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Article: Triple patch technique to repair ventricular septal rupture.

Okamoto, Yuki / Yamamoto, Kazuo / Yoshii, Shinpei

2022 Volume 11, Issue 3, Page(s) 273–280

Abstract: Postinfarction ventricular septal rupture (VSR) remains an important and life-threatening complication of myocardial infarction (MI). Although several techniques have improved surgical outcomes of postinfarction VSR, the treatment is still challenging ... ...

Abstract	Postinfarction ventricular septal rupture (VSR) remains an important and life-threatening complication of myocardial infarction (MI). Although several techniques have improved surgical outcomes of postinfarction VSR, the treatment is still challenging with a high mortality rate. In addition, it is well known that a postoperative residual shunt after VSR repair is associated with poor outcomes; however, late outcomes involving patients with a residual shunt after VSR repair are lacking. This paper presents the early and late outcomes of patients who underwent the triple patch technique to repair a VSR and the usefulness in reducing a postoperative residual shunt. The main process of this technique is that the patch is gently placed on the myocardium with over and over suture and is firmly attached using glue. Therefore, the triple patch technique is simple and easy to perform, and is designed to minimize residual shunt and exclude infarcted myocardium. In the present keynote lecture, we describe our surgical technique and the results of VSR repair.
Language	English
Publishing date	2022-06-13
Publishing country	China
Document type	Journal Article ; Review
ZDB-ID	2713627-9
ISSN	2304-1021 ; 2225-319X
ISSN (online)	2304-1021
ISSN	2225-319X
DOI	10.21037/acs-2021-ami-13
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Article ; Online: Atrial electrical remodeling and function after transcatheter aortic valve replacement in patients with aortic stenosis.

Homma, Yujiro / Takahashi, Minoru / Fuse, Koichi / Okamoto, Yuki / Yamamoto, Kazuo / Kuwabara, Atsushi / Okabe, Masaaki / Yoshii, Shinpei / Kato, Kiminori / Akazawa, Kohei / Aizawa, Yoshifusa

Heart and vessels

2023 Volume 39, Issue 2, Page(s) 167–174

Abstract: To examine reverse atrial electrical remodeling in patients with aortic stenosis (AS) after trans-catheter aortic valve replacement (TAVR). In 65 consecutive patients with severe AS (83 ± 4 years, 47 (72.3%) females), we analyzed ECG records for the P ... ...

Abstract	To examine reverse atrial electrical remodeling in patients with aortic stenosis (AS) after trans-catheter aortic valve replacement (TAVR). In 65 consecutive patients with severe AS (83 ± 4 years, 47 (72.3%) females), we analyzed ECG records for the P wave duration (PWD) in lead II and P-terminal force (PTFV1) in V1, and measured cardiac dimensions and function by echocardiography (ECHO) following TAVR. Biomarkers were measured to assess myocardial injury by TAVR. TAVR was successfully performed without major complications: the aortic valve area increased from 0.62 ± 0.14 cm
MeSH term(s)	Female ; Humans ; Male ; Transcatheter Aortic Valve Replacement/adverse effects ; Transcatheter Aortic Valve Replacement/methods ; Atrial Remodeling ; Treatment Outcome ; Ventricular Function, Left ; Aortic Valve Stenosis/diagnosis ; Aortic Valve Stenosis/surgery ; Aortic Valve/diagnostic imaging ; Aortic Valve/surgery ; Severity of Illness Index ; Retrospective Studies
Language	English
Publishing date	2023-10-16
Publishing country	Japan
Document type	Journal Article
ZDB-ID	89678-0
ISSN	1615-2573 ; 0910-8327 ; 0935-736X
ISSN (online)	1615-2573
ISSN	0910-8327 ; 0935-736X
DOI	10.1007/s00380-023-02321-1
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Zs.A 2049: Show issues

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Article ; Online: Peritoneal natural killer cell chemotaxis is decreased in women with pelvic endometriosis.

Ushiwaka, Takashi / Yamamoto, Shinpei / Yoshii, Chika / Hashimoto, Shoko / Tsuzuki, Tamami / Taniguchi, Kayo / Izumiya, Chiaki / Kobayashi, Hiroaki / Maeda, Nagamasa

American journal of reproductive immunology (New York, N.Y. : 1989)

2022 Volume 88, Issue 3, Page(s) e13556

Abstract: Problem: NK cell and macrophage function are decreased in endometriosis, and the disease may involve reduced immune surveillance in the peritoneal cavity. NK cell cytotoxicity and migration ability (chemotaxis) are considered important; the former has ... ...

Abstract	Problem: NK cell and macrophage function are decreased in endometriosis, and the disease may involve reduced immune surveillance in the peritoneal cavity. NK cell cytotoxicity and migration ability (chemotaxis) are considered important; the former has been investigated, but the latter has not. Method of study: We compared chemotaxis of immunocompetent cells (NK cells, macrophages, T cells) in peritoneal fluid obtained during laparoscopy in 27 women with and 13 without endometriosis. Peripheral blood NK cells were also obtained by the peripheral blood antibody beads method. Micro-cultured cells were examined by time-lapse photography, and the mean migration speed per cell was calculated as the chemotaxis. We investigated the relationship between chemotaxis and endometriosis. Results: NK cell chemotaxis was significantly lower in the endometriosis group. Macrophages and lymphocytes were not significantly different between the groups. During menstruation, NK cell chemotaxis decreased in both groups. Postmenstrual chemotaxis was increased significantly in women without endometriosis but remained low in women with endometriosis. The Revised-American Society for Reproductive Medicine score was not correlated with chemotaxis; in women with endometriosis, chemotaxis was decreased even at early stages. Peripheral blood NK cells showed no significant differences. Conclusions: In women with endometriosis, not only cytotoxicity but also chemotaxis by NK cells in peritoneal cavity is significantly decreased, and particularly chemotaxis is decreased throughout the menstrual cycle. Therefore, antigens in retrograde menstrual blood that enters the peritoneal cavity might be left unprocessed. Repetition of this immune process in the peritoneal cavity may lead to the onset and subsequent progression of endometriosis.
MeSH term(s)	Ascitic Fluid/metabolism ; Chemotaxis ; Endometriosis ; Female ; Humans ; Killer Cells, Natural ; Peritoneum/metabolism
Language	English
Publishing date	2022-05-04
Publishing country	Denmark
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	604542-x
ISSN	1600-0897 ; 0271-7352 ; 8755-8920 ; 1046-7408
ISSN (online)	1600-0897
ISSN	0271-7352 ; 8755-8920 ; 1046-7408
DOI	10.1111/aji.13556
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Zs.A 1653: Show issues

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Article: [Stanford Type A Acute Aortic Dissection with Acute Myocardial Infarction due to Compression of Left Main Coronary Artery:Report of a Case].

Asami, Fuyuki / Yamamoto, Kazuo / Katsu, Masatake / Okamoto, Yuuki / Ooba, Eiichi / Takesue, Yuuki / Umezawa, Maiko / Sato, Taiki / Yoshii, Shinpei

Kyobu geka. The Japanese journal of thoracic surgery

2022 Volume 75, Issue 9, Page(s) 688–692

Abstract: A 58-year-old man was admitted to our institution with sudden onset of hypotension and acute ischemia of left lower extremity. Electrocardiography showed ST segment elevation in leads V1~V6 and a transthoracic echocardiogram revealed antero-septal wall ... ...

Abstract	A 58-year-old man was admitted to our institution with sudden onset of hypotension and acute ischemia of left lower extremity. Electrocardiography showed ST segment elevation in leads V1~V6 and a transthoracic echocardiogram revealed antero-septal wall hypokinesis. He was given a diagnosis of acute myocardial infarction caused by left main coronary artery compression due to acute aortic dissection by enhanced computed tomography. We implanted a stent in the left main coronary artery and performed right external iliac-left femoral arterial bypass under general anesthesia. We performed a conventional total arch replacement and frozen elephant trunk and mitral valve repair at day 16. His postoperative course was good. Implantation of a left main trunk stent is an effective strategy for Stanford type A acute aortic dissection with left main coronary arterial occlusion before surgical repair.
MeSH term(s)	Aneurysm, Dissecting/complications ; Aneurysm, Dissecting/diagnostic imaging ; Aneurysm, Dissecting/surgery ; Aortic Aneurysm/surgery ; Coronary Vessels/diagnostic imaging ; Coronary Vessels/surgery ; Humans ; Male ; Middle Aged ; Myocardial Infarction/diagnostic imaging ; Myocardial Infarction/etiology ; Myocardial Infarction/surgery ; Stents/adverse effects
Language	Japanese
Publishing date	2022-08-31
Publishing country	Japan
Document type	Case Reports ; Journal Article
ZDB-ID	603899-2
ISSN	0021-5252
ISSN	0021-5252
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Zs.B 11: Show issues

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Article: [Infectious Thoracic Aortic Aneurysm and Purulent Pericarditis due to Staphylococcus aureus:Report of a Case].

Sato, Taiki / Okamoto, Yuki / Yamamoto, Kazuo / Mizuochi, Rie / Yamamoto, Soshi / Takahashi, Satoshi / Asami, Fuyuki / Katsu, Masatake / Yoshii, Shinpei

Kyobu geka. The Japanese journal of thoracic surgery

2022 Volume 75, Issue 2, Page(s) 146–149

Abstract: The objective of this case report is to highlight a rare case of infectious thoracic aortic aneurysm and purulent pericarditis simultaneously in a 56-year-old woman. The patient complained of left anterior chest pain and contrast computed tomography (CT) ...

Abstract	The objective of this case report is to highlight a rare case of infectious thoracic aortic aneurysm and purulent pericarditis simultaneously in a 56-year-old woman. The patient complained of left anterior chest pain and contrast computed tomography (CT) revealed infectious thoracic aortic aneurysm and purulent pericarditis accompanied by massive pericardial effusion. She underwent a pericardial drainage immediately, and antibiotic treatment was initiated. Methicillin-sensitive Staphylococcus aureus was detected in blood and pericardial fluid cultures. On day eight of hospitalization, contrast CT scan showed enlargement of the aortic aneurysm. Therefore, total arch replacement was performed on day 10 using rifampicin-soaked graft. After surgery, antibiotic treatment was continued, till inflammatory markers became negative. She was discharged on day 66 without developing anastomotic pseudoaneurysms nor constrictive pericarditis.
MeSH term(s)	Aortic Aneurysm, Thoracic/complications ; Aortic Aneurysm, Thoracic/diagnostic imaging ; Aortic Aneurysm, Thoracic/surgery ; Female ; Humans ; Middle Aged ; Pericardial Effusion/complications ; Pericarditis/complications ; Pericarditis/diagnostic imaging ; Pericarditis/surgery ; Staphylococcal Infections ; Staphylococcus aureus
Language	Japanese
Publishing date	2022-03-06
Publishing country	Japan
Document type	Case Reports ; Journal Article
ZDB-ID	603899-2
ISSN	0021-5252
ISSN	0021-5252
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Zs.B 11: Show issues

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Article ; Online: Early and Late Outcomes of Aortic Valve Replacement with Aortic Annular Enlargement: A Propensity Analysis.

Okamoto, Yuki / Yamamoto, Kazuo / Sugimoto, Tsutomu / Yoshii, Shinpei

The Thoracic and cardiovascular surgeon

2016 Volume 64, Issue 5, Page(s) 410–417

Abstract: Objectives Early and late outcomes were evaluated in Japanese patients undergoing aortic valve replacement (AVR) with or without aortic annular enlargement (AAE). Propensity matching adjusted for baseline differences in this study. Methods Between ... ...

Abstract	Objectives Early and late outcomes were evaluated in Japanese patients undergoing aortic valve replacement (AVR) with or without aortic annular enlargement (AAE). Propensity matching adjusted for baseline differences in this study. Methods Between January 2001 and July 2014, 589 patients underwent AVR for aortic stenosis. Of these, 58 patients received AVR with AAE (AAE group), and the others received standard AVR without annular enlargement (sAVR group). Of these 589 patients, 116 patients were selected using propensity score matching analysis. We compared early and late outcomes between the two groups. Results Compared with the sAVR group, cardiopulmonary bypass time (177 ± 42 vs. 157 ± 39 minutes) and aortic cross-clamp time (126 ± 32 vs. 110 ± 34 minutes) were significantly longer in the AAE group. However, there were no significant differences between the AAE group and the sAVR group in 30-day mortality (1.7 vs. 3.4%) and in-hospital mortality (1.7 vs. 3.4%). There was no severe patient-prosthesis mismatch after AVR in the AAE group. The overall survival rate and freedom from cardiac events in the AAE group and in the sAVR group at 10 years were 92.4 versus 75.9% (p = 0.477) and 89.5 versus 82.8% (p = 0.076), respectively. No differences were found between the two groups. Conclusions AAE was performed safely in Japanese patients with small aortic annulus. Surgical outcomes of the AAE group were not inferior to those of sAVR. Using this technique, which did not require advanced skills, it was easy to avoid severe patient-prosthesis mismatch.
MeSH term(s)	Aged ; Aged, 80 and over ; Aortic Valve/diagnostic imaging ; Aortic Valve/physiopathology ; Aortic Valve/surgery ; Aortic Valve Stenosis/diagnostic imaging ; Aortic Valve Stenosis/mortality ; Aortic Valve Stenosis/physiopathology ; Aortic Valve Stenosis/surgery ; Chi-Square Distribution ; Female ; Heart Valve Prosthesis ; Heart Valve Prosthesis Implantation/adverse effects ; Heart Valve Prosthesis Implantation/instrumentation ; Heart Valve Prosthesis Implantation/mortality ; Hospital Mortality ; Humans ; Japan ; Kaplan-Meier Estimate ; Male ; Middle Aged ; Operative Time ; Postoperative Complications/etiology ; Postoperative Complications/mortality ; Propensity Score ; Prosthesis Design ; Retrospective Studies ; Risk Factors ; Time Factors ; Treatment Outcome
Language	English
Publishing date	2016-08
Publishing country	Germany
Document type	Journal Article
ZDB-ID	800050-5
ISSN	1439-1902 ; 0171-6425 ; 0946-4778 ; 0172-6137
ISSN (online)	1439-1902
ISSN	0171-6425 ; 0946-4778 ; 0172-6137
DOI	10.1055/s-0035-1563669
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Article ; Online: Early and Late Outcomes of Aortic Valve Replacement Using Bioprosthetic Versus Mechanical Valve in Elderly Patients: A Propensity Analysis.

Okamoto, Yuki / Yamamoto, Kazuo / Yoshii, Shinpei

Journal of cardiac surgery

2016 Volume 31, Issue 4, Page(s) 195–202

Abstract: Background and aim of the study: There is still controversy on the use of mechanical valves to treat elderly patients with a small aortic annulus who require aortic valve replacement (AVR). We compared our results in elderly patients who underwent AVR ... ...

Abstract	Background and aim of the study: There is still controversy on the use of mechanical valves to treat elderly patients with a small aortic annulus who require aortic valve replacement (AVR). We compared our results in elderly patients who underwent AVR with a bioprosthetic or mechanical valve. Propensity matching adjusted for baseline differences in this study. Methods: Between January 2001 and July 2014, 277 patients aged ≥75 years old who underwent AVR were enrolled. Of 277 patients, 104 patients were selected using propensity score matching analysis. Out of this cohort, 52 patients underwent AVR with a bioprosthetic valve (B group) and the remainder AVR with a mechanical valve (M group). Results: There were no significant differences between the B and M groups in 30 days mortality (1.9% vs. 5.8%, p = 0.618). The incidence of patient-prosthesis mismatch (PPM) after AVR tended to be lower in the M group than in the B group. The overall survival rates in the B and M groups at eight years were 72.8% and 73.3%, respectively (p = 0.473). No significant differences between the two groups were observed in freedom from valve-related death, cardiac events, bleeding events, or stroke events. Conclusions: AVR in elderly patients achieved relatively good short-term and long-term outcomes, and the incidence rates of valve-related complications after using a mechanical valve were low. In a selected population of elderly patients, a mechanical valve may be acceptable. doi: 10.1111/jocs.12719 (J Card Surg 2016;31:195-202).
MeSH term(s)	Aged ; Aged, 80 and over ; Aortic Valve/surgery ; Bioprosthesis ; Cohort Studies ; Female ; Heart Valve Prosthesis ; Heart Valve Prosthesis Implantation/methods ; Heart Valve Prosthesis Implantation/mortality ; Humans ; Incidence ; Male ; Postoperative Complications/epidemiology ; Propensity Score ; Survival Rate ; Time Factors ; Treatment Outcome
Language	English
Publishing date	2016-04
Publishing country	United States
Document type	Journal Article
ZDB-ID	639059-6
ISSN	1540-8191 ; 0886-0440
ISSN (online)	1540-8191
ISSN	0886-0440
DOI	10.1111/jocs.12719
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Zs.A 2221: Show issues

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Article ; Online: Aortic fibrosarcoma presenting as rupture of an abdominal aortic aneurysm.

Kato, Kaori / Yamamoto, Kazuo / Yoshii, Shinpei / Suzuki, Toshimitsu

Journal of vascular surgery

2015 Volume 61, Issue 4, Page(s) 1066

MeSH term(s)	Aorta, Abdominal/pathology ; Aorta, Abdominal/physiopathology ; Aorta, Abdominal/surgery ; Aortic Aneurysm, Abdominal/diagnosis ; Aortic Aneurysm, Abdominal/etiology ; Aortic Aneurysm, Abdominal/surgery ; Aortic Rupture/diagnosis ; Aortic Rupture/etiology ; Aortic Rupture/surgery ; Aortography/methods ; Biopsy ; Chemoradiotherapy, Adjuvant ; Dilatation, Pathologic ; Fibrosarcoma/complications ; Fibrosarcoma/diagnosis ; Fibrosarcoma/surgery ; Humans ; Male ; Middle Aged ; Predictive Value of Tests ; Tomography, X-Ray Computed ; Treatment Outcome ; Vascular Neoplasms/complications ; Vascular Neoplasms/diagnosis ; Vascular Neoplasms/surgery
Language	English
Publishing date	2015-04
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	605700-7
ISSN	1097-6809 ; 0741-5214
ISSN (online)	1097-6809
ISSN	0741-5214
DOI	10.1016/j.jvs.2014.05.004
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Zs.A 1933: Show issues

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Article ; Online: Early and late outcomes of AVR with aortic annular enlargement in octogenarian.

Okamoto, Yuki / Yamamoto, Kazuo / Sugimoto, Tsutomu / Yoshii, Shinpei

General thoracic and cardiovascular surgery

2015 Volume 63, Issue 8, Page(s) 453–458

Abstract: Objective: There is no clear consensus on the procedures for octogenarians with a small aortic annulus who require aortic valve replacement (AVR). We evaluated surgical results in octogenarians who underwent AVR with aortic annular enlargement, Nicks ... ...

Abstract	Objective: There is no clear consensus on the procedures for octogenarians with a small aortic annulus who require aortic valve replacement (AVR). We evaluated surgical results in octogenarians who underwent AVR with aortic annular enlargement, Nicks procedure, for aortic stenosis with a small aortic annulus. Methods: Between January 2001 and March 2014, 131 octogenarian patients were treated at our institution. Nineteen patients received AVR with aortic annular enlargement (AAE group), and the others received standard AVR without annular enlargement (sAVR group). We compared early and late outcomes between the two groups. Results: There were no significant differences in early complications between the groups. The rates for use of a mechanical valve (32 vs 22 %, p = 0.590), in-hospital mortality (5.3 vs 5.4 %, p = 1.000), and severe patient-prosthesis mismatch (PPM) (0 vs 6.3 %, p = 0.593) were also similar between the AAE and sAVR group. In the AAE group, there was no cardiac-related death, bleeding event, thromboembolism, or stroke during the follow-up period (mean 37.6 months). The rates of freedom from cardiac events at 8 years were 94 % in the AAE group and 57 % in the sAVR group (p = 0.292). The overall survival rates at 8 years were 77 % in the AAE group and 77 % in sAVR group (p = 0.462). There were no significant differences in these rates between the groups. Conclusion: AVR with aortic annular enlargement in octogenarians with small aortic annulus was safe and led to good operative and long-term outcomes.
MeSH term(s)	Aged, 80 and over ; Aortic Valve/surgery ; Aortic Valve Stenosis/mortality ; Aortic Valve Stenosis/surgery ; Cardiopulmonary Bypass/methods ; Cardiopulmonary Bypass/mortality ; Female ; Heart Valve Prosthesis ; Heart Valve Prosthesis Implantation/methods ; Heart Valve Prosthesis Implantation/mortality ; Hospital Mortality ; Humans ; Kaplan-Meier Estimate ; Male ; Postoperative Complications/etiology ; Reoperation ; Retrospective Studies ; Treatment Outcome
Language	English
Publishing date	2015-08
Publishing country	Japan
Document type	Comparative Study ; Journal Article
ZDB-ID	2376888-5
ISSN	1863-6713 ; 1863-6705
ISSN (online)	1863-6713
ISSN	1863-6705
DOI	10.1007/s11748-015-0559-2
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Article ; Online: Abnormal mitral valve chorda.

Okamoto, Yuki / Yamamoto, Kazuo / Sugimoto, Tsutomu / Yoshii, Shinpei

Circulation journal : official journal of the Japanese Circulation Society

2013 Volume 78, Issue 2, Page(s) 505–506

MeSH term(s)	Heart Valve Diseases/diagnostic imaging ; Heart Valve Diseases/surgery ; Humans ; Male ; Middle Aged ; Mitral Valve/abnormalities ; Mitral Valve/diagnostic imaging ; Mitral Valve/surgery ; Ultrasonography
Language	English
Publishing date	2013-10-26
Publishing country	Japan
Document type	Case Reports ; Journal Article
ZDB-ID	2068090-9
ISSN	1347-4820 ; 1346-9843
ISSN (online)	1347-4820
ISSN	1346-9843
DOI	10.1253/circj.cj-13-1012
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