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BACKGROUND The purpose of the present study was to compare outcome in propensity score-matched patients, aged 70 years or greater, undergoing isolated off-pump coronary bypass surgery using a bilateral (BITA) or single (SITA) skeletonized internal thoracic artery. METHODS Of 912 consecutive patients undergoing isolated coronary bypass grafting (906 using(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 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)
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)
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)
BACKGROUND Transluminal stent-graft placements (TSGPs) are a new, less invasive procedure now recognized as the choice for aortic disease repair. Treatment of aortic dissections with TSGPs has resulted in good early results, but the long-term results and changes in the false lumen have not been elucidated in detail. METHODS AND RESULTS TSGPs 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 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 Many reports have addressed the technical feasibility and early clinical results of off-pump coronary artery bypass grafting (OPCABG). It is uncertain, however, whether OPCABG provides midterm results equivalent to those of conventional CABG. METHODS At Shiga University of Medical Science Hospital from January 2002 to May 2007, 477 consecutive(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)