Early Clinical Experiences with 102 Cases of Open Heart Surgery
山口医学 Volume 19 Issue 1
Page 101-111
published_at 1970-03
Title
開心術の経験 : 102例の治験例を中心として
Early Clinical Experiences with 102 Cases of Open Heart Surgery
Creators
Kaneyuki Toshihiro
Creators
Esato Kensuke
Creators
Fujii Yasuhiro
Source Identifiers
The purpose of this paper is to document analytic review upon 102 cases undergoing open heart surgery from Oct., 1964 to Dec., 1969. 1) ASD - Two of 32 cases in whom secundum type defects of various size were found and repaired by direct sutures, died of postoperative hemorrhage and heart failure due to inadvertent overtransfusion respectively (5.8 per cent of mortality). One with a large ASD of more than 5 cm. in diameter got pulmonary edema for a few days after surgery and then recovered completely. All survivors are doing well so far. 2) VSD - Four of 42 cases undergoing closure of the defect died. The mortality rate was 9.5 per cent. Causes of death were as follows : i) massive bleeding during ventriculotomy under usual cardiopulmonary by-pass because of co-existence of persistent left superior vena cava, ii) right heart failure due to pulmonary hypertension immediately after surgery, iii) irreversible myocardial dysfunction after closure of VSD combined with aortic regurgitation, and iv) pneumonia. On discharge cardiac murmurs were heard in eleven of 38 survivors at any intensity, but residual shunt was suspected in one only.
Languages
jpn
Resource Type
journal article
Publishers
山口大学医学会
Date Issued
1970-03
File Version
Not Applicable (or Unknown)
Access Rights
metadata only access
Relations
[ISSN]0513-1731
[NCID]AN00243156
Schools
医学部