Publications by authors named "Kazumasa Matsunaga"

A 27-year-old man diagnosed with right ventricular metastasis of Ewing sarcoma was referred to our institution. We surgically resected the metastatic tumor to prevent sudden death and reconstructed the right ventricle and tricuspid valve. He has survived for 1 year postoperatively without recurrence.

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Article Synopsis
  • The Carney complex is a rare syndrome marked by skin pigmentation, endocrine issues, and aggressive cardiac myxomas, as highlighted in a case of a 13-year-old girl diagnosed with it.
  • The patient experienced sudden left-sided paralysis and difficulty speaking, leading to surgery after imaging revealed a tumor in her heart's left atrium.
  • The surgery, performed with a right lateral mini-thoracotomy, successfully removed the tumor, and three years later, there was no sign of recurrence, emphasizing the importance of ongoing monitoring for patients with this condition.
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Background And Aim Of The Study: To assess the validity and long-term outcomes of direct bilateral axillary arterial cannulation for acute type A aortic dissection.

Methods: Between 2003 and 2020, 208 consecutive patients with acute type A aortic dissection underwent emergency surgical repair. Cardiopulmonary bypass was attempted to establish direct bilateral axillary arterial cannulation and bicaval drainage.

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A 65-year-old woman was transported to our hospital by ambulance because of severe dyspnea. She had had a subcutaneous tumor on her anterior chest since her childhood. Coronary angiography revealed three vessel disease with significant stenosis in the left main trunk.

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Background Saphenous vein grafts (SVGs) are broadly used in coronary artery bypass grafting despite their inferior patency compared with arterial grafts. Recently, the no-touch technique (NT), in which an SVG is harvested with a pedicle of perivascular adipose tissue (PVAT) without conduit distension, was shown to improve long-term patency compared with conventional preparation (CV), wherein outer tissue is removed with distension. The NT was also reportedly associated with reduced atherosclerosis.

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Background: Computed tomography (CT) is a useful tool for the identification of calcified lesions in the aorta. However, no quantitative evaluation has been established to assess the applicability of simple anastomosis preoperatively. We conducted this retrospective study to establish a reference range of maximal CT attenuation values for application of simple anastomosis.

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A 67-year-old man presented at the hospital with worsening exertional dyspnea. Echocardiography showed a tumor in the left ventricle (approximately 35 × 48 mm) that protruded into the left atrium and left ventricular outflow tract during systole. These findings suggested a high risk of sudden death resulting from aortic valve obstruction or tumor embolism.

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