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福島県立医科大学学術成果リポジトリ = Fukushima Medical University Repository >
福島医学会 = The Fukushima Society of Medical Science >
Fukushima Journal of Medical Science >
Vol.55 (2009) >
このアイテムの引用には次の識別子を使用してください:
http://ir.fmu.ac.jp/dspace/handle/123456789/239
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| タイトル: | Aortic arch repair with coronary artery revascularization |
| その他のタイトル: | Aortic arch repair with CABG |
| 著者: | Wakamatsu, Hiroki
Sato, Yoichi
Takase, Shinya
Sato, Yoshiyuki
Satokawa, Hirono
Yokoyama, Hitoshi |
| 学内所属: | 心臓血管外科学講座 |
| 誌名/書名: | Fukushima Journal of Medical Science |
| 巻: | 55 |
| 号: | 2 |
| 開始ページ: | 52 |
| 終了ページ: | 60 |
| 発行日: | 2009年12月 |
| 抄録: | OBJECTIVE: Simultaneous aortic arch repair and coronary artery bypass are associated with considerable morbidity and mortality. We retrospectively analyzed our experience with on- and off-pump coronary artery bypass (CAB) combined with aortic arch repair. METHODS: Before aortic arch repair, distal coronary artery anastomosis was constructed on the arrested heart under CAB (ONCAB: n=14), or on the beating heart before CAB (OPCAB: n=18). We also analyzed data from patients after isolated total arch replacement (TAR: n=20). RESULTS: Compared with ONCAB, OPCAB was associated with shorter periods of myocardial ischemia (133 +/- 24 vs. 180 +/- 48 min, P = 0.017) and cardiopulmonary bypass (239 +/- 35 vs. 306 +/- 61 min, P = 0.002), less prolonged postoperative ventilation (33% vs. 79%, P = 0.027) and lower postoperative peak CK-MB levels (35 +/- 19 vs. 99 +/- 124 U/L, P = 0.012). One (6%) patient after OPCAB and 3 (21%) after ONCAB (P = 0.210) died in hospital. Compared with the TAR group, the myocardial ischemic periods after OPCAB (125 +/- 30 vs. 133 +/- 24 min, P = 0.401) and postoperative outcomes were similar. CONCLUSIONS: Aortic arch repair with OPCAB offers an option for treating aortic arch aneurysm accompanied by atherosclerotic coronary artery disease. |
| 出版者: | The Fukushima Society of Medical Science |
| 出版者（異表記）: | 福島医学会 |
| 本文の言語: | eng |
| このページのURI: | http://ir.fmu.ac.jp/dspace/handle/123456789/239 |
| 本文URL: | http://ir.fmu.ac.jp/dspace/bitstream/123456789/239/1/FksmJMedSci_55_p52.pdf |
| ISSN: | 0016-2590 |
| DOI: | 10.5387/fms.55.52 |
| PubMed番号: | 20608095 |
| 権利情報: | © 2009 The Fukushima Society of Medical Science |
| 権利情報: | https://doi.org/10.5387/fms.55.52 |
| 出現コレクション: | Vol.55 (2009)
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