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Yoshiki Sawa - One of the best experts on this subject based on the ideXlab platform.

  • Infective endocarditis of bovine Pericardial Patch in the aortic position in a patient with left ventricular assist device.
    Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs, 2019
    Co-Authors: Masaro Nakae, Daisuke Yoshioka, Koichi Toda, Shigeru Miyagawa, Yasushi Yoshikawa, Hiroki Hata, Satoshi Kainuma, Takuji Kawamura, Ai Kawamura, Yoshiki Sawa
    Abstract:

    A 53-year old woman, who had a history of left ventricular assist device implantation for acromegalic cardiomyopathy and aortic valve closure with bovine Pericardial Patch, was diagnosed with active endocarditis of aortic valve closure Patch. The investigation revealed that infection was limited to the aortic valve closure Patch; thus, redo aortic valve closure with a new bovine Pericardial Patch was performed. The postoperative course was uneventful and the infection was sufficiently controlled. Early surgical intervention is mandatory for a good result without spread of infection to the left ventricular assist device pump and formation of embolism.

  • xeno Pericardial Patch repair of the inferior vena cava for radical resection of renal cell carcinoma with tumor thrombus
    Journal of Surgical Oncology, 2017
    Co-Authors: Satsuki Fukushima, Koichi Toda, Shigeru Miyagawa, Motohide Uemura, Kunihito Gotoh, Takeshi Ujike, Hiroshi Wada, Yoshiki Sawa
    Abstract:

    Background and Objectives For tumor thrombus in the inferior vena cava (IVC) complicated with kidney cancer, we built a surgical team to achieve (1) en bloc tumor resection; (2) xeno-Pericardial Patch IVC repair; and (3) minimum organ damages. We reviewed outcome of the case series to verify rationale of this approach. Methods A consecutive series of 12 patients having the IVC tumor thrombus by renal cell carcinoma in the last 3 years was enrolled. Minimum kidney ischemia was induced in five cases (Procedure I), whereas liver and kidney ischemia was induced in five cases (Procedure II). Mild hypothermic extracorporeal circulation was used in two cases (Procedure III). Results There was no mortality or severe morbidities related to the surgery. Postoperative recovery was most prompt by the Procedure I. Liver and kidney ischemic time was longer in the Procedure III than the Procedure II, whereas organ function was not substantially impaired in either series. The resected IVC margin was free from the cancer in all cases, while local recurrence was not seen in any cases. Conclusions En bloc resection with xeno-Pericardial Patch repair of the IVC was successfully performed in the tumor thrombus complicated with kidney cancer with minimum organ damage.

  • Xeno‐Pericardial Patch repair of the inferior vena cava for radical resection of renal cell carcinoma with tumor thrombus
    Journal of surgical oncology, 2017
    Co-Authors: Satsuki Fukushima, Koichi Toda, Shigeru Miyagawa, Motohide Uemura, Kunihito Gotoh, Takeshi Ujike, Hiroshi Wada, Yoshiki Sawa
    Abstract:

    Background and Objectives For tumor thrombus in the inferior vena cava (IVC) complicated with kidney cancer, we built a surgical team to achieve (1) en bloc tumor resection; (2) xeno-Pericardial Patch IVC repair; and (3) minimum organ damages. We reviewed outcome of the case series to verify rationale of this approach. Methods A consecutive series of 12 patients having the IVC tumor thrombus by renal cell carcinoma in the last 3 years was enrolled. Minimum kidney ischemia was induced in five cases (Procedure I), whereas liver and kidney ischemia was induced in five cases (Procedure II). Mild hypothermic extracorporeal circulation was used in two cases (Procedure III). Results There was no mortality or severe morbidities related to the surgery. Postoperative recovery was most prompt by the Procedure I. Liver and kidney ischemic time was longer in the Procedure III than the Procedure II, whereas organ function was not substantially impaired in either series. The resected IVC margin was free from the cancer in all cases, while local recurrence was not seen in any cases. Conclusions En bloc resection with xeno-Pericardial Patch repair of the IVC was successfully performed in the tumor thrombus complicated with kidney cancer with minimum organ damage.

Friedrich W. Mohr - One of the best experts on this subject based on the ideXlab platform.

Werner Mohl - One of the best experts on this subject based on the ideXlab platform.

  • Management of central coronary sinus ruptures using the Pericardial Patch repair technique.
    The Annals of thoracic surgery, 2006
    Co-Authors: Clemens Aigner, Ernst Wolner, Werner Mohl
    Abstract:

    Background Intraoperative coronary sinus rupture is a rare event; however, it carries potential mortality and its' management is technically challenging. A repair technique should provide adequate bleeding control while avoiding narrowing or stricture of the coronary sinus. Methods We retrospectively review our experience with a new Pericardial Patch repair technique. From January 1996 to May 2005 four cases of intraoperative coronary sinus injury were identified. Three female patients and one male patient with a mean age of 74 ± 4 years underwent valve replacement and/or coronary artery bypass on cardiopulmonary bypass. A double Pericardial Patch technique sandwiched with human fibrin glue was used to cover the defect. Results In all patients treated with this method, the injury could be treated successfully. All patients were extubated on the first postoperative day and median intensive care unit stay was 3 days. Drains could be removed after 4 days median. Median hospital stay was 13 days. After a median follow-up of 33 months all patients are alive without any echocardiographic signs of impairments of the coronary sinus. Conclusions We conclude that the Pericardial Patch technique is a safe and technically feasible technique for repair of central coronary sinus ruptures. Excellent bleeding control and, in our experience, no consecutive complications were observed.

  • Closure of ruptured coronary sinus by a Pericardial Patch.
    The Annals of thoracic surgery, 1996
    Co-Authors: Seyedhossein Aharinejad, Helmut Baumgartner, Aurelia Miksovsky, Werner Mohl
    Abstract:

    We report on a case of coronary sinus rupture that happened during placement of a cardioplegia balloon catheter and its subsequent repair. First, the defect was oversewn, however, not successfully. Under cardiopulmonary bypass and cardioplegic arrest, a Pericardial Patch was used to reconstruct the coronary sinus. Six months after the operation, blood drained during diastole into the right atrium but the flow was partially reversed during systole.

Satsuki Fukushima - One of the best experts on this subject based on the ideXlab platform.

  • xeno Pericardial Patch repair of the inferior vena cava for radical resection of renal cell carcinoma with tumor thrombus
    Journal of Surgical Oncology, 2017
    Co-Authors: Satsuki Fukushima, Koichi Toda, Shigeru Miyagawa, Motohide Uemura, Kunihito Gotoh, Takeshi Ujike, Hiroshi Wada, Yoshiki Sawa
    Abstract:

    Background and Objectives For tumor thrombus in the inferior vena cava (IVC) complicated with kidney cancer, we built a surgical team to achieve (1) en bloc tumor resection; (2) xeno-Pericardial Patch IVC repair; and (3) minimum organ damages. We reviewed outcome of the case series to verify rationale of this approach. Methods A consecutive series of 12 patients having the IVC tumor thrombus by renal cell carcinoma in the last 3 years was enrolled. Minimum kidney ischemia was induced in five cases (Procedure I), whereas liver and kidney ischemia was induced in five cases (Procedure II). Mild hypothermic extracorporeal circulation was used in two cases (Procedure III). Results There was no mortality or severe morbidities related to the surgery. Postoperative recovery was most prompt by the Procedure I. Liver and kidney ischemic time was longer in the Procedure III than the Procedure II, whereas organ function was not substantially impaired in either series. The resected IVC margin was free from the cancer in all cases, while local recurrence was not seen in any cases. Conclusions En bloc resection with xeno-Pericardial Patch repair of the IVC was successfully performed in the tumor thrombus complicated with kidney cancer with minimum organ damage.

  • Xeno‐Pericardial Patch repair of the inferior vena cava for radical resection of renal cell carcinoma with tumor thrombus
    Journal of surgical oncology, 2017
    Co-Authors: Satsuki Fukushima, Koichi Toda, Shigeru Miyagawa, Motohide Uemura, Kunihito Gotoh, Takeshi Ujike, Hiroshi Wada, Yoshiki Sawa
    Abstract:

    Background and Objectives For tumor thrombus in the inferior vena cava (IVC) complicated with kidney cancer, we built a surgical team to achieve (1) en bloc tumor resection; (2) xeno-Pericardial Patch IVC repair; and (3) minimum organ damages. We reviewed outcome of the case series to verify rationale of this approach. Methods A consecutive series of 12 patients having the IVC tumor thrombus by renal cell carcinoma in the last 3 years was enrolled. Minimum kidney ischemia was induced in five cases (Procedure I), whereas liver and kidney ischemia was induced in five cases (Procedure II). Mild hypothermic extracorporeal circulation was used in two cases (Procedure III). Results There was no mortality or severe morbidities related to the surgery. Postoperative recovery was most prompt by the Procedure I. Liver and kidney ischemic time was longer in the Procedure III than the Procedure II, whereas organ function was not substantially impaired in either series. The resected IVC margin was free from the cancer in all cases, while local recurrence was not seen in any cases. Conclusions En bloc resection with xeno-Pericardial Patch repair of the IVC was successfully performed in the tumor thrombus complicated with kidney cancer with minimum organ damage.

Dag Sørlie - One of the best experts on this subject based on the ideXlab platform.