Japanese
TitleMinimally Invasive Cardiac Surgery(MICS)における陰圧吸引補助脱血法(Vacuum Assisted Venous Return:VAVR)の検討
Subtitle症例
Authors吉田浩紹, 入江嘉仁, 垣伸明, 佐藤康広, 秦一剋, 権重好, 斉藤政仁, 汐口壮一, 長磨美子, 岡田修一, 田中恒有
Authors(kana)
Organization獨協医科大学越谷病院心臓血管外科
Journal循環制御
Volume26
Number1
Page58-61
Year/Month2005/3
Article報告
Publisher日本循環制御医学会
Abstract日本胸部外科学会, 日本心臓血管外科学会, 日本人工臓器学会の3学会合同報告書の基準を満たしている陰圧吸引脱血法(VAVR)の安全性, 有用性について僧帽弁置換術82例(メイズ同時手術46例, 再手術症例20例を含むminimally invasive cardiac surgery[MICS]の対象となる)で検討した. VAVR使用群と非使用群の間で術中因子, 術後因子には差がなく, 体表面積が1.5平方メートルを越える男性にVAVR使用が多かった.
Practice基礎医学・関連科学
KeywordsMICS, MVR, mazeprocedure, VAVR
English
TitleVacuum assisted venous return (VAVR) in patients undergoing mitral valve replacement with minimally invasive cardiac surgery
Subtitle
AuthorsHirotsugu Yoshida, Yoshihito Irie, Nobuaki Kaki, Yasuhiro Sato, Ikkoku Hata, Shigeyoshi Gon, Masahito Saito, Soichi Shioguchi, Mamiko Cho, Shuichi Okada, Koyu Tanaka
Authors(kana)
OrganizationDepartment of Cardiovascular Surgery, Koshigaya Hospital, Dokkyo University School of Medicine
JournalCirculation Control
Volume26
Number1
Page58-61
Year/Month2005/3
ArticleReport
PublisherJapan Society of Circulation Control
AbstractWe have adopted Minimally Invasive Cardiac Surgery (MICS) through partial sternotomy since July 1997. Eighty two patients underwent mitral valve replacement with the MICS technique. Some patients needed a vacuum assisted venous return method (VAVR) to institute the extracorporeal circulation, because of the small operation field and thinner drainage tubes. We compared perioperative data in patients with and without VAVR, which was employed according to the three Committee guideline in MICS in Japan. The mortality rate was 2.4% and the cause of death was thromboembolism. There were no significant differences between the VAVR group and the non-VAVR group in intraoperative and postoperative factors. There was high frequency of usage of VAVR system in patients over 1.5m2 body surface area.
PracticeBasic medicine
KeywordsMICS, MVR, maze procedure, VAVR

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