小児心臓外科
研究活動の概要

小児心臓外科部では先天性心疾患全般にわたっての外科治療を行って。 新生児および成人になった先天性心疾患の患者の手術方法の改善、生存及び長期遠隔期における生活の質の向上を目標としています。
大きな研究テーマとしては

  1. 左心低形成症候群に対するNorwood手術治療成績向上。
  2. 房室錯位症に対する解剖学的根治術における心房血流転換手技の改善。
  3. 末期重症心不全に対する左心補助人工心臓療法。
  4. 単心室症のTCPC手術への到達率の向上への治療戦略。
  5. 新生児機械的循環補助装置の長期使用に関する管理指針。
  6. 先天性心疾患手術教育のためのツール作り。
  7. ファロー四徴症の超遠隔期における再手術適応。
2015年の主な研究成果
  • 重症先天性大動脈狭窄症の新生児におけるハイブリッドステージ1手術の有用性についてPediatric Cardiologyに発表
  • 16mmATS 人工弁の長期予後についてAnnals of Thoracic Surgeryに発表
  • 日本全国のデータベースを用いた先天性心疾患に対する心臓手術の死亡率についてInteract Cardiovascular Thoracic Surgeryに発表
  • 妊娠出産希望若年女性に対するRoss手術の有用性についてCirculation Journalに発表
  • 教育ツールの作成(動画作成)のための眼鏡装着型術野Full High Visionカメラの開発および製品化、関連特許の取得。
研究業績
  1. Hoashi T, Kagisaki K, Kurosaki K, Kitano M, Shiraishi I, Ichikawa H. Intrinsic Obstruction in Pulmonary Venous Drainage Pathway is Associated with Poor Surgical Outcomes in Patients with Total Anomalous Pulmonary Venous Connection. Pediatric Cardiology. 36, 432-437, 2015.
  2. Hoashi T, Kagisaki K, Moon J, Takahashi Y, Hayashi T, Ichikawa H. Suspected cold agglutination during mild hypothermic pediatric open heart surgery: a report of two cases. Journal of Artificial Organs. 18, 370-372, 2015.
  3. Hoashi T, Shiraishi I, Ichikawa H. Surgical experience for prolapse of both atrioventricular valves in a patient with filamin A mutation. Cardiology in the Young. 25, 365-367, 2015.
  4. Hoashi T, Yazaki S, Kagisaki K, Kitano M, Kubota SM, Shiraishi I, Ichikawa H. Management of ostium secundum atrial septal defect in the era of percutaneous trans-catheter device closure: 7-Year experience at a single institution. Journal of Cardiology. 65, 418-422, 2015.
  5. Hoshino S, Kitano M, Abe T, Yazaki S, Kagisaki K. Efficacy and safety of percutaneous transluminal balloon dilation to prevent progression of banding site stenosis after bilateral pulmonary artery banding. Catheterization and Cardiovascular Interventions. 85, E197-E202, 2015.
  6. Kawamoto N, Hoashi T, Kagisaki K, Watanabe K, Ichikawa H. Myers' 3-sinus reconstruction for supravalvular aortic stenosis involving left coronary ostium: report of a case. Surgery Today. 45, 1064-1066, 2015.
  7. Misumi Y, Hoashi T, Kagisaki K, Yazaki S, Kitano M, Kurosaki K, Shiraishi I, Ichikawa H. The Importance of Hybrid Stage I Palliation for Neonates with Critical Aortic Stenosis and Reduced Left Ventricular Function. Pediatric Cardiology. 36, 726-731, 2015.
  8. Moon J, Hoashi T, Kagisaki K, Kurosaki K, Shiraishi I, Ichikawa H. Clinical Outcomes of Mitral Valve Replacement With the 16-mm ATS Advanced Performance Valve in Neonates and Infants. The Annals of Thoracic Surgery. 99, 653-659, 2015.
  9. Morimoto K, Hoashi T, Kagisaki K, Yoshimatsu J, Shiraishi I, Ichikawa H, Kobayashi J, Nakatani T, Yagihara T, Kitamura S, Fujita T. Impact of Ross Operation on Outcome in Young Female Adult Patients Wanting to Have Children. Circulation Journal . 79, 1976-1983, 2015.
  10. Ohuchi H, Negishi J, Noritake K, Hayama Y, Sakaguchi H, Miyazaki A, Kagisaki K, Yamada O. Prognostic Value of Exercise Variables in 335 Patients after the Fontan Operation: A 23-year Single-center Experience of Cardiopulmonary Exercise Testing. Congenital Heart Defects. 10, 105-116, 2015.
  11. Sakaguchi H, Miyazaki A, Yamada O, Kagisaki K, Hoashi T, Ichikawa H, Ohuchi H. Cardiac Resynchronization Therapy for Various Systemic Ventricular Morphologies in Patients With Congenital Heart Disease. Circulation Journal . 79, 649-655, 2015.
  12. Tadokoro N, Hoashi T, Kagisaki K, Shimada M, Kurosaki K, Shiraishi I, Ichikawa H. Clinical Features and Surgical Outcomes of Coronary Sinus Orifice Atresia. Pediatric Cardiology. E pub, , 2015.
  13. Kitano M, Yazaki S, Kagisaki K. Ductal stenting using side-branch cell dilation for aortic coarctation in high-risk patients with hypoplastic left heart syndrome. Catheterization and Cardiovascular Interventions. Epub, , 2015.
  14. Higashida A, Hoashi T, Kagisaki K, Shimada M, Takahashi Y, Hayashi T, Ichikawa H. Efficacy of "Awake ECMO" for critical respiratory failure after pediatric open heart surgery. Journal of Artificial Organs. Epub, , 2015.
  15. Matsuda H, Fukushima N, Ichikawa H, Sawa Y. Orthotropic heart transplantation for adult congenital heart disease: a case with heterotaxy and dextrocardia. General Thoracic and Cardiovascular Suegery. Epub, , 2015.
  16. Kusajima K, Hoashi T, Kagisaki K, Ohuchi H, Shiraishi I, Ichikawa H. Reoperative double ventricular outflow tract reconstruction in grown-up congenital heart disease patients with conotruncal anomalies. General Thoracic and Cardiovascular Surgery. 63, 595-600, 2015.
  17. Kido T, Hoashi T, Kagisaki K, Ichikawa H. Staged repair of hemitruncus without prosthetic material. Asian Cardiovascular and Thoracic Annals. Epub, , 2015.
  18. Hoashi T, Miyata H, Murakami A, Hirata Y, Hirose K, Matsumura G, Ichikawa H, Sawa Y, Takamoto S. The current trends of mortality following congenital heart surgery: the Japan Congenital Cardiovascular Surgery Database. Interactive Cardiovascular and Thoracic Surgery. 21, 151-156, 2015.
  19. Miyazaki A, Sakaguchi H, Kagisaki K, Tsujii N, Matsuoka M, Yamamoto T, Hoashi T, Noda T, Ohuchi H. Optimal pacing sites for cardiac resynchronization therapy for patients with a systemic right ventricle with or without a rudimentary left ventricle. . Europace. Epub, , 2015.
  20. 白石 公, 黒嵜 健一, 神崎 歩, 市川 肇. 心臓レプリカの医療への応用. 循環器病研究の進歩. 36, 57-64, 2015.
  21. 市川 肇. 5.小児補助人工心臓の将来展望. 今日の移植 特集 わが国における補助人工心臓の現状と今後の展開 . 28, 341-345, 2015.
  22. 市川 肇. 心筋保護法(基礎と最新知識) 歴史を知ってその基礎と応用を学ぶ. 体外循環と補助循環2015 第31回日本人工臓器学会教育セミナー. , 31-42, 2015.