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BACKGROUND We report our experience of cardiac surgery with concomitant pulmonary resection, based on analysis of the results. METHODS Eleven patients (1 woman, 10 men) underwent cardiac surgery simultaneously with pulmonary resection; ten of them through median sternotomy. The cancer pathology consisted of non-small cell carcinoma (n = 10), and benign(More)
OBJECTIVES We compared the histological and morphometric properties of the right and left internal thoracic arteries and examined risk factors for intimal hyperplasia. METHODS Paired segments of the right and left internal thoracic arteries obtained from 72 patients were studied. The transverse sections just distal to the most distal anastomoses were(More)
OBJECTIVE Diabetes mellitus has been recognized as a risk factor for mortality and morbidity after coronary bypass grafting, but a significant association between diabetes mellitus and postoperative atrial fibrillation (AF) has not been found. Although a recent study demonstrated a potential link between preoperative hemoglobin A1c level and risk of(More)
BACKGROUND The motor activity of the gastric tube as an esophageal replacement after esophagectomy is poorly understood. The aims of the present study were to examine the gastropyloric motility of the gastric tube and the effects of erythromycin given orally. METHODS Interdigestive gastropyloric motility was recorded by manometry with a sleeve sensor in(More)
BACKGROUND In off-pump coronary artery bypass grafting (OPCABG) surgery, the most critical complication is hemodynamic deterioration, which can occur during displacement of the heart to expose the target vessels. Preoperative intraaortic balloon pump (IABP) therapy improves cardiac performance and facilitates access to the target coronary artery while(More)
BACKGROUND Transluminal stent-graft placement (TSGP) for aortic dissection is a relatively new procedure. We performed TSGPs to seal the primary entry site to treat and prevent complications of aortic dissection. The early to mid-term outcomes were analyzed. METHODS AND RESULTS Thirty-seven patients with a primary intimal tear in descending aorta(More)
BACKGROUND Endovascular stent-graft placement for the treatment of patients with aortic dissection is emerging as an attractive alternative to conventional cardiac operations. However, there has been no report of longer-term follow-up. The purpose of this study is to describe our midterm results with endovascular stent-graft repair for the treatment of(More)
BACKGROUND When the bilateral internal thoracic arteries are grafted to the left coronary arteries, it remains controversial whether the better conduit is provided by grafting the saphenous vein graft (SVG) or the gastroepiploic artery (GEA) to the right coronary artery territory. From the beginning of the present study, we consistently used the GEA in a(More)
BACKGROUND There is at present no accurate figure for the long-term patency rate of the skeletonized gastroepiploic artery (GEA). METHODS From January 2002 to July 2012, 956 consecutive patients underwent isolated off-pump coronary artery bypass graft (OPCABG) surgery at our institution. Of these, the 424 who underwent GEA grafting and postoperative GEA(More)
BACKGROUND/AIMS Gastroesophageal reflux is known to be a common complication after gastrectomy. However, its mechanism is not completely understood. We investigated the effects of distal gastrectomy for gastric cancer on the lower esophageal sphincter (LES) and esophageal motility. METHODOLOGY In 18 patients who underwent distal gastrectomy reconstructed(More)