心臓血管外科手術エクセレンス　3　冠動脈疾患の手術

出版社： 中山書店
著者：
発行日： 2020-03-16
分野： 臨床医学：外科  >  心臓/血管外科
ISBN： 9784521744797
電子書籍版： 2020-03-16 （初版第1刷）
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商品紹介

本巻では，冠動脈疾患とそれに関連する疾患に対する手術法を取りあげた．
冠動脈疾患に対するバイパス術としてOn-pump CABG，Conventional CABGなど，虚血性心筋症に対するDor手術，SAVE手術など，心室中隔穿孔に対するDaggett法，David-Komeda法などの手術手技に加え，ECMOや人工補助心臓についても解説した．
特設動画サイトへはQRコードから簡単にアクセスできる.

目次

  • 1　CABGにおけるFFRの意義
    　CABGにおけるFFRの意義

    2　左冠動脈主幹部病変と3枝病変のエビデンス
    　左冠動脈主幹部病変と3枝病変のエビデンス

    3　冠動脈バイパス術
    　On-pump CABGのテクニック
    　Conventional CABGのテクニック
    　Off-pump CABGの視野展開のコツと落とし穴
    　Off-pump CABGのテクニック
    　Coversion回避のコツと落とし穴
    　冠動脈吻合のコツと落とし穴
    　埋没冠動脈に対するアプローチ
    　びまん性冠動脈病変に対するアプローチ
    　川崎病巨大冠動脈瘤に対する外科的アプローチ
    　冠動脈瘤を伴う冠動静脈瘻に対するアプローチ
    　再手術冠動脈バイパス術のテクニック

    4　グラフト
    　グラフト選択とエビデンス
    　グラフティングパターン

    5　今後の冠動脈バイパス術
    　MICS CABG のテクニック：
    　　左小開胸
    　　胸骨部分正中切開
    　手術支援ロボットの冠動脈バイパス術への応用
    　ハイブリッド冠血行再建の方向性

    6　虚血性心筋症に対する外科的アプローチ
    　左心室形成術のprosとcons
    　左室形成術のテクニック：
    　　Dor手術
    　　SAVE手術
    　　Overlapping法
    　　ELIET
    　虚血性僧帽弁逆流の手術適応：現在のエビデンス
    　虚血性僧帽弁逆流に対する形成術

    7　心筋梗塞機械的合併症に対する手術
    　心室中隔穿孔に対する手術のタイミング
    　心室中隔穿孔に対する手術のテクニック：
    　　Daggett変法による急性期手術
    　　David-Komeda法
    　　サンドイッチ法
    　左室自由壁破裂に対する手術のテクニック
    　乳頭筋断裂に対する僧帽弁形成術のテクニック

    8　ECMO，補助心臓，その他
    　V-A ECMO, V-V ECMO, Central ECMOの適応
    　NIPRO-VAD植え込み手術
    　補助人工心臓EVAHEART植え込み手術
    　HeartMate II植え込み手術
    　小児用補助人工心臓Berlin Heart EXCOR

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本参考文献は電子書籍掲載内容を元にしております。

1 CABG における FFR の意義

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2 左冠動脈主幹部病変と3枝病変のエビデンス

P.14 掲載の参考文献
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3 冠動脈バイパス術

P.20 掲載の参考文献
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P.25 掲載の参考文献
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P.37 掲載の参考文献
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P.43 掲載の参考文献
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P.59 掲載の参考文献
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4 グラフト

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54) 循環器病の診断と治療に関するガイドライン (2010年度合同研究班報告). 虚血性心疾患に対するバイパスグラフトと手術術式の選択ガイドライン (2011年改訂版). http://www.j-circ.or.jp/guideline/pdf/JCS2011_ochi_h.pdf
 
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5 今後の冠動脈バイパス術

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1) 菊地慶太. 【低侵襲手術の最前線】心臓血管領域 低侵襲冠状動脈バイパス術の臨床成績とその工夫. 胸部外科 2016 ; 69 : 581-8.
 
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6) Balkhy HH, et al. Integrating coronary anastomotic connectors and robotics toward a totally endoscopic beating heart approach : review of 120 cases. Ann Thorac Surg 2011 ; 92 : 821-7.
 
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5) Tatoulis J, et al. Patencies of 2127 arterial to coronary conduits over 15 years. Ann Thorac Surg 2004 ; 77 : 93-101.
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8) Navarese EP, et al. Safety and efficacy outcomes of first and second generation durable polymer drug eluting stents and biodegradable polymer biolimus eluting stents in clinical practice : comprehensive network meta-analysis. BMJ 2013 ; 347 : f6530.
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6 虚血性心筋症に対する外科的アプローチ

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2) Matsui Y, et al. Overlapping cardiac volume reduction operation. J Thorac Cardiovasc Surg 2002 ; 124 : 395-7.
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3) Dang AB, et al. Effect of ventricular size and patch stiffness in surgical anterior ventricular restoration : a finite element model study. Ann Thorac Surg 2005 ; 79 : 185-93.
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5) Matsui Y, et al. Integrated overlapping ventriculoplasty combined with papillary muscle plication for severely dilated heart failure. J Thorac Cardiovasc Surg 2004 ; 127 : 1221-3.
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1) Jones RH, et al. Coronary bypass surgery with or without surgical ventricular reconstruction. N Engl J Med 2009 ; 360 : 1705-17.
 
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8) Rama A, et al. Papillary muscle approximation for functional ischemic mitral regurgitation. Ann Thorac Surg 2007 ; 84 : 2130-1.
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10) Nappi F, et al. Papillary muscle approximation versus restrictive annuloplasty alone for severe ischemic mitral regurgitation. J Am Coll Cardiol 2016 ; 67 : 2334-46.
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13) Kron IL, et al. Surgical relocation of the posterior papillary muscle in chronic ischemic mitral regurgitation. Ann Thorac Surg 2002 ; 74 : 600-1.
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4) Goldstein D, et al, for the CTSN. Two-year outcomes of surgical treatment of severe ischemic mitral regurgitation. N Engl J Med 2016 ; 374 : 344-53.
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5) Nappi F, et al. Papillary muscle approximation versus restrictive annuloplasty alone for severe ischemic mitral regurgitation. J Am Coll Cardiol 2016 ; 67 : 2334-46.
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7 心筋梗塞機械的合併症に対する手術

P.158 掲載の参考文献
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3) Moreyra AE, et al. Trends in incidence and mortality rates of ventricular septal rupture during acute myocardial infarction. Am J Cardiol 2010 ; 106 : 1095-100.
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4) Yamazaki F. Current review of surgical repair of postinfarction ventricular septal defect. J Jpn Coron Assoc 2016 ; 22 : 119-25.
 
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7) Daggett WN, et al. Surgery for post-myocardial infarct ventricular septal defect. Ann Surg 1977 ; 186 : 260-71.
 
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8 ECMO, 補助心臓, その他

P.210 掲載の参考文献
1) Yamazaki K, et al. Completely pulsatile high flow circulatory support with a constant-speed centrifugal blood pump : mechanisms and early clinical observations. Gen Thorac Cardiovasc Surg 2007 ; 55 : 158-62.
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2) Bartoli CR, et al. Left ventricular assist device design reduces von Willebrand factor degradation : a comparative study between the HeartMate II and the EVAHEART left ventricular assist system. Ann Thorac Surg 2017 ; 103 : 1239-45.
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3) Ichihara Y, et al. Preservation of von Willebrand factor multimers and function in patients with an EVAHEART centrifugal-type, continuous-flow left ventricular assist device. J Heart Lung Transplant 2017 ; 36 : 814-7.
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4) Saito S, et al. Post-approval study of a highly pulsed, low-shear-rate, continuous-flow, left ventricular assist device, EVAHEART : a Japanese multicenter study using J-MACS. J Heart Lung Transplant 2014 ; 33 : 599-608.
 
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1) Maltais S, et al. PREVENtion of HeartMate II Pump Thrombosis Through Clinical Management : The PREVENT multi-center study. J Heart Lung Transplant 2017 ; 36 : 1-12. Epub 2016 Nov 16.
 
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3) Adamson RM, et al. Principles of HeartMate II implantation to avoid pump malposition and migration. J Card Surg 2015 ; 30 : 296-9.
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