PubMed Health⌕ Search

Biomedical subjects

K Taguchi

Publications and source records attributed to K Taguchi.

At least 163 records · Page 9Linked to original sources
PubMed1977

A technique for the repair of a single or common ventricle.

A new extensive operative technique with several points of important surgical significance was applied to six patients with a single or common ventricle in whom the types of anomalies consisted of common ventricle, Van Praagh's type C, in one instance and single ventricle, Van Praagh's type A and B, in five instances. The important points of this technique are an atrial approach designed to avoid damage to the ventricular function; reconstruction of the ventricular septum using a pouch graft with specially tailored, substitute Dacron vessels; adequate positioning of the prosthetic septum, resulting from use of a pouch graft; special consideration given to suturing at the site of attachment of the interatrial and interventricular septum to lessen damage to the conduction system, and double valve replacement. The adequacy of such extensive surgical repairs cannot be judged accurately until more patients are operated upon.

Child↗
PubMed1977

Pregnancy in patients with a prosthetic heart valve.

Pregnancy and delivery were analyzed in 23 women one to ten years after undergoing prosthetic heart valve replacement. The main points of management during pregnancy and delivery were cardiac management and management against thromboembolism. The functional status of the pregnant patients was grade I of the New York Heart Association criteria in eight, grade II in 13 and grade III and higher in two. There were seven patients during pregnancy and eight after delivery who required hospitalization and treatment for congestive heart failure. Thromboembolism was observed in two during pregnancy and puerperium. Five of the patients were not given anticoagulation therapy, but when thromboembolism developed, warfarin was administered. Warfarin therapy was given indefinitely to seven patients, and 11 were given massive dosages of dipyridamole. In the first two groups, four patients had episodes of thromboembolism.

Adult↗
PubMed1976

Surgical treatment of congenital heart disease with special reference to the application of hypothermia.

This report presents the results of operation for congenital heart disease using two different methods of hypothermia: (1) Immersion hypothermia alone. Of the 782 patients who underwent open-heart operations using this method the results were good in patients whose intracardiac surgical repair took less than one hour (average mortality rate, 5.6%). (2) Rapid extracorporeal cooling. Of the 269 patients with congenital heart diseases such as ventricular septal defect, tetralogy of Fallot, or atrioventricular canal with low cardiac reserve who underwent operation with mild to moderate hypothermia utilizing rapid extracorporeal cooling, the mortality was 11.2%. In the 151 patients with more serious defects, including the extreme form of tetralogy of Fallot, single ventricle, and truncus arteriosus, who underwent open-heart operations with deep hypothermia utilizing extracorporeal cooling, the mortality rate was 15.2%.

Adolescent↗
PubMed1976

Latent vaginal choriocarcinoma in a postmenopausal woman.

A 50-year-old Japanese female with choriocarcinoma showed three unusual features: the primary tumor developed in the vagina ectopically without uterine lesion; the first symptoms of atypical vaginal bleeding and coughing occurred 23 years after the last pregnancy; and the tumor appeared during postmenopause. The possible mechanisms for the ectopic location and latency are discussed.

Autopsy↗
PubMed1975

Host resistance in sepsis and trauma.

Host resistance to infection was measured by the in vivo response to 5 delayed hypersensitivity antigens and to sensitivity and challenge by dinitrochlorobenzene (DNCB) in 55 seriously ill or injured patients and in 50 preoperative patients. A close correlation between infections, septicemia, death related to infection and anergy was found in the postoperative and post injury patients and was predictive of these complications in the patients studied preoperatively. Decreased body cell mass was noted in both the anergic and non-anergic patients which was consistent with protein-calorie malnutrition but the two groups were not significantly different. A serum factor which inhibited cellular immunity in vitro was found in 4 patients. This factor disappeared in the two patients who recovered. The study suggests the therapeutic value of the in vivo measurement of delayed hypersensitivity in seriously ill and especially preoperative patients in whom specific or non-specific stimulation of cell mediated immunity might alter the risk of infection.

Adolescent↗
PubMed1975

Gastrocolic fistula complicating benign gastric ulcer: case report and review of literature.

A review of the literature and report of a case of benign gastrocolic fistula indicate that epigastric pain is the most frequent early symptom. Later, the predominant symptoms are diarrhea, weight loss and feculent vomiting. Patients suffering from rheumatoid arthritis and taking steroids appear to be particularly at risk of developing a gastrocolic fistula. Barium enema is the most reliable method of demonstrating the fistula. Preferred management is a one-stage gastrocolic resection and primary anastomosis.

Adult↗
PubMed1975

A new approach to total repair of transposition of the great vessels: a technique for atrial autotransplantation.

We have devised a new operative procedure called atrial autotransplantation for transposition of the great vessels and applied it in 7 cases. Results were satisfactory except for one death. The bais of this technique was the experiment, using 70 dogs, in which the relationship of separation of the atrial wall and atrial septum to the development of arrhythmia was studied. It was found that reservation of the upper one sixth of the right atrial wall and the upper one third of the left atrial wall developed almost no significant arrhythmia with slow rate. By this concept and method, the left and right atria are almost completely separated, and a complete intraventricular and intra-atrial repair is made in a satisfactory operative field. Since there is no surgical intervention in the ventricular wall, postoperative cardiac function can be satisfactorily maintained. With this procedure intr-atrial conversion was performed in four cases and intraventricular conversion in three cases-the former for type I of uncomplicated transposition and type III of combined pulmonary stenosis, with or without VSD, and the latter for type II of combined large VSD. Only one patient with intraventricular conversion died of low cardiac output syndrome, probably due to incomplete relief of combined pulmonary stenosis.

Animals↗