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  1. Article ; Online: Degos disease complicated by constrictive pericarditis in remote phase: a case report.

    Tadokoro, Yuki / Kitamura, Tadashi / Horai, Tetsuya / Miyaji, Kagami

    Journal of cardiothoracic surgery

    2022  Volume 17, Issue 1, Page(s) 59

    Abstract: Background: Degos disease, also known as malignant atrophic papulosis, is characterised by cutaneous manifestations due to chronic thrombo-obliterative vasculopathy. There have been reports of the rare late-onset Degos disease complicated by ... ...

    Abstract Background: Degos disease, also known as malignant atrophic papulosis, is characterised by cutaneous manifestations due to chronic thrombo-obliterative vasculopathy. There have been reports of the rare late-onset Degos disease complicated by constrictive pericarditis (CP). This study reports a case of CP caused by Degos disease that developed 20 years after diagnosis.
    Case presentation: A 62-year-old woman who had been taking aspirin for 20 years for Degos disease was hospitalised for worsening of heart failure. The patient was diagnosed with CP and underwent pericardiectomy. Pathological findings suggested the involvement of Degos disease. The postoperative course was uneventful, and her heart failure and Degos disease did not worsen.
    Conclusions: The study findings suggests that Degos disease can cause long-term CP. Aspirin effectively inhibited the progression of Degos disease, and surgical treatment was necessary when heart failure due to CP was refractory to treatment.
    MeSH term(s) Aspirin/therapeutic use ; Female ; Humans ; Malignant Atrophic Papulosis/complications ; Malignant Atrophic Papulosis/diagnosis ; Middle Aged ; Pericardiectomy ; Pericarditis, Constrictive/complications ; Pericarditis, Constrictive/diagnosis
    Chemical Substances Aspirin (R16CO5Y76E)
    Language English
    Publishing date 2022-04-01
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 2227224-0
    ISSN 1749-8090 ; 1749-8090
    ISSN (online) 1749-8090
    ISSN 1749-8090
    DOI 10.1186/s13019-022-01810-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: [Esophageal Perforation on Transesophageal Echocardiography in Open-heart Surgery:Report of a Case].

    Ohtomo, Yurie / Tamura, Tomoki / Momose, Naoya / Horai, Tetsuya

    Kyobu geka. The Japanese journal of thoracic surgery

    2022  Volume 75, Issue 11, Page(s) 966–970

    Abstract: A 70-year-old woman, who was taking prednisolone to treat Takayasu arteritis, underwent surgery for aortic regurgitation and aneurysm of the ascending aorta. The probe of the transesophageal echocardiography (TEE) could not be inserted due to resistance ... ...

    Abstract A 70-year-old woman, who was taking prednisolone to treat Takayasu arteritis, underwent surgery for aortic regurgitation and aneurysm of the ascending aorta. The probe of the transesophageal echocardiography (TEE) could not be inserted due to resistance during anesthesia induction and was inserted after starting cardiopulmonary bypass. The right pneumothorax was observed during surgery. After surgery, fever and a high C-reactive protein level continued, and a computed tomography (CT) examination revealed right thoracic empyema together with free air around the esophagus. The esophageal perforation diagnosis was confirmed by upper endoscopy. Esophageal leakage continued despite emergency esophageal repair and enterostomy. Although esophagectomy was performed 2 months later, the patient died 6 months after cardiac surgery due to sepsis. Thus, esophageal perforation related to TEE in open-heart surgery was considered to be associated with a poor prognosis.
    MeSH term(s) Aged ; C-Reactive Protein ; Cardiac Surgical Procedures/adverse effects ; Echocardiography, Transesophageal ; Esophageal Perforation/diagnostic imaging ; Esophageal Perforation/etiology ; Esophageal Perforation/surgery ; Female ; Humans ; Prednisolone
    Chemical Substances C-Reactive Protein (9007-41-4) ; Prednisolone (9PHQ9Y1OLM)
    Language Japanese
    Publishing date 2022-09-20
    Publishing country Japan
    Document type Case Reports ; Journal Article
    ZDB-ID 603899-2
    ISSN 0021-5252
    ISSN 0021-5252
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Endovascular Therapy for Chronic Type B Aortic Dissection.

    Fujioka, Shunichiro / Irisawa, Yusuke / Horai, Tetsuya / Hosaka, Shigeru

    Annals of vascular diseases

    2020  Volume 12, Issue 4, Page(s) 449–455

    Abstract: ... ...

    Abstract Objectives
    Language English
    Publishing date 2020-01-01
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 2394256-3
    ISSN 1881-6428 ; 1881-641X
    ISSN (online) 1881-6428
    ISSN 1881-641X
    DOI 10.3400/avd.oa.19-00093
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Severe Heart Failure in a Young Cocaine User.

    Bekki, Norifumi / Hayama, Hiromasa / Ishii, Rina / Awaya, Toru / Horai, Tetsuya / Hara, Hisao / Hiroi, Yukio

    International heart journal

    2021  Volume 62, Issue 6, Page(s) 1411–1413

    Abstract: A 27-year-old Caucasian male traveler with well-controlled asthma was admitted to our hospital because of severe heart failure (HF). He had a history of cocaine use. Transthoracic echocardiography (TTE) showed severe diffuse hypokinesis of the left ... ...

    Abstract A 27-year-old Caucasian male traveler with well-controlled asthma was admitted to our hospital because of severe heart failure (HF). He had a history of cocaine use. Transthoracic echocardiography (TTE) showed severe diffuse hypokinesis of the left ventricle (LV) and a large mobile thrombus in the LV. He was treated with diuretics, inotropes and anticoagulants which led to small improvements in the HF and LV thrombus, however, he needed to undergo left ventricular assist device (LVAD) implantation and surgical removal of a residual LV thrombus due to inotrope-dependency.It is necessary to consider the possibility of cocaine or illicit drug use in a young individual with cardiovascular disease or sudden death even in Japan where cocaine and drugs are prohibited by law, as recreational drug use has been increasing in many countries around the world.
    MeSH term(s) Adult ; Cocaine-Related Disorders/complications ; Echocardiography ; Heart Failure/etiology ; Heart Failure/therapy ; Heart Ventricles/diagnostic imaging ; Heart-Assist Devices ; Humans ; Male ; Thrombectomy ; Thrombosis/diagnostic imaging
    Language English
    Publishing date 2021-11-06
    Publishing country Japan
    Document type Case Reports ; Journal Article
    ZDB-ID 2187806-7
    ISSN 1349-3299 ; 1349-2365
    ISSN (online) 1349-3299
    ISSN 1349-2365
    DOI 10.1536/ihj.21-139
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Prosthetic valve endocarditis presenting with back pain alone: A case report.

    Sato, Toshihiro / Morioka, Shinichiro / Nakamoto, Takato / Nakamura, Keiji / Irisawa, Yusuke / Horai, Tetsuya / Ohmagari, Norio

    Journal of general and family medicine

    2020  Volume 21, Issue 4, Page(s) 148–151

    Abstract: We report a case of a 64-year-old woman with a past medical history (PMH) of prosthetic valve replacement 7 months prior to admission, who presented with only right back pain. Physical examination revealed one conjunctival spot hemorrhage and a mild ... ...

    Abstract We report a case of a 64-year-old woman with a past medical history (PMH) of prosthetic valve replacement 7 months prior to admission, who presented with only right back pain. Physical examination revealed one conjunctival spot hemorrhage and a mild systolic murmur. Blood cultures were positive for methicillin-resistant
    Language English
    Publishing date 2020-05-14
    Publishing country Japan
    Document type Case Reports
    ISSN 2189-7948
    ISSN (online) 2189-7948
    DOI 10.1002/jgf2.316
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Direct True Lumen Cannulation ("Samurai" Cannulation) for Acute Stanford Type A Aortic Dissection.

    Kitamura, Tadashi / Nie, Masaki / Horai, Tetsuya / Miyaji, Kagami

    The Annals of thoracic surgery

    2017  Volume 104, Issue 6, Page(s) e459–e461

    Abstract: In operations for acute Stanford type A aortic dissection, several cannulation options are available for cardiopulmonary bypass arterial perfusion. These are femoral, axillary, Seldinger ascending aortic, transapical, and transatrial, each of which has ... ...

    Abstract In operations for acute Stanford type A aortic dissection, several cannulation options are available for cardiopulmonary bypass arterial perfusion. These are femoral, axillary, Seldinger ascending aortic, transapical, and transatrial, each of which has advantages and drawbacks. We describe our surgical technique of direct true lumen cannulation ("Samurai" cannulation), which represents an easy, safe, and practical option in operations for acute type A aortic dissection.
    MeSH term(s) Aged ; Aneurysm, Dissecting/diagnostic imaging ; Aneurysm, Dissecting/pathology ; Aneurysm, Dissecting/surgery ; Aortic Aneurysm, Thoracic/diagnostic imaging ; Aortic Aneurysm, Thoracic/pathology ; Aortic Aneurysm, Thoracic/surgery ; Cardiopulmonary Bypass ; Catheterization/methods ; Cohort Studies ; Female ; Humans ; Male ; Middle Aged
    Language English
    Publishing date 2017-11-15
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 211007-6
    ISSN 1552-6259 ; 0003-4975
    ISSN (online) 1552-6259
    ISSN 0003-4975
    DOI 10.1016/j.athoracsur.2017.08.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Aortic endograft infection by Mycobacterium abscessus subsp. massiliense with acquired clarithromycin resistance: a case report.

    Akiyama, Yutaro / Iwamoto, Noriko / Kamada, Keisuke / Yoshida, Atsushi / Osugi, Asami / Mitarai, Satoshi / Suzuki, Tetsuya / Yamamoto, Kei / Nagashima, Maki / Horai, Tetsuya / Ohmagari, Norio

    BMC infectious diseases

    2023  Volume 23, Issue 1, Page(s) 694

    Abstract: Background: Mycobacterium abscessus subsp. massiliense (MMA) comprises a group of non-tuberculous, rapidly growing mycobacteria. Although MMA can cause pulmonary diseases, surgical site infections, and disseminated diseases, aortic endograft infection ... ...

    Abstract Background: Mycobacterium abscessus subsp. massiliense (MMA) comprises a group of non-tuberculous, rapidly growing mycobacteria. Although MMA can cause pulmonary diseases, surgical site infections, and disseminated diseases, aortic endograft infection has not been reported. Here, we describe the first case of aortic endograft infection caused by MMA.
    Case presentation: Two months after stent-graft insertion for an abdominal aortic aneurysm, an 85-year-old man was admitted with fever and abdominal pain and was diagnosed with aortic endograft infection. Despite 14 days of meropenem and vancomycin intravenous administration, periaortic fluid pooling increased as compared to that before antibiotic administration. The abscess was drained, and fluorescent acid-fast staining of the abscess fluid revealed bacilli. We conducted genetic tests on the genes hsp65, rpoB, and sodA, performed Whole Genome Sequencing (WGS), and identified the organism as MMA. Intravenous imipenem-cilastatin (IPM/CS), amikacin (AMK), and oral clarithromycin (CAM) were administered. After 2 months, oral CAM and sitafloxacin were administered because the abscess had decreased in size. However, after 6 weeks, the abscess increased in size again. Antimicrobial susceptibility testing of the drainage fluid from the abscess resulted in the isolation of an MMA strain that had acquired resistance to CAM. Intravenous IPM/CS, AMK, and oral linezolid were added to the treatment regimen along with oral CAM and STFX. However, he was not fully cured and died 6 months later. Neither the full-length erythromycin ribosome methyltransferase (erm)(41) gene nor the rrl or rpIV gene mutations were found by Sanger sequencing in the pre- and post-treatment strains. Whole-genome sequence analysis of the post-treatment strain revealed mutations in genes with no previous reports of association with macrolide resistance.
    Conclusions: Aortic endograft infection caused by MMA strain is extremely rare; nonetheless, MMA should be suspected as the causative microorganism when broad-spectrum antimicrobials are ineffective.
    MeSH term(s) Male ; Humans ; Aged, 80 and over ; Clarithromycin/therapeutic use ; Anti-Bacterial Agents/pharmacology ; Anti-Bacterial Agents/therapeutic use ; Mycobacterium abscessus/genetics ; Abscess/drug therapy ; Macrolides ; Drug Resistance, Bacterial ; Amikacin/therapeutic use ; Mycobacterium Infections, Nontuberculous/diagnosis ; Mycobacterium Infections, Nontuberculous/drug therapy ; Mycobacterium Infections, Nontuberculous/microbiology ; Cilastatin, Imipenem Drug Combination ; Stents ; Microbial Sensitivity Tests
    Chemical Substances Clarithromycin (H1250JIK0A) ; Anti-Bacterial Agents ; Macrolides ; Amikacin (84319SGC3C) ; Cilastatin, Imipenem Drug Combination (92309-29-0)
    Language English
    Publishing date 2023-10-17
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 2041550-3
    ISSN 1471-2334 ; 1471-2334
    ISSN (online) 1471-2334
    ISSN 1471-2334
    DOI 10.1186/s12879-023-08702-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: eReply. Re: Addition of the frozen elephant trunk to the ascending aorta and aortic arch replacement in case of Stanford type A aortic dissection occurring in the presence of Kommerell's diverticulum.

    Kitamura, Tadashi / Tanaka, Yuki / Horai, Tetsuya / Miyaji, Kagami

    Interactive cardiovascular and thoracic surgery

    2016  Volume 22, Issue 5, Page(s) 697

    MeSH term(s) Aneurysm, Dissecting/surgery ; Aorta, Thoracic/surgery ; Aortic Aneurysm, Thoracic/surgery ; Blood Vessel Prosthesis Implantation ; Diverticulum/surgery ; Humans
    Language English
    Publishing date 2016
    Publishing country England
    Document type Journal Article ; Comment
    ZDB-ID 2095298-3
    ISSN 1569-9285 ; 1569-9293
    ISSN (online) 1569-9285
    ISSN 1569-9293
    DOI 10.1093/icvts/ivw096
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Two-stage operation for Stanford type A acute aortic dissection originating from Kommerell's diverticulum.

    Tanaka, Yuki / Kitamura, Tadashi / Horai, Tetsuya / Miyaji, Kagami

    Interactive cardiovascular and thoracic surgery

    2016  Volume 22, Issue 5, Page(s) 695–697

    Abstract: We report a rare case of Stanford type A acute aortic dissection involving an aberrant right subclavian artery and originating from Kommerell's diverticulum in a 52-year old man. Initially, as an emergency measure, total arch replacement and right ... ...

    Abstract We report a rare case of Stanford type A acute aortic dissection involving an aberrant right subclavian artery and originating from Kommerell's diverticulum in a 52-year old man. Initially, as an emergency measure, total arch replacement and right axillary artery reconstruction were performed. However, due to the subsequent enlargement of the false lumen, thoracic endovascular aortic repair and right subclavian artery coiling were performed successfully 5 months after the first operation. Herein, we describe surgical management approaches for the treatment of a Stanford type A acute aortic dissection with aberrant right subclavian artery.
    MeSH term(s) Acute Disease ; Aneurysm/complications ; Aneurysm/surgery ; Aneurysm, Dissecting/diagnosis ; Aneurysm, Dissecting/etiology ; Aneurysm, Dissecting/surgery ; Aorta, Thoracic/abnormalities ; Aorta, Thoracic/diagnostic imaging ; Aorta, Thoracic/surgery ; Aortic Aneurysm, Thoracic/diagnosis ; Aortic Aneurysm, Thoracic/etiology ; Aortic Aneurysm, Thoracic/surgery ; Cardiovascular Abnormalities/complications ; Cardiovascular Abnormalities/surgery ; Deglutition Disorders/complications ; Deglutition Disorders/surgery ; Diverticulum/complications ; Diverticulum/diagnosis ; Diverticulum/surgery ; Endovascular Procedures/methods ; Humans ; Male ; Middle Aged ; Subclavian Artery/abnormalities ; Subclavian Artery/surgery
    Language English
    Publishing date 2016
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 2095298-3
    ISSN 1569-9285 ; 1569-9293
    ISSN (online) 1569-9285
    ISSN 1569-9293
    DOI 10.1093/icvts/ivw011
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: A Case of Vascular Graft Infection Caused by

    Okuhama, Ayako / Murai, Yuta / Ishikane, Masahiro / Mezaki, Kazuhisa / Isaka, Erina / Matsushiro, Takuya / Yamada, Gen / Nomoto, Hidetoshi / Yamamoto, Kei / Morioka, Shinichiro / Ohmagari, Norio / Horai, Tetsuya

    Open forum infectious diseases

    2022  Volume 9, Issue 7, Page(s) ofac187

    Abstract: Haemophilus ... ...

    Abstract Haemophilus parainfluenzae
    Language English
    Publishing date 2022-04-12
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2757767-3
    ISSN 2328-8957
    ISSN 2328-8957
    DOI 10.1093/ofid/ofac187
    Database MEDical Literature Analysis and Retrieval System OnLINE

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