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A new bridging technique to heart transplantation (Tx)-Feasibility of monoventricularization (Monovent) of bilateral ventricles with LVAD

Research Project

Project/Area Number 63480322
Research Category

Grant-in-Aid for General Scientific Research (B)

Allocation TypeSingle-year Grants
Research Field Thoracic surgery
Research InstitutionKeio University

Principal Investigator

YOZU Ryohei  KEIO Univ, Sch. of Medicine staff Surgeon, 医学部, 助手 (30129738)

Co-Investigator(Kenkyū-buntansha) KUROSAKA Yuh  same as above resident, 医学部, 助手 (00186537)
SOMA Yasuhiro  same as above Assistant Prof., 医学部, 講師 (40051437)
Project Period (FY) 1988 – 1989
Project Status Completed (Fiscal Year 1989)
Budget Amount *help
¥4,300,000 (Direct Cost: ¥4,300,000)
Fiscal Year 1989: ¥2,100,000 (Direct Cost: ¥2,100,000)
Fiscal Year 1988: ¥2,200,000 (Direct Cost: ¥2,200,000)
KeywordsVentricular assist device / Acute myocardial infarction / Ventriculdr Septal Perforation / Mono-ventricularization / Mitral valve insufficiency / Heart Transplantation / Artificial Organs / Bridge USE of Artificial heart / 単心室化 / 僧帽弁閉鎖不全 / 人皮心臓 / Bridging / 補助循環 / 両心室の単心室化 / 心筋梗塞後心室中隔穿孔
Research Abstract

Since the prognosis of VSP and MR after acute MI was remarkably poor, heart transplantation would be necessary for many of those patients. A new bridging technique was examined in canine modles. The bilateral ventricles communicating through VSP were monoventricularized with mitral valve closure and maintained the pulmonary circulation which had low vascular resistance. The systemic circulation was maintained by a LVAD placed between the left atriumand the aorta.
VSP and MR were made in eight mongrel dogs (pulmonary to systemic flow ratio=2.24<plus-minus>0.90). Then they were monoventricularized and equipped with LVAD. The hemodynamic state was evaluated A) in intact hearts, B) after VSP and MR were made and C) after monoventricularization and assisted circulation by LVA
Cardiac output was A) 90.60<plus-minus>23.16, B) 42.23<plus-minus>15.76 and C) 73.43<plus-minus>15.14 ml/kg/min(A vs C:NS, A vs B and B vs C:p<0.01); mean aortic pressure was A) 96.75([SY.+-.[)24.69, B) 30.25([SY.+-.[)11.08 and C) 66.50<plus-minus>18.40 mm Hg (A vs B:p<0.01, A vs C and B vs C:p<0.05); central venous pressure was A)4.76<plus-minus>1.68, B) 8.94<plus-minus>2.17 and C) 10.68<plus-minus>2.43 mm Hg (A vs c:p<0.01, A vs B:p<0.05, a
Mean pulmonary arterial pressure and mean left atrial pressure did not show any significant difference among the three groups.
This study supports the feasibility of maintenance of hemodynamics by monoventricularization and LVAD in patients with acute MI complicating VSP and MR.

Report

(3 results)
  • 1989 Annual Research Report   Final Research Report Summary
  • 1988 Annual Research Report
  • Research Products

    (13 results)

All Other

All Publications (13 results)

  • [Publications] 芳賀佳之: "急性心筋梗塞後心室中隔穿孔兼僧帽弁閉鎖不全に対する新しいbridging術式-左心補助人工心臓共存下単心質化手術の可能性-" 慶應医学. 66. 1243-1254 (1989)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] 四津良平: "急性心筋梗塞後中隔穿孔に対する新術式の開発-左心補助人工心臓共存下ono-ventricularizationの可能性-" 第11回岡崎ワ-クショップ口頭発表. (1988)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] 芳賀佳之: "急性心筋梗塞後心室中隔穿孔鐘僧弁閉鎖不全症に対する新術式の開発。左心補助人工心臓共存下mono-ventricularizationの可能性" 第42回日本胸部外科学会(口頭発表),日本胸部外科学会雑誌. 37巻増刊号. 1806 (1989)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] Yoshiyuki Haga: "A new technique for bridying to heart trans-plantatcon-practecability of monoventriculalization of bilateral ventricles with LVAD" Vllth World congress of the Interndtional Society for Artificial Organs(Sapporo)口頭発表. (1989)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] Ryohei Yozu: "A new bridging technique to heart transplantation(Tx)-Feasibilityof monoventuculatatization(Monvent)of Bilateral ventricles with LVAD" The 3rd international symposium on artificial heart and assist device Tokyo 口頭発表. (1990)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] Ryohei Yozu: "Artificial Heart 3.(出版予定)" Springer-Verlag Tokyo, (1990)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] Ryohei Yozu: "A new bridging technique to heart transplantation (Tx)-Feasibility of monoventricularization (Monovent) of Bilateral ventricles with LVAD" Artificial Heart 3 1990. in press Springer -Verlag. Tokyo.

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1989 Final Research Report Summary
  • [Publications] 芳賀佳之: "急性心筋梗塞後心室中隔穿孔兼僧帽弁閉鎖不全に対する新しいbridging術式ー左心補助人工心臓共存下単心室化手術の可能性ー" 慶應医学. 66. 1243-1254 (1989)

    • Related Report
      1989 Annual Research Report
  • [Publications] 芳賀佳之: "急性心筋梗塞後心室中隔穿孔兼僧帽弁閉鎖不全症に対する新術式の開発。左心補助人工心臓共存下mono-ventricularizationの可能性" 第42回日本胸部外科学会. (1989)

    • Related Report
      1989 Annual Research Report
  • [Publications] Yoshiyuki Haga: "A new technique for bidging to heart trans-planlation- Practicability of monoventriculatization of bilateral ventricles with LVAD" VIIth World Congress of the International Society for Artificial Organs(Sapporo). (1989)

    • Related Report
      1989 Annual Research Report
  • [Publications] Ryohei Yozu: "A new bridging technique to heart trans-plantation(Tx)-Feasibility of monoventriculali-zation(monovent)of Bilateral ventricles with LVAD" The 3rd International Symposium on artificial heart and assist device Tokyo. (1990)

    • Related Report
      1989 Annual Research Report
  • [Publications] Ryohei Yozu: "Artificial Heart 3" Springer-Verlag Tokyo, (1990)

    • Related Report
      1989 Annual Research Report
  • [Publications] 四津良平: 第11回岡崎ワークショップ. 1988.

    • Related Report
      1988 Annual Research Report

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Published: 1988-04-01   Modified: 2016-04-21  

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