B Sirasawa

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Manabu Sudoh

Saiseikai Shimonoseki General Hospital

H Noda

Yokohama City University

Kazumasa Hamano

Nara Medical University

Yoshiteru Fujimura

Shionogi (Japan)

Kumiko Hamano

Japan Organization of Occupational Health and Safety

H Tsuboi

Yamaguchi University

Hidenori Gohra

Saiseikai Shimonoseki General Hospital

Ito H

Saiseikai Fukuoka General Hospital

Kensuke Esato

Mochida Pharmaceutical (Japan)

M Murakami

Pfizer (Japan)

Cooperative Institutions

Yamaguchi University

Tokuyama (Japan)

Saiseikai Shimonoseki General Hospital

Japan Organization of Occupational Health and Safety

University of Washington

Noguchi Hospital

Keio University

National Sanyo Hospital

Yokohama City University

Nara Medical University

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[Coronary artery bypass grafting for a patient with angina pectoris and ulcerative colitis].

PubMed (1999)

Manabu Sudoh Tomoe Katoh Norio Ikeda B Sirasawa Hidenori Gohra

The implementation of coronary artery bypass grafting for angina pectoris with ulcerative colitis has been rarely reported. A 63-year-old man has a past history of acute myocardial infarction in 1984 and ulcerative colitis since 1988. Coronary angiography and cardiac catheterization showed total obstruction of segment 2, 95% stenosis of segment 6, 75% stenosis of segment 7 and total obstruction of segment 12 with LVEF 23%. Coronary artery bypass grafting was performed under IABP support and cardiopulmonary bypass with aprotinin infusion after an inflammatory reaction of ulcerative colitis was adequately suppressed. Ulcerative colitis was controlled by administering 40 mg of predonisolone during perioperative period.

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[The Waffle procedure for constrictive epicarditis after direct closure of atrial septal defect; report of a case].

Kyōbu geka/Kyobu geka (2007)

K. Suzuki H Tsuboi M Murakami Tetsu Kobayashi B Sirasawa

A 20-year-old man was admitted with a diagnosis of constrictive pericarditis 6 months after direct closure of atrial septal defect (ASD). He complained of fatigue and dyspnea. Cardiac echo cardiography, computed tomography (CT), magnetic resonance imaging (MRI) and cardiac catheterization suggested pericardial and epicardial constriction. During the operation, the thickened pericardium was peeled off. Multiple longitudinal and transverse incisions were made in the thickened epicardium as reported by waffle. Postoperative hemodynamic state was improved. The cardiac index increased from 1.91 to 3.17 l/min/m2. The pulmonary capillary wedge pressure (PCWP) decreased from 26 to 14 mmHg, although dip and plateau pattern was maintained. The postoperative course was uneventful.

Pulmonary wedge pressure

Cardiac catheterization

Constriction

Cardiac index

Cardiac catheterisation

Cardiac magnetic resonance

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