Publications by authors named "Jien Saito"

Ruptured iliac artery aneurysms are serious conditions with high mortality, occasionally perforating into the venous system. A 73-year-old male presented with left leg edema and a pulsatile left lower abdominal mass. Computed tomography revealed a ruptured left common iliac artery aneurysm with perforation into the left common iliac vein.

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Background: Among patients with functional mitral regurgitation (FMR), responders to transcatheter mitral edge-to-edge repair (TEER) remain unclear. We investigated whether the slope of the preload recruitable stroke work relationship (M; calculated as stroke work / [EDV - k × EDV + {1 - k} × LV wall], where EDV is end-diastolic volume, k is a constant, and LV wall is the volume of the left ventricular wall) could predict rehospitalization in FMR patients after TEER.

Methods And Results: Mwas calculated for 24 FMR patients using echocardiography.

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Herein, we present a case of aortic dissection with right carotid artery occlusion that was treated successfully with thrombus evacuation from the false lumen of the occluded carotid artery during hemiarch replacement. This procedure is performed with two maneuvers: aggressive retrieval of the thrombus from the innominate artery during circulatory arrest and thrombus evacuation from the false lumen of the right common carotid artery through a right neck incision with the heart beating. In this alternative method, thrombi can be evacuated more naturally and briskly, using pulsatile flow.

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Article Synopsis
  • * The surgical team performed a procedure that included replacing the affected ascending aorta and part of the arch while also removing an enlarged innominate artery, using a technique that preserved blood flow through the unaffected common trunk.
  • * The approach taken could help prevent future vascular complications by carefully reconstructing the arteries after resection, ensuring proper blood flow while addressing the dissection.
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A 64-year-old man on dialysis presented to the emergency department with a fever and chills. Transthoracic echocardiography (TTE) showed small vegetation on the posterior mitral leaflet (PML). Antibiotic therapy was initiated.

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A 68-year-old male presented with a two-week history of fever, and further investigations revealed mitral valve endocarditis caused by , with associated severe mitral regurgitation (MR). The patient was referred for mitral valve surgery but developed new neurological symptoms two days before the operation, which were diagnosed as symptomatic epilepsy. During surgery, kissing lesions were found on the posterior mitral leaflet (PML), which were not detected on preoperative transesophageal echocardiography (TEE).

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Regarding coronary artery bypass grafting (CABG) in patients on hemodialysis, in situ internal thoracic artery (ITA) grafting of the left anterior descending artery (LAD) improves survival and freedom from cardiac events. Although a problem with the ITA can possibly occur, using the ITA ipsilateral to an arteriovenous fistula (AVF) in the upper extremity of patients on hemodialysis can cause coronary subclavian steal syndrome (CSSS). CSSS is a condition of myocardial ischemia caused by the diversion of blood flow from the ITA following coronary artery bypass surgery.

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We detected Helicobacter cinaedi in 4 of 10 patients with infected aortic aneurysms diagnosed using blood or tissue culture in Aichi, Japan, during September 2017-January 2021. Infected aortic aneurysms caused by H. cinaedi had a higher detection rate and better results after treatment than previously reported, without recurrent infection.

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Article Synopsis
  • - Spontaneous coronary artery rupture (SCAR) is a rare but serious condition that can be difficult to diagnose, as illustrated by a case involving a 70-year-old man who experienced sudden cardiac arrest.
  • - Initial emergency coronary angiography (CAG) did not show any abnormalities, but subsequent surgery revealed that pericardial fluid was due to bleeding from the left circumflex artery (LCx).
  • - A detailed review of the earlier CAG identified slight contrast leakage from the distal LCx, highlighting that SCAR should be considered in patients with unexplained pericardial effusion, and careful examination of CAG results is crucial.
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