大動脈炎に合併した円蓋部肥厚性硬膜炎の1例 (original) (raw)
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Japanese Journal of Cardiovascular Surgery, 1999
We encountered two cases of infected aortic abdominal aneurysm with spondylodiskitis. Both cases were diagnosed on the basis of fever, back pain and pulsatile abdominal mass. A 69-year-old man, case 1, underwent in situ reconstruction 1 year from the onset, because the infection was controllable by antibiotics and he had diabetes mellitus. A 68-year-old man, case 2, underwent operation while his infection was still active, because of paralysis of the bilateral lower extremities, aggravated by invasion of the vertebrae by the abscess. To prevent artificial graft infection, he underwent axillo-femoral bypass, which was extra-anatomical reconstruction, after the infected aneurysm and vertebrae were removed during aortic clamping above the aneurysm and bilateral common iliac arteries. Each stump was sutured and anterior fixation of the vertebrae was performed using an iliac bone graft. The postoperative course of both patients was successful. These cases suggest that the timing and procedure of the operation for infected aortic abdominal aneurysm with spondylodiskitis should be decided depending on the activity of infection, complications, age and activity of daily life of patients.
術前塞栓術と直達術により治療を行ったくも膜下出血発症の成人・後頭蓋窩pial AVFの1例
Surgery for Cerebral Stroke, 2015
The incidence of pial arteriovenous fistulas (pAVFs) is low, and most cases are treated by interrupting the shunt via endovascular or direct surgery. In the present report, we describe a very rare case of pAVF and discuss the treatment and pathological findings of such cases in the literature. A 63-year-old woman presented with a sudden headache and vomiting. Computed tomography (CT) indicated the presence of a subarachnoid hemorrhage, but she was treated conservatively. The hematoma size gradually decreased and her neurological findings remained unchanged. Angiography indicated the presence of pAVF. The fistula was fed by small branches of the common trunk between the right anterior inferior cerebellar artery and posterior inferior cerebellar artery, and drained into the varix. Feeder occlusion was performed through Histoacryl infusion under local anesthesia. One day after embolization, the patient underwent right suboccipital craniotomy, and the pAVF was extirpated by electrocoagulation. Postoperative angiography indicated that the fistula had disappeared. She was discharged without any new neurological deficits. Thus, pAVF was treated in a more safe and reliable manner with combined therapy as compared to one-staged therapy.
Nihon Shishubyo Gakkai Kaishi (Journal of the Japanese Society of Periodontology), 2008
Shinoda Dental Clinic Abstract：A patient with generalized chronic periodontitis and posterior bite collapse was administered comprehensive treatment, including peiodontal surgery, dental implants and orthodontic treatment. A modified-hawley bite plane was also used to establish a proper position of the mandible. The attachment level and occlusion were well maintained for more than 3 years.
完全内臓逆位を伴った石灰化び慢性冠動脈狭窄に対し内膜剥離を施行した1例
Japanese Journal of Cardiovascular Surgery, 2014
An 80-year-old woman with dextrocardia and situs inversus was admitted with chest pain. She successfully underwent off-pump coronary artery bypass grafting. The free left internal mammary artery (IMA)was anastomosed to the posterior lateral branch and the in-situ right IMA to the left anterior descending artery(LAD). The reconstruction of the LAD was performed with endarterectomy due to a diffusely diseased LAD with severe calcification. Except for the mirror-image anatomy, the surgical technique was similar to that used for patients with situs solitus. Jpn. J. Cardiovasc. Surg. 43 : 84-87 (2014) Keywords：situs inversus totalis ; dextrocardia ; off-pump coronary bypass grafting ; endarterectomy