Faculty Profiles - FUJII Yasuhiro

MISC - FUJII Yasuhiro

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当院における乳幼児ALCAPAの遠隔期成績の検討

櫻井茂, 笠原真悟, 藤井泰宏, 立石篤史, 藤田康文, 高垣昌巳, 新井禎彦, 三井秀也, 佐野俊二

日本心臓血管外科学会雑誌 40 ( Suppl. ) 296 - 296 2011.1

左心低形成症候群における三尖弁閉鎖不全に対する手術成績の検討

立石篤史, 笠原真悟, 堀尾直裕, 石神修大, 平田昌敬, 樽井俊, 櫻井茂, 藤井泰宏, 鵜垣伸也, 川畑拓也, 藤田康文, 高垣昌巳, 新井禎彦, 三井秀也, 佐野俊二

日本心臓血管外科学会雑誌 40 ( Suppl. ) 290 - 290 2011.1

成人Ebstein奇形に対する三尖弁形成術の中長期成績

平田昌敬, 笠原真悟, 新井禎彦, 高垣昌巳, 藤田康文, 立石篤史, 川畑拓也, 鵜垣伸也, 藤井泰宏, 櫻井茂, 小林純子, 樽井俊, 石神修太, 堀尾直裕, 佐野俊二

日本心臓血管外科学会雑誌 40 ( Suppl. ) 413 - 413 2011.1

Heterotaxy症候群合併症例に対する治療成績

笠原真悟, 小林純子, 平田昌敬, 樽井俊, 櫻井茂, 藤井泰宏, 鵜垣伸也, 川畑拓也, 立石篤史, 藤田康文, 高垣昌巳, 新井禎彦, 三井秀也, 佐野俊二

日本心臓血管外科学会雑誌 40 ( Suppl. ) 136 - 136 2011.1

大動脈弁逸脱による大動脈弁逆流を合併した心室中隔欠損症に対する手術成績の検討

川畑拓也, 笠原真悟, 新井禎彦, 高垣昌巳, 藤田康文, 立石篤史, 鵜垣伸也, 藤井泰宏, 櫻井茂, 小林純子, 樽井俊, 平田昌敬, 石神修大, 堀尾直裕, 佐野俊二

日本心臓血管外科学会雑誌 40 ( Suppl. ) 410 - 410 2011.1

新生児Ebstein奇形のManagement

藤井泰宏, 新井禎彦, 石神修太, 樽井俊, 櫻井茂, 鵜垣伸也, 川畑拓也, 立石篤史, 藤田康文, 高垣昌巳, 平田昌敬, 笠原真悟, 三井秀也, 王英正, 佐野俊二

日本心臓血管外科学会雑誌 40 ( Suppl. ) 199 - 199 2011.1

Double-barrel Damus-Kaye-Stansel operation is better than end-to-side Damus-Kaye-Stansel operation for preserving the pulmonary valve function: the importance of preserving the shape of the pulmonary sinus. International journal

Yasuhiro Fujii, Shingo Kasahara, Yasuhiro Kotani, Masami Takagaki, Sadahiko Arai, Shin-ichi Otsuki, Shunji Sano

The Journal of thoracic and cardiovascular surgery 141 ( 1 ) 193 - 9 2011.1

Language：English Publisher：MOSBY-ELSEVIER

Objective: The Damus-Kaye-Stansel operation sometimes results in deteriorating semilunar valve insufficiency. We verified the semilunar valve function after the Damus-Kaye-Stansel operation and compared the end-to-side Damus-Kaye-Stansel with the double-barrel Damus-Kaye-Stansel.
Methods: Forty-seven patients who underwent the Damus-Kaye-Stansel operation between June 1993 and August 2008 were retrospectively reviewed. Any patient who underwent a Norwood-type operation was excluded. The median age at operation was 19 months (range, 0-276 months). Forty-five patients were Fontan candidates. Thirty-nine patients underwent pulmonary artery banding before the Damus-Kaye-Stansel operation. Twenty-two patients had undergone an arch repair previously. The semilunar valve function was evaluated by echocardiography.
Results: Thirteen patients underwent the end-to-side Damus-Kaye-Stansel operation, and 34 patients underwent the double-barrel Damus-Kaye-Stansel operation. The mean follow-up period was 71 +/- 50 months (range, 1-188 months). Although there were 4 deaths, no death was related to the Damus-Kaye-Stansel procedure. Two of the patients with early death could not undergo a postoperative evaluation of the semilunar valves. The semilunar valve regurgitation mildly deteriorated in 7 patients (pulmonary regurgitation in 5 patients and aortic regurgitation in 2 patients). Pulmonary regurgitation deteriorated from none to mild in 1 patient, none to trivial in 2 patients, and trivial to mild in 2 patients. Both deteriorations in aortic regurgitation ranged from none to trivial. Semilunar valve regurgitation did not affect patients' circulatory condition. The end-to-side Damus-Kaye-Stansel operation more frequently caused a deterioration in pulmonary regurgitation than the double-barrel Damus-Kaye-Stansel operation (4/11 vs 1/34, P=.001). No surgical intervention for a systemic ventricular outflow obstruction was observed in the follow-up period.
Conclusions: The double-barrel Damus-Kaye-Stansel operation was found to be superior to the end-to-side Damus-Kaye-Stansel operation for the prevention of postoperative pulmonary regurgitation. (J Thorac Cardiovasc Surg 2011;141:193-9)

DOI： 10.1016/j.jtcvs.2010.06.007

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Comparison of Clinical Outcomes of Catheter and Surgical Closures in Adult Patients with Atrial Septal Defect : A Single-institution Retrospective Non-randomized Study

FUJII Yasuhiro, AKAGI Teiji, TANIGUCHI Manabu, NAKAGAWA Koji, KIJIMA Yasufumi, OTSUKI Shin-ichi, TOMII Tomoko, IWASAKI Tatsuo, GOTO Keiji, TODA Yuichiro, OKAMOTO Yoshio, ARAI Sadahiko, KASAHARA Shingo, SANO Shunji

Pediatric Cardiology and Cardiac Surgery 27 ( 1 ) 23 - 30 2011.1

Fontan手術適応 Invited

243 - 247 2011

One and a half ventricular repairの中長期成績の検討:右室機能不全患者の根治術の選択肢とすべきか?

藤井泰宏, 笠原真悟, 佐野俊和, 石神修太, 堀尾直裕, 平田昌敬, 桜井茂, 鵜垣伸也, 川畑拓也, 立石篤史, 藤田康文, 高垣昌巳, 三井秀也, 佐野俊二

Gen Thorac Cardiovasc Surg 58 ( Supplement ) 568 2010.10

PA/VSD,MAPCAsに対する外科治療の中期成績

新井禎彦, 藤井泰宏, 佐野俊和, 石神修太, 堀尾直裕, 平田昌敬, 桜井茂, 鵜垣伸也, 川畑拓也, 立石篤史, 藤田康文, 高垣昌巳, 笠原真悟, 三井秀也, 佐野俊二

Gen Thorac Cardiovasc Surg 58 ( Supplement ) 320 2010.10

低形成右室を持つ心室中隔欠損症の両心室治療を目指した段階的手術治療の1例

笠原真悟, 小林純子, 平田昌敬, 樽井俊, 桜井茂, 藤井泰宏, 鵜垣伸也, 川畑拓也, 立石篤史, 藤田康文, 高垣昌巳, 新井禎彦, 三井秀也, 佐野俊二

Gen Thorac Cardiovasc Surg 58 ( Supplement ) 288 2010.10

PA/IVSの2心室型修復術の可能性とその適応

藤井泰宏, 立石篤史, 藤田康文, 高垣昌巳, 笠原真悟, 新井禎彦, 三井秀也, 佐野俊二

Gen Thorac Cardiovasc Surg 58 ( Supplement ) 255 2010.10

Asplenia患者のFontan手術後中長期成績

藤井泰宏, 立石篤史, 藤田康文, 高垣昌巳, 笠原真悟, 新井禎彦, 三井秀也, 佐野俊二

Gen Thorac Cardiovasc Surg 58 ( Supplement ) 565 2010.10

右室流出路再建術式より考察したファロー四徴症の遠隔成績―肺動脈弁輪温存を目指して―

笠原真悟, 堀尾直裕, 石神修大, 小林純子, 平田昌敬, 樽井俊, 桜井茂, 藤井泰宏, 鵜垣伸也, 川畑拓也, 立石篤史, 藤田康文, 高垣昌巳, 新井禎彦, 佐野俊二

Gen Thorac Cardiovasc Surg 58 ( Supplement ) 426 2010.10

新生児・乳児期の重症大動脈弁狭窄症に対する直視下交連切開術の検討

川畑拓也, 笠原真悟, 石神修太, 平田昌敬, 樽井俊, 小林純子, 桜井茂, 藤井泰宏, 鵜垣伸也, 立石篤史, 藤田康文, 高垣昌巳, 新井禎彦, 佐野俊二

Gen Thorac Cardiovasc Surg 58 ( Supplement ) 319 2010.10

完全房室中隔欠損症の手術成績と再手術の危険因子

鵜垣伸也, 笠原真悟, 佐野俊和, 石神修太, 堀尾直裕, 平田昌敬, 樽井俊, 桜井茂, 藤井泰宏, 川畑拓也, 立石篤史, 藤田康文, 高垣昌巳, 三井秀也, 佐野俊二

Gen Thorac Cardiovasc Surg 58 ( Supplement ) 428 2010.10

Mitral regurgitationを合併するanomalous origin of the left coronary artery from the pulmonary arteryの長期成績

桜井茂, 笠原真悟, 佐野俊和, 石神修太, 堀尾直裕, 平田昌敬, 藤井泰宏, 鵜垣伸也, 川畑拓也, 立石篤史, 藤田康文, 高垣昌巳, 新井禎彦, 三井秀也, 佐野俊二

Gen Thorac Cardiovasc Surg 58 ( Supplement ) 418 2010.10

Anatomical repair of a persistent left superior vena cava into the left atrium. International journal

Shinya Ugaki, Shingo Kasahara, Yasuhiro Fujii, Shunji Sano

Interactive cardiovascular and thoracic surgery 11 ( 2 ) 199 - 201 2010.8

Language：English Publisher：OXFORD UNIV PRESS

The anatomy of a persistent left superior vena cava (SVC) to the left atrium (LA) without the innominate vein can make it challenging to complete intracardiac repair. We reviewed our five cases of the direct end-to-side anastomosis of SVCs to facilitate anatomical repair of SVC-right atrial connection for biventricular repair. Diagnoses were two partial atrioventricular septal defect with left isomerism, one complete atrioventricular septal defect (CAVSD) with left isomerism, one CAVSD without isomerism and one atrioventricular discordance and double outlet right ventricle with right isomerism. Mean age at the operation was 20 +/- 23 months (4-58 months) and body weight was 7.8 +/- 3.4 kg (4.8-12.7 kg). After completion of intracardiac repair, the SVC to LA was divided and end-to-side anastomosed to the SVC to the right atrium during cardiopulmonary bypass. No early or late death occurred during follow-up of 14.4 +/- 6.9 months (7-23 months). None of the patients developed an obstruction at the anastomosis site of the SVCs. The direct end-to-side anastomosis of SVCs achieved an excellent anatomical SVC-right atrium connection in complex congenital heart diseases. (C) 2010 Published by European Association for Cardio-Thoracic Surgery. All rights reserved.

DOI： 10.1510/icvts.2009.230581

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低侵襲心臓手術の最先端心房中隔欠損症の低侵襲手術 ASOとの関係をふくめて

新井禎彦, 佐野俊二, 笠原真悟, 赤木禎二, 藤井泰宏

日本外科系連合学会誌 35 ( 3 ) 390 - 390 2010.5

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