstruction, ensuring wide, straight ventricular outflow tracts and growth potential.
  • Yusuke Yamamoto; Masaaki Yamagishi; Takako Miyazaki; Satoshi Asada; Yoshinobu Maeda; Hitoshi Yaku; Hideaki Kado
    The Journal of thoracic and cardiovascular surgery 156 (4) 1629 - 1636 2018/10 
    OBJECTIVES: The expanded polytetrafluoroethylene conduit with fan-shaped leaflets and bulging sinuses for right ventricular outflow tract reconstruction was modified with a newly developed thin-type expanded polytetrafluoroethylene leaflet. The purpose of this study was to evaluate the clinical outcomes and hemodynamic performance of the modified conduit. METHODS: From January 2010 to December 2013, 149 patients underwent definitive right ventricular outflow tract reconstruction using the expanded polytetrafluoroethylene conduit; the 55 patients receiving a conventional conduit (group N) were compared with the 94 patients receiving a modified conduit (group T). RESULTS: There were no conduit-related deaths, operative deaths, or reimplantations for conduit failure. The overall survival and freedom from reintervention for conduit-related reasons at 3 years were 98.2% versus 95.6% (P = .438) and 94.7% versus 97.9% (P = .954) for groups N and T, respectively. The mean peak pressure gradients were 22.6 ± 15.6 mm Hg versus 18.2 ± 11.5 mm Hg (P = .161), and in the subanalysis within small-sized conduits, they were 30.2 ± 16.5 mm Hg versus 20.4 ± 10.7 mm Hg (P = .034). Regarding conduit insufficiency, the modified conduit showed a significantly worse grade of insufficiency (P = .014) only in the subanalysis within large-sized conduits. CONCLUSIONS: Although the clinical outcomes did not differ within midterm observation, the thin-type expanded polytetrafluoroethylene leaflet was considered to be suitable for the small-sized conduits, but not for large-sized conduits, based on the comparison of the hemodynamic performance. Long-term follow-up is necessary to address the appropriate sheet type for middle-sized conduits and to estimate the durability of the thin-type leaflet.
  • Takuya Higuchi; Yasushi Tsutsumi; Osamu Monta; Satoshi Asada; Ryota Matsumoto; Shouhei Yamada; Hirokazu Ohashi
    General thoracic and cardiovascular surgery 66 (8) 471 - 475 2018/08 
    Catheter ablation provides effective results for sustained monomorphic ventricular tachycardia (VT), but the presence of mural thrombus including dense calcification occasionally causes unfavorable outcomes. The case of a 67-year-old man in whom sustained monomorphic VT, which was resistant to endocardial radiofrequency ablation, in the presence of mural thrombus including dense calcification after coronary artery bypass grafting was successfully treated by left ventricular reconstruction with cryoablation is reported.
  • Nobuyasu Kato; Masaaki Yamagishi; Keiichi Itatani; Takako Miyazaki; Yoshinobu Maeda; Satoshi Asada; Yoshiro Matsui; Hitoshi Yaku
    Interactive cardiovascular and thoracic surgery 26 (2) 293 - 300 2018/02 
    OBJECTIVES: To clarify the risk factors for abnormal degeneration of autologous pericardium, the mechanical stress on the endothelial tissue caused by turbulent blood flow in the pulmonary artery (PA) reconstructed with autologous pericardium and major aortopulmonary collateral arteries was assumed in pulmonary atresia and ventricular septal defect. METHODS: Patient-specific PA models were created for 6 patients based on their past computed tomography images taken after unifocalization of major aortopulmonary collateral arteries. Computational fluid dynamics models were created to simulate the physiological pulsatile flow including the peripheral reflection wave, characteristic impedance and autonomous regulation system. Flow streamline, wall shear stress (WSS) and the oscillatory shear index (OSI) were calculated from the simulated result. PA degeneration was evaluated with the computed tomography images before the intracardiac repair. RESULTS: Regions with physiological high WSS had fewer abnormal changes. Excessively high WSS was often detected at the anastomosis site of the reconstructed PA, and intimal thickening was found in these regions during intracardiac repair. Regions with high OSI and low WSS had dilated change within several months. In 1 patient, in particular, detached vortex flow occurred at the rectangular angle anastomosis site of the right PA in flow streamline, resulting in high OSI and low WSS with abnormal enlargement in the pericardium. CONCLUSIONS: Endothelial stress caused by blood flow would affect the degeneration of autologous pericardium and major aortopulmonary collateral arteries in the reconstructed PA. High OSI and low WSS might induce enlargement or dilatation, and excessively high WSS in the anastomosis site might induce intimal thickening.
  • Satoshi Asada; Masaaki Yamagishi; Takako Miyazaki; Yoshinobu Maeda; Satoshi Taniguchi; Shuhei Fujita; Hisayuki Hongu; Hitoshi Yaku
    The Annals of thoracic surgery 104 (5) e393-e395  2017/11 
    The double-switch operation for congenitally corrected transposition of the great arteries, in which the morphologic left ventricle is restored to the systemic circulation, is an effective surgical option. This case report describes an atrial switch technique without using supplemental material during the double-switch operation for congenitally corrected transposition of the great arteries associated with persistent left superior vena cava, with the systemic venous blood flow rerouted through the enlarged coronary sinus.
  • Satoshi Asada; Masaaki Yamagishi; Keiichi Itatani; Hitoshi Yaku
    The Journal of thoracic and cardiovascular surgery 154 (3) e51-e54  2017/09
  • Eijiro Yamashita; Masaaki Yamagishi; Takako Miyazaki; Yoshinobu Maeda; Yusuke Yamamoto; Nobuyasu Kato; Satoshi Asada; Hisayuki Hongu; Hitoshi Yaku
    The Annals of thoracic surgery 102 (4) 1336 - 44 2016/10 
    BACKGROUND: One of the critical factors limiting conduit longevity in right ventricular outflow tract (RVOT) reconstruction with homografts and xenografts is the small size of the conduit. The aim of our study was to assess the outcome of using smaller-sized expanded polytetrafluoroethylene (ePTFE) conduits with a fan-shaped valve and bulging sinuses for RVOT reconstruction. METHODS: This retrospective review examined 303 patients who underwent RVOT reconstruction with ePTFE conduits at 63 Japanese hospitals between 2003 and 2014. Inclusion criteria were a conduit size less than or equal to 16 mm and the use of operative treatment as the primary correction for underlying heart disease. Patients undergoing palliative procedures were excluded. RESULTS: Median follow-up was 1.7 years. Freedom from conduit replacement and freedom from conduit reintervention were 90.1% ± 4.8% and 77.2% ± 5.6%, respectively. The most common indication for conduit reintervention was pulmonary artery (PA) bifurcation stenosis (82%). Modeling z-scores as a dichotomous variable revealed that freedom from conduit reintervention for PA bifurcation stenosis was significantly decreased for conduits with a z-score greater than or equal to 1.4 compared with z-scores less than 1.4 (p = 0.036). There were 30 patients (9.9%) who experienced at least moderate conduit stenosis and 21 patients (6.9%) with at least moderate conduit insufficiency. Univariate Cox regression analysis showed that conduit size was a significant factor for conduit stenosis (p = 0.006). CONCLUSIONS: Excellent midterm outcomes were achieved with ePTFE valved conduits, even when using smaller sizes. Conduit z-scores around 1.4 were optimal for RVOT reconstruction in younger patients.
  • Nobuyasu Kato; Masaaki Yamagishi; Takako Miyazaki; Yoshinobu Maeda; Satoshi Asada; Hisayuki Hongu; Eijiro Yamashita; Hitoshi Yaku
    The Annals of thoracic surgery 102 (2) e125-7  2016/08 
    Right-sided interrupted aortic arch (IAA) is a rare cardiac anomaly. In general, the right bronchus sits higher than the left bronchus, so aortic arch reconstruction with a direct anastomosis has a risk of tracheal and bronchial obstruction. This report describes the successful definitive repair of a right-sided IAA in a 2.5-kg neonate by aortic arch reconstruction with a pulmonary autograft tube (PA tube). Postoperative three-dimensional multidetector computed tomography showed the reconstructed aortic arch without airway obstruction or aortic stenosis. The use of a PA tube is a simple and useful technique for aortic arch reconstruction in patients with a high risk of tracheal andbronchial obstruction, such as right-sided IAA.
  • Yoshinobu Maeda; Masaaki Yamagishi; Takako Miyazaki; Yusuke Yamamoto; Satoshi Taniguchi; Tomohito Kanzaki; Satoshi Asada; Hisayuki Hongu
    Kyobu geka. The Japanese journal of thoracic surgery 67 (4) 305 - 9 0021-5252 2014/04 
    In the recent years, the outcomes of treatment for hypoplastic left heart syndrome (HLHS) is improved because of perioperative management and procedure. We adopt a strategy of the primary Norwood procedure basically for neonates with HLHS, however bilateral pulmonary artery banding precede in patients with risk factors. In the Norwood procedure, aortic arch is reconstructed without artificial prostheses and pulmonary blood flow is supplied from the Blalock-Taussig shunt or the right ventricle-pulmonary artery shunt by case. We administer high dose vasodilators and nitric oxide gas with low resistance strategy after the Norwood procedure. The survival rate of patients with HLHS after 2005 is 84.2% in this strategy.

MISC

  • Klippel-Trenaunay-Weber症候群に合併した上腕動脈瘤破裂
    小谷 真介; 岡本 一真; 小川 達也; 浅田 聡; 湯上 晋太郎; 宮下 直也; 玉井 夢果; 坂口 元一  脈管学  63-  (Suppl.)  S187  -S188  2023/10
  • 「低侵襲心臓手術-現状と未来-」 安全で再現性のある胸腔鏡下弁膜症手術プログラム
    岡本 一真; 玉井 夢果; 宮下 直也; 湯上 晋太郎; 小谷 真介; 浅田 聡; 小川 達也; 坂口 元一  医工学治療  35-  (Suppl.)  47  -47  2023/05
  • 当院での完全大血管転位症に対する動脈スイッチ手術の遠隔期成績の検討
    永瀬 崇; 小田 晋一郎; 前田 吉宣; 浅田 聡; 藤田 周平; 本宮 久之; 山下 英次郎; 中井 理絵; 林 孝明; 山岸 正明  日本成人先天性心疾患学会雑誌  12-  (1)  127  -127  2023/01
  • 先天性心疾患におけるIn Vivo Tissue-Engineered Vascular Graftの臨床応用
    小田 晋一郎; 山岸 正明; 山南 将志; 前田 吉宣; 浅田 聡; 藤田 周平; 本宮 久之; 山下 英次郎; 永瀬 崇; 林 孝明; 神田 圭一  人工臓器  51-  (2)  S  -113  2022/10
  • 肺経カテーテル的肺動脈弁留置術(TPVI)の現状と今後 右室流出路再建におけるbulging sinus付きfan-shaped ePTFE valved conduit 1776本の遠隔成績(本邦65施設共同研究)
    本宮 久之; 小田 晋一郎; 前田 吉宣; 浅田 聡; 藤田 周平; 山下 英次郎; 永瀬 崇; 林 孝明; 山岸 正明  日本胸部外科学会定期学術集会  75回-  CPD1  -3  2022/10
  • シャント手術を極める 正中アプローチ体外循環使用下CoPA解除と中心肺動脈へのBlalock-Taussig shunt
    浅田 聡; 小田 晋一郎; 前田 吉宣; 藤田 周平; 本宮 久之; 山下 英次郎; 中辻 拡興; 永瀬 崇; 中井 理絵; 山岸 正明  日本胸部外科学会定期学術集会  75回-  CPD7  -5  2022/10
  • 大動脈弁輪前方拡大術(Konno、Ross-Konno手術)
    山岸 正明; 小田 晋一郎; 前田 吉宣; 浅田 聡; 藤田 周平; 本宮 久之; 山下 英次郎; 中辻 拡興; 中井 理恵; 林 孝明  日本胸部外科学会定期学術集会  75回-  CTA1  -2  2022/10
  • 心膜を用いた大動脈弁形成術の功罪 Tissue-Engineered Vascular Graftとエタノール処理自己心膜を用いた大動脈弁形成術例
    永瀬 崇; 小田 晋一郎; 前田 吉宣; 浅田 聡; 藤田 周平; 本宮 久之; 山下 英次郎; 林 孝明; 山岸 正明  日本胸部外科学会定期学術集会  75回-  CVW2  -3  2022/10
  • ePTFE valved conduitによる右室流出路再建後の成長に伴うprosthesis-patient mismatch
    藤田 周平; 小田 晋一郎; 前田 吉宣; 浅田 聡; 本宮 久之; 山下 英次郎  日本胸部外科学会定期学術集会  75回-  BAA1  -3  2022/10
  • 低形成肺動脈を合併する先天性心疾患におけるIn Vivo Tissue-Engineered Vascular Graftを用いた肺動脈拡大形成術の有用性と展望
    前田 吉宣; 山岸 正明; 小田 晋一郎; 浅田 聡; 藤田 周平; 本宮 久之; 中辻 拡興; 山下 英次郎; 永瀬 崇; 中井 理絵; 林 孝明; 神田 圭一; 夜久 均  日本胸部外科学会定期学術集会  75回-  COP6  -6  2022/10
  • Ross手術の成績と未来
    前田 吉宣; 山岸 正明; 小田 晋一郎; 浅田 聡; 藤田 周平; 本宮 久之; 中辻 拡興; 山下 英次郎; 永瀬 崇; 中井 理絵; 林 孝明; 夜久 均  日本胸部外科学会定期学術集会  75回-  COP9  -3  2022/10
  • 上大静脈還流型部分肺静脈還流異常症に対するDouble decker法の有用性
    本宮 久之; 小田 晋一郎; 前田 吉宣; 浅田 聡; 藤田 周平; 山下 英次郎; 永瀬 崇; 林 孝明; 山岸 正明  日本胸部外科学会定期学術集会  75回-  COP18  -4  2022/10
  • 完全房室中隔欠損症において肺動脈絞扼術が術後遠隔成績に及ぶ影響について
    山下 英次郎; 小田 晋一郎; 前田 吉宣; 浅田 聡; 藤田 周平; 本宮 久之; 永瀬 崇; 林 敬之; 山岸 正明  日本胸部外科学会定期学術集会  75回-  CP1  -8  2022/10
  • HLHSに対する外科的治療戦略 遠隔成績を見据えたNorwood手術のあり方 Chimney reconstructionを施行した左心低形成症候群における新大動脈形態の経過
    浅田 聡; 山岸 正明; 前田 吉宣; 本宮 久之; 山下 英次郎; 中辻 拡興; 永瀬 崇; 中井 理絵  日本小児循環器学会総会・学術集会抄録集  58回-  [II  -02]  2022/07
  • 近年の画像診断技術の外科手術への応用(房室弁形成) 小児房室弁構造における術前心エコー所見と術中所見
    小田 晋一郎; 前田 吉宣; 浅田 聡; 藤田 周平; 本宮 久之; 山下 英次郎; 永瀬 崇; 林 孝明; 山岸 正明  日本小児循環器学会総会・学術集会抄録集  58回-  [I  -02]  2022/07
  • Ross手術の成績と今後の課題
    前田 吉宣; 山岸 正明; 浅田 聡; 本宮 久之; 山下 英次郎; 永瀬 崇; 中井 理絵  日本小児循環器学会総会・学術集会抄録集  58回-  [III  -04]  2022/07
  • 主要体肺側副血行路を合併する単心室に対する治療戦略
    山下 英次郎; 山岸 正明; 前田 吉宣; 浅田 聡; 本宮 久之; 中井 理絵; 夜久 均  日本小児循環器学会総会・学術集会抄録集  58回-  [III  -02]  2022/07
  • 動脈スイッチ手術における肺動脈再建術式選択 左肺門部-大血管水平断角度の有用性
    本宮 久之; 山岸 正明; 前田 吉宣; 浅田 聡; 山下 英次郎; 中井 理絵  日本小児循環器学会総会・学術集会抄録集  58回-  [III  -03]  2022/07
  • 肺動脈形成における再狭窄危険因子の検討
    中井 理絵; 山岸 正明; 前田 吉宣; 浅田 聡; 本宮 久之; 山下 英次郎; 永瀬 崇; 夜久 均  日本小児循環器学会総会・学術集会抄録集  58回-  [III  -01]  2022/07
  • 心房中隔欠損症術後における心膜切開後症候群のリスク因子の検討
    永瀬 崇; 山岸 正明; 前田 吉宣; 浅田 聡; 本宮 久之; 山下 英次郎; 中井 理絵; 夜久 均  日本小児循環器学会総会・学術集会抄録集  58回-  [II  -04]  2022/07
  • 小児開心術後遠隔期の大動脈基部手術【Video】左心低形成症候群のNorwood手術後遠隔期新大動脈基部拡大に対して自己弁温存David手術を施行した一例
    浅田 聡; 山岸 正明; 前田 吉宣; 本宮 久之; 山下 英次郎; 永瀬 崇; 中井 理絵; 夜久 均  日本外科学会定期学術集会抄録集  122回-  SY  -3  2022/04
  • 総肺静脈還流異常:Sutureless・Conventional・再手術など 心外型総肺静脈還流異常症修復術の遠隔期成績の検討
    永瀬 崇; 山岸 正明; 前田 吉宣; 浅田 聡; 本宮 久之; 山下 英次郎; 中井 理絵; 夜久 均  日本心臓血管外科学会学術総会抄録集  52回-  WS5  -4  2022/03
  • 新大動脈弁としての肺動脈弁の運命:Neo ARのメカニズムは通常の大動脈弁と異なるのか? 新大動脈弁としての肺動脈弁の術後遠隔期機能
    前田 吉宣; 山岸 正明; 浅田 聡; 本宮 久之; 山下 英次郎; 中辻 拡興; 永瀬 崇; 中井 理絵; 夜久 均  日本心臓血管外科学会学術総会抄録集  52回-  PD1  -5  2022/03
  • Heterotaxyの予後:Fontan未達例を含めての検討 Heterotaxy syndromeを伴った機能的単心室症の臨床経過と今後の課題
    浅田 聡; 山岸 正明; 前田 吉宣; 本宮 久之; 山下 英次郎; 中辻 拡興; 中井 理絵; 夜久 均  日本心臓血管外科学会学術総会抄録集  52回-  PD7  -4  2022/03
  • 各領域での血管吻合テクニック:基本から応用まで 主要体-肺動脈側副血行路に対するunifocalization手術における血管吻合法
    山岸 正明; 前田 吉宣; 浅田 聡; 本宮 久之; 山下 英次郎; 中井 理絵; 永瀬 崇; 中辻 拡興  日本心臓血管外科学会学術総会抄録集  52回-  VSY1  -5  2022/03
  • 非定型的アプローチによる弁置換術・複合弁手術 狭小大動脈弁輪に対する前方弁輪拡大術(Konno,Ross-Konno手術)
    山岸 正明; 前田 吉宣; 浅田 聡; 本宮 久之; 中辻 拡興; 山下 英次郎; 永瀬 崇; 中井 理恵  日本心臓血管外科学会学術総会抄録集  52回-  VSY2  -1  2022/03
  • 正中開胸アプローチBlalock-Taussig shuntの検討
    山下 英次郎; 山岸 正明; 前田 吉宣; 浅田 聡; 本宮 久之; 永瀬 崇; 夜久 均  日本心臓血管外科学会学術総会抄録集  52回-  O24  -6  2022/03
  • 大動脈弓離断および縮窄を合併する完全大血管転位症に対する当院の治療戦略
    本宮 久之; 山岸 正明; 前田 吉宣; 浅田 聡; 山下 英次郎; 永瀬 崇; 夜久 均  日本心臓血管外科学会学術総会抄録集  52回-  O42  -3  2022/03
  • 山岸正明; 小田晋一郎; 前田吉宣; 浅田聡; 藤田周平; 本宮久之; 山下英次郎; 中辻拡興; 永瀬崇; 中井理絵; 林孝明  日本胸部外科学会定期学術集会(Web)  75th-  2022
  • Yoshinobu Maeda; Masaaki Yamagishi; Satoshi Asada; Hisayuki Hongu; Eijiro Yamashita; Hiroki Nakatsuji; Takashi Nagase; Rie Nakai; Keiichi Kanda; Tomoya Inoue; Masashi Yamanami; Hitoshi Yaku  CIRCULATION  144-  2021/11
  • 山岸 正明; 前田 吉宣; 浅田 聡; 本宮 久之; 山下 英次郎; 永瀬 崇; 中井 理絵; 中辻 拡興; 夜久 均  日本胸部外科学会定期学術集会  74回-  CTA2  -4  2021/10
  • 山岸 正明; 前田 吉宣; 浅田 聡; 本宮 久之; 山下 英次郎; 中辻 拡興; 永瀬 崇; 中井 理絵; 夜久 均  日本胸部外科学会定期学術集会  74回-  CTA3  -3  2021/10
  • 本宮 久之; 山岸 正明; 前田 吉宣; 浅田 聡; 中辻 拡興; 永瀬 崇; 中井 理絵; 夜久 均  日本胸部外科学会定期学術集会  74回-  CDB4  -6  2021/10
  • 前田 吉宣; 山岸 正明; 浅田 聡; 本宮 久之; 山下 英次郎; 永瀬 崇; 夜久 均  日本胸部外科学会定期学術集会  74回-  CDB13  -2  2021/10
  • 玉川 友樹; 川村 匡; 柴田 佳奈; 浅田 聡; 流郷 昌裕; 堤 泰史; 門田 治  日本胸部外科学会定期学術集会  74回-  CCPA1  -3  2021/10
  • 永瀬 崇; 山岸 正明; 前田 吉宣; 浅田 聡; 本宮 久之; 山下 英次郎; 夜久 均  日本胸部外科学会定期学術集会  74回-  CCPA3  -2  2021/10
  • 中井 理絵; 山岸 正明; 前田 吉宣; 浅田 聡; 本宮 久之; 永瀬 崇; 夜久 均  日本胸部外科学会定期学術集会  74回-  BAA1  -1  2021/10
  • 浅田 聡; 山岸 正明; 前田 吉宣; 本宮 久之; 山下 英次郎; 中井 理絵; 夜久 均  日本胸部外科学会定期学術集会  74回-  CCV3  -1  2021/10
  • 中辻 拡興; 山岸 正明; 前田 吉宜; 浅田 聡; 本宮 久之; 山下 英次郎; 永瀬 崇; 中井 理絵; 夜久 均  日本胸部外科学会定期学術集会  74回-  CCV3  -2  2021/10
  • 玉川 友樹; 川村 匡; 柴田 佳奈; 浅田 聡; 流郷 昌裕; 門田 治; 堤 泰史  日本胸部外科学会定期学術集会  74回-  COP22  -4  2021/10
  • 前田 吉宣; 山岸 正明; 浅田 聡; 本宮 久之; 山下 英次郎; 中辻 拡興; 永瀬 崇; 中井 理絵; 夜久 均  日本胸部外科学会定期学術集会  74回-  COP28  -1  2021/10
  • 永瀬 崇; 山岸 正明; 前田 吉宣; 浅田 聡; 本宮 久之; 山下 英次郎; 中辻 拡興; 中井 理絵; 夜久 均  日本胸部外科学会定期学術集会  74回-  COP28  -3  2021/10
  • 法里 優; 山岸 正明; 前田 吉宣; 本宮 久之; 浅田 聡; 永瀬 崇; 中井 理絵; 沼田 智; 川尻 英長; 小林 卓馬; 眞鍋 嘉一郎; 夜久 均  日本胸部外科学会定期学術集会  74回-  COP42  -1  2021/10
  • ASに対する包括的治療戦略 小児大動脈弁狭窄に対するRoss/Ross-Konno手術の治療成績と妥当性
    前田 吉宣; 山岸 正明; 浅田 聡; 本宮 久之; 山下 英次郎; 中辻 拡興; 永瀬 崇  日本小児循環器学会総会・学術集会抄録集  57回-  [I  -5]  2021/07
  • 先天性心疾患の外科治療におけるIn Vivo Tissue-Engineered Vascular Graftの有用性
    中辻 拡興; 山岸 正明; 前田 吉宣; 板谷 慶一; 浅田 聡; 藤田 周平; 本宮 久之; 山下 英次郎; 永瀬 崇; 神田 圭一; 夜久 均  日本小児循環器学会総会・学術集会抄録集  57回-  [OR37  -3]  2021/07
  • 二心室修復の姑息術としての両側肺動脈絞扼術の治療有効性の検証
    山下 英次郎; 山岸 正明; 前田 吉宣; 浅田 聡; 本宮 久之; 永瀬 崇; 夜久 均  日本小児循環器学会総会・学術集会抄録集  57回-  [P54  -6]  2021/07
  • Ebstein奇形に対してCone reconstruction施行した7例の手術成績の検討
    鍋島 惇也; 山岸 正明; 前田 吉宜; 板谷 慶一; 島田 勝利; 本宮 久之; 中辻 拡興; 永瀬 崇; 浅田 聡; 夜久 均  日本心臓血管外科学会学術総会抄録集  51回-  PR19  -2  2021/02
  • 3弁付きePTFE導管を用いた右室流出路再建術の遠隔成績についての検討
    岡崎 新太郎; 西田 公一; 浅田 聡; 山岸 正明  日本小児循環器学会雑誌  36-  (Suppl.2)  s2  -201  2020/11
  • chimney reconstructionを用いたNorwood型再建新大動脈弓の形態学的特性
    浅田 聡; 山岸 正明; 板谷 慶一; 前田 吉宣; 藤田 周平; 本宮 久之; 山下 英次郎; 中辻 拡興; 夫 悠  日本小児循環器学会雑誌  36-  (Suppl.2)  s2  -246  2020/11
  • 流郷 昌裕; 門田 治; 斎藤 俊輔; 浅田 聡; 玉川 友樹; 竹原 貴之; 堤 泰史  胸部外科  73-  (11)  895  -900  2020/10
  • 斎藤 俊輔; 門田 治; 流郷 昌弘; 浅田 聡; 玉川 友樹; 柴田 佳奈; 堤 泰史  日本胸部外科学会定期学術集会  73回-  CLO9  -2  2020/10
  • 当院におけるCrown弁の早期成績の検討
    山田 翔平; 門田 治; 斎藤 俊輔; 流郷 昌裕; 浅田 聡; 竹原 貴之; 堤 泰史  日本心臓血管外科学会学術総会抄録集  50回-  P29  -1  2020/03
  • J Graft Open Stent Graftを用いたStanford A型急性大動脈解離の早期、中期手術成績
    竹原 貴之; 堤 泰史; 門田 治; 流郷 昌裕; 斎藤 俊輔; 浅田 聡; 山田 翔平  日本心臓血管外科学会学術総会抄録集  50回-  P51  -2  2020/03
  • EVAR後のOpen conversion 術式選択とそのPitfall
    玉川 友樹; 門田 治; 竹原 貴之; 浅田 聡; 斎藤 俊輔; 流郷 昌裕; 堤 泰史  日本血管外科学会雑誌  29-  (Suppl.)  OP18  -6  2020
  • Norwood手術におけるチムニー法を用いた再建術の早期成績とコンピュータ流体力学を用いた分析(Early Outcomes and Computational Fluid Dynamic Analyses of Chimney Reconstruction in the Norwood Procedure)
    浅田 聡  京都府立医科大学雑誌  128-  (12)  935  -936  2019/12
  • 長期(3年以上)VAD治療の課題と対策 地方における長期VAD治療の取り組み DT時代を見据えて
    斎藤 俊輔; 門田 治; 流郷 昌裕; 浅田 聡; 山田 翔平; 竹原 貴之; 中山 幸恵; 安川 亜希; 増野谷 一男; 飯塚 直斗; 堤 泰史  人工臓器  48-  (2)  S  -73  2019/10
  • AV delayの短縮により心不全の改善を認めた三尖弁置換術後修正大血管転位の2症例
    西田 公一; 岡崎 新太郎; 浅田 聡; 山岸 正明  日本小児循環器学会雑誌  35-  (Suppl.1)  s1  -246  2019/06
  • 左室流出路狭窄に伴う僧帽弁前方運動に対する中隔心筋切除とALFIELI法併施の有用性
    山田 翔平; 田口 卓良; 浅田 聡; 斎藤 俊輔; 流郷 昌裕; 門田 治; 堤 泰史  日本心臓血管外科学会学術総会抄録集  49回-  [OP07  -7]  2019/02
  • Graft Open Stent Graftを用いたStanford A型急性大動脈解離に対する早期手術成績
    田口 卓良; 大橋 博和; 山田 翔平; 浅田 聡; 斎藤 俊輔; 流郷 昌裕; 門田 治; 堤 泰史  日本心臓血管外科学会学術総会抄録集  49回-  [OP14  -1]  2019/02
  • Malperfusionを伴うA型急性大動脈解離に対する治療戦略の検討
    山田 翔平; 田口 卓良; 浅田 聡; 流郷 昌裕; 斎藤 俊輔; 門田 治; 堤 泰史  日本心臓血管外科学会学術総会抄録集  49回-  [PP  -183]  2019/02
  • 小児期に偶発的に発見され手術に至った冠動脈起始異常の2例
    岡崎 新太郎; 西田 公一; 浅田 聡; 山岸 正明  日本小児科学会雑誌  123-  (2)  412  -412  2019/02
  • 左室流出路狭窄を伴う急性A型解離の緊急手術で上行弓部大動脈置換術にSeptal Myectomyを併施した2症例
    山田 翔平; 門田 治; 斎藤 俊輔; 流郷 昌裕; 浅田 聡; 田口 卓良; 堤 泰史  日本血管外科学会雑誌  28-  (Suppl.)  P63  -5  2019
  • 現在の術式の問題点 先天性心疾患術式の改良 左心低形成症候群、完全大血管転位症III型、部分肺静脈還流異常症
    山岸 正明; 宮崎 隆子; 前田 吉宣; 板谷 慶一; 谷口 智史; 浅田 聡; 藤田 周平; 本宮 久之; 夫 悠  日本小児循環器学会雑誌  34-  (Suppl.1)  s1  -112  2018/07
  • 左冠動脈起始異常を合併した左心低形成症候群の一例
    岡崎 新太郎; 西田 公一; 浅田 聡; 山岸 正明; 近藤 博章; 石原 靖紀; 稲井 慶  日本小児循環器学会雑誌  34-  (Suppl.1)  s1  -398  2018/07
  • Bentall手術に全弓部置換術を併施した場合の手術成績の検討
    樋口 卓也; 堤 泰史; 門田 治; 浅田 聡; 松本 遼太; 山田 翔平; 大橋 博和  日本血管外科学会雑誌  27-  (Suppl.)  O10  -5  2018/06
  • 松本 遼太; 千歳 樹子; 浅田 聡; 上仲 永純; 樋口 卓也; 門田 治; 堤 泰史; 大橋 博和  心臓  50-  (3)  313  -318  2018/03
  • 二弁置換術後の人工弁感染性心内膜炎に対するManouguian法を併用した二弁再置換術
    松本 遼太; 山田 翔平; 浅田 聡; 樋口 卓也; 門田 治; 堤 泰史  日本心臓血管外科学会学術総会抄録集  48回-  173  -173  2018/02
  • 全弓部置換術にBentall手術を併施すればhigh riskとなるか?
    樋口 卓也; 堤 泰史; 門田 治; 浅田 聡; 松本 遼太; 山田 翔平; 大橋 博和  日本心臓血管外科学会学術総会抄録集  48回-  205  -205  2018/02
  • 透析依存患者に対するCABGの手術成績は腎原因疾患によって予後は異なるか?
    樋口 卓也; 堤 泰史; 門田 治; 浅田 聡; 松本 遼太; 山田 翔平; 大橋 博和  日本冠疾患学会雑誌  (Suppl.)  155  -155  2017/12
  • 全弓部置換術にBentall手術を併施すればhigh riskとなるか?
    樋口 卓也; 堤 泰史; 門田 治; 浅田 聡; 松本 遼太; 山田 翔平; 大橋 博和  脈管学  57-  (Suppl.)  S139  -S139  2017/10
  • 小児心臓手術後人工呼吸中における術後横隔神経麻痺エコー診断 後方視的検討
    田畑 雄一; 山岸 正明; 宮崎 隆子; 前田 吉宣; 谷口 智史; 浅田 聡; 本宮 久之; 藤田 周平  日本小児循環器学会雑誌  33-  (Suppl.1)  s1  -196  2017/07
  • 左心低形成症候群に対するChimney reconstructionの流体力学解析
    浅田 聡; 山岸 正明; 板谷 慶一; 宮崎 隆子; 前田 吉宣; 谷口 智史; 藤田 周平; 本宮 久之; 山下 英次郎; 夫 悠; 宮崎 翔平  日本小児循環器学会雑誌  33-  (Suppl.1)  s1  -222  2017/07
  • 新生児・乳児期早期Ebstein奇形に対するcone reconstructionを用いた二心室修復術の経験
    本宮 久之; 山岸 正明; 宮崎 隆子; 前田 吉宣; 谷口 智史; 藤田 周平; 浅田 聡; 夜久 均  日本小児循環器学会雑誌  33-  (Suppl.1)  s1  -413  2017/07
  • 下肢虚血を伴うStanford A型急性大動脈解離に対する治療
    松本 遼太; 千歳 樹子; 浅田 聡; 上仲 久純; 樋口 卓也; 門田 治; 堤 泰史; 大橋 博和  日本血管外科学会雑誌  26-  (Suppl.)  P4  -4  2017/06
  • 当院における感染性胸部大動脈瘤の手術成績
    樋口 卓也; 堤 泰史; 門田 治; 上仲 永純; 浅田 聡; 千歳 樹子; 松本 遼太; 大橋 博和  日本血管外科学会雑誌  26-  (Suppl.)  P19  -6  2017/06
  • Lasso法による両側肺動脈絞扼術の検討
    山下 英次郎; 山岸 正明; 宮崎 隆子; 前田 吉宣; 浅田 聡; 藤田 周平; 夫 悠; 夜久 均  日本心臓血管外科学会学術総会抄録集  47回-  79  -79  2017/02
  • HOCM・SAMに対する経大動脈弁での僧帽弁形成術・心室中隔切除術
    千歳 樹子; 堤 泰史; 門田 治; 樋口 卓也; 上仲 永純; 浅田 聡; 松本 遼太; 大橋 博和  日本心臓血管外科学会学術総会抄録集  47回-  99  -99  2017/02
  • 早期・遠隔期摘出標本からみたePTFE valved conduitの変性に関する組織学的検討
    山本 裕介; 山岸 正明; 宮崎 隆子; 前田 吉宣; 浅田 聡; 本宮 久之; 藤田 周平; 夫 悠; 夜久 均; 中野 俊秀; 角 秀秋  日本心臓血管外科学会学術総会抄録集  47回-  189  -189  2017/02
  • 心膜で再建された肺動脈の変性から見たPA/VSD/MAPCAsに対する段階的治療戦略の妥当性
    加藤 伸康; 山岸 正明; 板谷 慶一; 宮崎 隆子; 前田 吉宣; 浅田 聡; 藤田 周平; 本宮 久之; 夜久 均  日本心臓血管外科学会学術総会抄録集  47回-  191  -191  2017/02
  • 中心肺動脈欠損および高度低形成を伴うPA/VSD/MAPCAに対する治療戦略
    本宮 久之; 山岸 正明; 宮崎 隆子; 前田 吉宣; 加藤 伸康; 浅田 聡  日本小児循環器学会雑誌  32-  (Suppl.1)  s1  -171  2016/07
  • 右室流出路再建におけるbulging sinus付きfan-shaped ePTFE valved conduitの遠隔成績(本邦65施設共同研究)
    浅田 聡; 山岸 正明; 宮崎 隆子; 前田 吉宣; 加藤 伸康; 本宮 久之; 山本 裕介; 夜久 均  日本小児循環器学会雑誌  32-  (Suppl.1)  s1  -246  2016/07
  • PA/VSD/MAPCAにおける自己心膜による中心肺動脈再建後の血流動態シミュレーション 中心肺動脈の形態変化・内膜変性のリスク因子を探る
    加藤 伸康; 板谷 慶一; 山岸 正明; 宮崎 隆子; 前田 吉宣; 浅田 聡; 本宮 久之; 夜久 均  日本小児循環器学会雑誌  32-  (Suppl.1)  s1  -276  2016/07
  • フォンタン手術後の遠隔成績と予後規定因子の検討
    前田 吉宣; 山岸 正明; 宮崎 隆子; 浅田 聡; 加藤 伸康; 本宮 久之  日本小児循環器学会雑誌  32-  (Suppl.1)  s1  -383  2016/07
  • MAPCAに対する一期的UF時の心膜ロールによる中心肺動脈形成と姑息的右室流出路再建
    宮崎 隆子; 山岸 正明; 前田 吉宣; 加藤 伸康; 浅田 聡; 本宮 久之; 夜久 均  日本心臓血管外科学会学術総会抄録集  46回-  VP7  -2  2016/02
  • 大動脈弁上狭窄に対する外科治療 Aortic root geometryと術後大動脈弁機能
    加藤 伸康; 山岸 正明; 宮崎 隆子; 前田 吉宣; 浅田 聡; 本宮 久之; 夜久 均  日本心臓血管外科学会学術総会抄録集  46回-  PP  -160  2016/02
  • 宮崎 隆子; 山岸 正明; 前田 吉宣; 山本 祐介; 加藤 信康; 浅田 聡  日本小児循環器学会雑誌  31-  (Suppl.1)  s1  -176  2015/07
  • 山本 裕介; 山岸 正明; 宮崎 隆子; 前田 吉宣; 加藤 伸康; 浅田 聡  日本小児循環器学会雑誌  31-  (Suppl.1)  s1  -177  2015/07
  • 前田 吉宣; 山岸 正明; 宮崎 隆子; 山本 裕介; 加藤 伸康; 浅田 聡  日本小児循環器学会雑誌  31-  (Suppl.1)  s1  -275  2015/07
  • 浅田 聡; 山岸 正明; 宮崎 隆子; 前田 吉宣; 山本 裕介; 加藤 伸康  日本小児循環器学会雑誌  31-  (Suppl.1)  s1  -278  2015/07
  • 大動脈弁上狭窄(Supravalvar Aortic Stenosis:SVAS)に対する外科治療
    加藤 伸康; 山岸 正明; 宮崎 隆子; 前田 吉宣; 山本 裕介; 浅田 聡  日本小児循環器学会雑誌  31-  (Suppl.1)  s1  -336  2015/07
  • 右側大動脈弓を伴う大動脈離断症に対するPulmonary Autograft Tube(PAT)を用いた大動脈弓再建
    加藤 伸康; 山岸 正明; 宮崎 隆子; 前田 吉宣; 山本 裕介; 浅田 聡  日本小児循環器学会雑誌  31-  (Suppl.1)  s1  -336  2015/07
  • 先天性心疾患 再手術回避のための治療戦略と工夫 心臓血管 先天性心疾患再手術回避のための手術術式の工夫
    山岸 正明; 宮崎 隆子; 前田 吉宣; 山本 裕介; 浅田 聡; 加藤 伸康; 山下 英次郎; 夜久 均  日本外科学会定期学術集会抄録集  115回-  SY  -2  2015/04
  • MAPCA形態分類によるPA/VSD/MAPCAに対する治療戦略
    宮崎 隆子; 山岸 正明; 前田 吉宣; 山本 裕介; 加藤 伸康; 浅田 聡; 山下 英次郎; 夜久 均  日本心臓血管外科学会雑誌  44-  (Suppl.)  249  -249  2015/01
  • 小口径conduitにおける至適右室流出路導管径の検討 多施設共同研究
    山下 英次郎; 山岸 正明; 宮崎 隆子; 前田 宣伸; 山本 裕介; 加藤 伸康; 浅田 聡; 夜久 均  日本心臓血管外科学会雑誌  44-  (Suppl.)  314  -314  2015/01
  • 宮崎 隆子; 山岸 正明; 前田 吉宣; 山本 裕介; 浅田 聡; 本宮 久之; 山下 英次郎  日本小児循環器学会雑誌  30-  (Suppl.)  s144  -s144  2014/06
  • 山本 裕介; 山岸 正明; 宮崎 隆子; 前田 吉宣; 浅田 聡; 本宮 久之; 山下 英次郎; 角 秀秋  日本小児循環器学会雑誌  30-  (Suppl.)  s210  -s210  2014/06
  • 本宮 久之; 山岸 正明; 宮崎 隆子; 前田 吉宣; 山本 裕介; 浅田 聡  日本小児循環器学会雑誌  30-  (Suppl.)  s211  -s211  2014/06
  • 浅田 聡; 山岸 正明; 宮崎 隆子; 前田 吉宣; 山本 裕介; 本宮 久之; 山下 英次郎  日本小児循環器学会雑誌  30-  (Suppl.)  s241  -s241  2014/06
  • 山下 英次郎; 山岸 正明; 宮崎 隆子; 前田 吉宣; 山本 裕介; 浅田 聡; 本宮 久之  日本小児循環器学会雑誌  30-  (Suppl.)  s338  -s338  2014/06
  • 前田 吉宣; 山岸 正明; 宮崎 隆子; 山本 裕介; 浅田 聡; 本宮 久之; 山下 英次郎  日本小児循環器学会雑誌  30-  (Suppl.)  s344  -s344  2014/06
  • 前田 吉宣; 山岸 正明; 宮崎 隆子; 山本 裕介; 谷口 智史; 神崎 智仁; 浅田 聡; 本宮 久之  胸部外科  67-  (4)  305  -309  2014/04
  • 山岸 正明; 宮崎 隆子; 前田 吉宣; 山本 裕介; 浅田 聡  日本外科学会雑誌  115-  (臨増2)  235  -235  2014/03
  • Ross手術後PA autograftの遠隔期基部形態と弁機能
    前田 吉宣; 山岸 正明; 宮崎 隆子; 谷口 智史; 山本 裕介; 浅田 聡; 竹下 斉史; 本宮 久之; 夜久 均  日本心臓血管外科学会雑誌  43-  (Suppl.)  404  -404  2014/01
  • 上大静脈還流型部分肺静脈還流異常症に対するDouble decker法の遠隔期成績
    本宮 久之; 山岸 正明; 宮崎 隆子; 八島 正文; 前田 吉宣; 谷口 智史; 山本 裕介; 浅田 聡; 竹下 斉史; 夜久 均  日本心臓血管外科学会雑誌  43-  (Suppl.)  406  -406  2014/01
  • 浅田 聡; 後藤 智行; 北浦 一弘; 岡 克彦  日本血管外科学会雑誌  22-  (2)  368  -368  2013/04
  • 後藤 智行; 浅田 聡; 北浦 一弘  日本血管外科学会雑誌  22-  (2)  428  -428  2013/04
  • 後藤 智行; 浅田 聡; 北浦 一弘  日本血管外科学会雑誌  21-  (3)  390  -390  2012/05
  • 小野 眞; 後藤 智行; 浅田 聡; 村上 怜; 北浦 一弘; 山本 晋  日本血管外科学会雑誌  20-  (2)  470  -470  2011/04
  • 後藤 智行; 小野 眞; 浅田 聡; 村上 怜; 北浦 一弘  日本血管外科学会雑誌  20-  (2)  479  -479  2011/04
  • 村上 怜; 後藤 智行; 小野 眞; 浅田 聡; 北浦 一弘  日本血管外科学会雑誌  20-  (2)  510  -510  2011/04
  • 山岸 正明; 八島 正文; 宮崎 隆子; 前田 吉宣; 山本 裕介; 浅田 聡; 森本 和樹; 小出 昌秋; 濱岡 建城  日本小児循環器学会雑誌  26-  (Suppl.)  s238  -s238  2010/06
  • 山本 裕介; 山岸 正明; 八島 正文; 宮崎 隆子; 浅田 聡; 森本 和樹; 夜久 均; 濱岡 健城; 白石 泰之; 梅津 光生  日本小児循環器学会雑誌  26-  (Suppl.)  s241  -s241  2010/06
  • 浅田 聡; 山岸 正明; 八島 正文; 宮崎 隆子; 前田 吉宣; 山本 裕介; 森本 和樹; 夜久 均; 濱岡 建城  日本小児循環器学会雑誌  26-  (Suppl.)  s260  -s260  2010/06
  • 八島 正文; 山岸 正明; 宮崎 隆子; 前田 吉宣; 山本 裕介; 浅田 聡; 森本 和樹; 小出 昌秋; 野村 耕司; 夜久 均; 濱岡 建城  日本小児循環器学会雑誌  26-  (Suppl.)  s309  -s309  2010/06
  • 森本 和樹; 山岸 正明; 八島 正文; 宮崎 隆子; 前田 吉宣; 山本 裕介; 浅田 聡; 夜久 均; 濱岡 建城  日本小児循環器学会雑誌  26-  (Suppl.)  s311  -s311  2010/06
  • 田畑 雄一; 山岸 正明; 八島 正文; 宮崎 隆子; 前田 吉宣; 山本 裕介; 浅田 聡; 森本 和樹; 志馬 伸朗; 夜久 均; 濱岡 建城  日本小児循環器学会雑誌  26-  (Suppl.)  s369  -s369  2010/06
  • 前田 吉宣; 山岸 正明; 宮崎 隆子; 八島 正文; 山本 裕介; 浅田 聡; 森本 和樹; 濱岡 建城; 夜久 均  日本小児循環器学会雑誌  26-  (Suppl.)  s386  -s386  2010/06
  • 夜久 均; 土井 潔; 大川 和成; 山崎 祥子; 土肥 正浩; 佐々木 裕二; 森本 和樹; 浅田 聡  日本外科学会雑誌  111-  (臨増2)  94  -94  2010/03
  • TEVAR時代における弓部大動脈手術の標準 弓部大動脈瘤の治療戦略
    岡 克彦; 神田 圭一; 田中 啓介; 大川 和成; 山崎 祥子; 土肥 正浩; 佐々木 祐二; 森本 和樹; 浅田 聡; 土井 潔; 夜久 均  日本心臓血管外科学会雑誌  39-  (Suppl.)  126  -126  2010/01
  • 左室形成術の適応と方法 Endocardial linear Infarct Exclusion Techniqueによる左室形成術
    土井 潔; 夜久 均; 大川 和成; 山崎 祥子; 土肥 正浩; 佐々木 裕二; 浅田 聡; 森本 和樹  日本冠疾患学会雑誌  15-  (4)  299  -299  2009/11
  • 虚血性心疾患に対する再治療戦略(再手術) Off-pump redo CABG症例の検討
    土井 潔; 夜久 均; 大川 和成; 山崎 祥子; 土肥 正浩; 佐々木 裕二; 森本 和樹; 浅田 聡  日本臨床外科学会雑誌  70-  (増刊)  336  -336  2009/10
  • 企業製胸部大動脈ステントグラフトGore-TAGの留置時におけるデバイス挙動の検討
    東島 拓也; 岡 克彦; 田中 啓介; 神田 圭一; 大川 和成; 山崎 祥子; 土肥 正治; 佐々木 祐二; 浅田 聡; 森本 和樹; 丹羽 敦; 土井 潔; 夜久 均  人工臓器  38-  (2)  S  -99  2009/10

Other link

researchmap


Copyright © MEDIA FUSION Co.,Ltd. All rights reserved.