The Experts below are selected from a list of 204 Experts worldwide ranked by ideXlab platform
Toshihide Asou - One of the best experts on this subject based on the ideXlab platform.
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Surgical approach for Systemic-Pulmonary Shunt in neonates with functionally univentricular heart: comparison between sternotomy and thoracotomy
General Thoracic and Cardiovascular Surgery, 2016Co-Authors: Takashi Sasaki, Yuko Takeda, Yasuko Ohnakatomi, Toshihide AsouAbstract:Objective The preferred surgical approach for Systemic-Pulmonary Shunts has changed from thoracotomy to sternotomy in our institution, to concomitantly manage the ductus arteriosus during surgery. The purpose of this study was to compare the outcomes of Systemic-Pulmonary Shunts for neonates with functionally univentricular hearts based on surgical approach. Methods Fifty-two neonates with functionally univentricular hearts underwent Systemic-Pulmonary Shunt via sternotomy ( n = 28) or thoracotomy ( n = 24). Patient characteristics, achievement rates of right heart bypass, and survival rates were compared for the different approaches. Results Prenatal diagnosis was made more common in the sternotomy group ( p = 0.006). The Shunt was placed more centrally in the sternotomy group. The ductus arteriosus was ligated or banded in most patients in the sternotomy group (26/28) and in a few patients in the thoracotomy group (6/24). Frequency of ductal management in the early postoperative phase was not different between the groups (21 vs 25 %), but three new incisions had to be made in the thoracotomy group. No differences were seen in the achievement rates of bidirectional cavoPulmonary Shunts (86 vs 87 % at 10 months of age) and total cavoPulmonary connection (81 vs 81 % at 2 years of age), or in the survival rates (92 vs 96 % at 8 years). Conclusions There were no differences in short- and long-term outcomes between the groups. The sternotomy approach might be preferable in the current era of prenatal diagnosis, to allow simultaneous duct management during Systemic-Pulmonary Shunt surgery, particularly in patients with large ducts associated with functionally univentricular hearts.
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Surgical approach for Systemic-Pulmonary Shunt in neonates with functionally univentricular heart: comparison between sternotomy and thoracotomy.
General thoracic and cardiovascular surgery, 2016Co-Authors: Takashi Sasaki, Yuko Takeda, Yasuko Ohnakatomi, Toshihide AsouAbstract:Objective The preferred surgical approach for Systemic-Pulmonary Shunts has changed from thoracotomy to sternotomy in our institution, to concomitantly manage the ductus arteriosus during surgery. The purpose of this study was to compare the outcomes of Systemic-Pulmonary Shunts for neonates with functionally univentricular hearts based on surgical approach.
Takashi Sasaki - One of the best experts on this subject based on the ideXlab platform.
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Surgical approach for Systemic-Pulmonary Shunt in neonates with functionally univentricular heart: comparison between sternotomy and thoracotomy
General Thoracic and Cardiovascular Surgery, 2016Co-Authors: Takashi Sasaki, Yuko Takeda, Yasuko Ohnakatomi, Toshihide AsouAbstract:Objective The preferred surgical approach for Systemic-Pulmonary Shunts has changed from thoracotomy to sternotomy in our institution, to concomitantly manage the ductus arteriosus during surgery. The purpose of this study was to compare the outcomes of Systemic-Pulmonary Shunts for neonates with functionally univentricular hearts based on surgical approach. Methods Fifty-two neonates with functionally univentricular hearts underwent Systemic-Pulmonary Shunt via sternotomy ( n = 28) or thoracotomy ( n = 24). Patient characteristics, achievement rates of right heart bypass, and survival rates were compared for the different approaches. Results Prenatal diagnosis was made more common in the sternotomy group ( p = 0.006). The Shunt was placed more centrally in the sternotomy group. The ductus arteriosus was ligated or banded in most patients in the sternotomy group (26/28) and in a few patients in the thoracotomy group (6/24). Frequency of ductal management in the early postoperative phase was not different between the groups (21 vs 25 %), but three new incisions had to be made in the thoracotomy group. No differences were seen in the achievement rates of bidirectional cavoPulmonary Shunts (86 vs 87 % at 10 months of age) and total cavoPulmonary connection (81 vs 81 % at 2 years of age), or in the survival rates (92 vs 96 % at 8 years). Conclusions There were no differences in short- and long-term outcomes between the groups. The sternotomy approach might be preferable in the current era of prenatal diagnosis, to allow simultaneous duct management during Systemic-Pulmonary Shunt surgery, particularly in patients with large ducts associated with functionally univentricular hearts.
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Surgical approach for Systemic-Pulmonary Shunt in neonates with functionally univentricular heart: comparison between sternotomy and thoracotomy.
General thoracic and cardiovascular surgery, 2016Co-Authors: Takashi Sasaki, Yuko Takeda, Yasuko Ohnakatomi, Toshihide AsouAbstract:Objective The preferred surgical approach for Systemic-Pulmonary Shunts has changed from thoracotomy to sternotomy in our institution, to concomitantly manage the ductus arteriosus during surgery. The purpose of this study was to compare the outcomes of Systemic-Pulmonary Shunts for neonates with functionally univentricular hearts based on surgical approach.
Hiromi Kurosawa - One of the best experts on this subject based on the ideXlab platform.
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Surgical Results for Functional Univentricular Heart With Total Anomalous Pulmonary Venous Connection Over a 25-Year Experience
The Annals of thoracic surgery, 2011Co-Authors: Yuki Nakayama, Toru Okamura, Takeshi Hiramatsu, Yusuke Iwata, Takeshi Konuma, Goki Matsumura, Kenji Suzuki, Kyoko Hobo, Toshio Nakanishi, Hiromi KurosawaAbstract:Background Surgical results for functional univentricular heart with total anomalous Pulmonary venous connection (TAPVC) have been unsatisfactory to date. Methods During a 25-year period until December 2009, 207 TAPVC patients underwent surgical repair at our institute, including 56 with a univentricular heart. The 10-year survival rate was 51.1% with univentricular heart and 84.7% with biventricular heart ( p Results Patients were aged 3.8 ± 4.3 years and weighed 12.3 ± 10.7 kg at operation. Preoperative diagnoses included heterotaxy syndrome in 55, asplenia in 48, preoperative Pulmonary venous obstruction in 35, and Pulmonary atresia in 20. TAPVC was classified as I in 22, II in 26, III in 5, and IV in 3. Concomitant procedures included Fontan procedure in 29, bidirectional Glenn procedure in 5, Systemic–Pulmonary Shunt in 11, and Pulmonary artery banding in 5. There were 17 hospital deaths and 11 late deaths. Fontan completion was undertaken in 31 (55.3%). Postoperative Pulmonary venous obstruction was found in 15. Multivariate analysis identified TAPVC III and IV and Pulmonary atresia as risk factors for hospital death. Univariate analysis identified postoperative Pulmonary venous obstruction and concomitant Systemic–Pulmonary Shunt as risk factors for hospital and late death. Conclusions TAPVC III, IV, and Pulmonary atresia are risk factors for early postoperative death. Intensive intervention, including perioperative management and operation, is required in these complex patients.
Yasuko Ohnakatomi - One of the best experts on this subject based on the ideXlab platform.
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Surgical approach for Systemic-Pulmonary Shunt in neonates with functionally univentricular heart: comparison between sternotomy and thoracotomy
General Thoracic and Cardiovascular Surgery, 2016Co-Authors: Takashi Sasaki, Yuko Takeda, Yasuko Ohnakatomi, Toshihide AsouAbstract:Objective The preferred surgical approach for Systemic-Pulmonary Shunts has changed from thoracotomy to sternotomy in our institution, to concomitantly manage the ductus arteriosus during surgery. The purpose of this study was to compare the outcomes of Systemic-Pulmonary Shunts for neonates with functionally univentricular hearts based on surgical approach. Methods Fifty-two neonates with functionally univentricular hearts underwent Systemic-Pulmonary Shunt via sternotomy ( n = 28) or thoracotomy ( n = 24). Patient characteristics, achievement rates of right heart bypass, and survival rates were compared for the different approaches. Results Prenatal diagnosis was made more common in the sternotomy group ( p = 0.006). The Shunt was placed more centrally in the sternotomy group. The ductus arteriosus was ligated or banded in most patients in the sternotomy group (26/28) and in a few patients in the thoracotomy group (6/24). Frequency of ductal management in the early postoperative phase was not different between the groups (21 vs 25 %), but three new incisions had to be made in the thoracotomy group. No differences were seen in the achievement rates of bidirectional cavoPulmonary Shunts (86 vs 87 % at 10 months of age) and total cavoPulmonary connection (81 vs 81 % at 2 years of age), or in the survival rates (92 vs 96 % at 8 years). Conclusions There were no differences in short- and long-term outcomes between the groups. The sternotomy approach might be preferable in the current era of prenatal diagnosis, to allow simultaneous duct management during Systemic-Pulmonary Shunt surgery, particularly in patients with large ducts associated with functionally univentricular hearts.
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Surgical approach for Systemic-Pulmonary Shunt in neonates with functionally univentricular heart: comparison between sternotomy and thoracotomy.
General thoracic and cardiovascular surgery, 2016Co-Authors: Takashi Sasaki, Yuko Takeda, Yasuko Ohnakatomi, Toshihide AsouAbstract:Objective The preferred surgical approach for Systemic-Pulmonary Shunts has changed from thoracotomy to sternotomy in our institution, to concomitantly manage the ductus arteriosus during surgery. The purpose of this study was to compare the outcomes of Systemic-Pulmonary Shunts for neonates with functionally univentricular hearts based on surgical approach.
Yuko Takeda - One of the best experts on this subject based on the ideXlab platform.
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Surgical approach for Systemic-Pulmonary Shunt in neonates with functionally univentricular heart: comparison between sternotomy and thoracotomy
General Thoracic and Cardiovascular Surgery, 2016Co-Authors: Takashi Sasaki, Yuko Takeda, Yasuko Ohnakatomi, Toshihide AsouAbstract:Objective The preferred surgical approach for Systemic-Pulmonary Shunts has changed from thoracotomy to sternotomy in our institution, to concomitantly manage the ductus arteriosus during surgery. The purpose of this study was to compare the outcomes of Systemic-Pulmonary Shunts for neonates with functionally univentricular hearts based on surgical approach. Methods Fifty-two neonates with functionally univentricular hearts underwent Systemic-Pulmonary Shunt via sternotomy ( n = 28) or thoracotomy ( n = 24). Patient characteristics, achievement rates of right heart bypass, and survival rates were compared for the different approaches. Results Prenatal diagnosis was made more common in the sternotomy group ( p = 0.006). The Shunt was placed more centrally in the sternotomy group. The ductus arteriosus was ligated or banded in most patients in the sternotomy group (26/28) and in a few patients in the thoracotomy group (6/24). Frequency of ductal management in the early postoperative phase was not different between the groups (21 vs 25 %), but three new incisions had to be made in the thoracotomy group. No differences were seen in the achievement rates of bidirectional cavoPulmonary Shunts (86 vs 87 % at 10 months of age) and total cavoPulmonary connection (81 vs 81 % at 2 years of age), or in the survival rates (92 vs 96 % at 8 years). Conclusions There were no differences in short- and long-term outcomes between the groups. The sternotomy approach might be preferable in the current era of prenatal diagnosis, to allow simultaneous duct management during Systemic-Pulmonary Shunt surgery, particularly in patients with large ducts associated with functionally univentricular hearts.
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Surgical approach for Systemic-Pulmonary Shunt in neonates with functionally univentricular heart: comparison between sternotomy and thoracotomy.
General thoracic and cardiovascular surgery, 2016Co-Authors: Takashi Sasaki, Yuko Takeda, Yasuko Ohnakatomi, Toshihide AsouAbstract:Objective The preferred surgical approach for Systemic-Pulmonary Shunts has changed from thoracotomy to sternotomy in our institution, to concomitantly manage the ductus arteriosus during surgery. The purpose of this study was to compare the outcomes of Systemic-Pulmonary Shunts for neonates with functionally univentricular hearts based on surgical approach.