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H Imamura

Publications and source records attributed to H Imamura.

At least 343 records · Page 19Linked to original sources
PubMed1984

[Surgical treatment of infective endocarditis in childhood--report of 3 cases].

This is the case report of 3 surgical patients with infective endocarditis in childhood. Case 1: A 8 year-old boy was admitted with high fever and congestive heart failure. Aureus staphylococci were identified by blood culture. Echocardiogram showed a vegetating mass on the posterior mitral leaflet. This patient was cured by emergency mitral valve replacement during the active phase of infection. Case 2: A 3 year-old girl was admitted with infective endocarditis related to VSD. Viridans streptococci were identified by blood culture. Echocardiogram showed a vegetating mass on the septal tricuspid leaflet. After successful antibiotic therapy, this patient underwent the closure of VSD and tricuspid valvuloplasty. Case 3: A 7 year-old boy was admitted with infective endocarditis related to VSD. Aureus staphylococci were identified with blood culture. Echocardiogram showed a vegetating mass on the anterior tricuspid leaflet and moderate tricuspid regurgitation. After successful antibiotic therapy, this patient underwent the closure of VSD and tricuspid valvuloplasty. We believe that echocardiography plays an important role in the diagnosis and management of infective endocarditis and that tricuspid valvuloplasty is the method of first choice in treatment of the patient with regional tricuspid infective endocarditis.

Child↗
PubMed1983

Dural arteriovenous malformations of the base of the anterior cranial fossa.

Two cases of dural arteriovenous malformation at the base of the anterior fossa are reported. The angiographic appearance in both cases is quite uniform and resembles the findings in 12 cases previously reported. Feeders are anterior and/or posterior ethmoidal arteries and the external carotid system also contributes. A drainage vein always shows aneurysmal dilatation of its proximal portion. CT findings are also mentioned and radiological literature reviewed.

Arteriovenous Malformations↗
PubMed1983

Mechanisms of adverse effect of amaranth feeding in the rat.

In order to clarify the mechanism of the adverse effects of dietary amaranth, trisodium 1-(4-sulfo-1-naphthylazo)-2-naphthyl-3,6 disulfonic acid, the effects of amaranth in vitro and in a jejunum perfusion in vivo on intestinal sucrase were investigated in rats. The inhibitory effect of amaranth in vitro on the sucrase activity was not detected even at the concentration of 1%, whereas the remarkable release of intestinal sucrase from intestine was observed with the jejunum perfusion of Ringer bicarbonate solution (RBS) containing amaranth at the 1% level. On the other hand, the perfusion of RBS containing tris(hydroxymethyl)-aminomethane, a strong inhibitor of intestinal disaccharidase activities, did not produce the release of intestinal alkaline phosphatase. These findings suggest that the toxicity of dietary amaranth is due to the exfoliating or solubilizing effects of amaranth on the brush border membrane of the small intestine.

Alkaline Phosphatase↗
PubMed1982

Clinical results of cardiopulmonary bypass with selective cerebral perfusion for aneurysm of the ascending aorta and the aortic arch.

The purpose of this report is to describe our experience using cardiopulmonary bypass with selective cerebral perfusion in 10 patients whose aneurysms required cross-clamping the aorta and brachiocephalic vessels. Cerebral perfusion was carried out with individual roller pumps. Flow rate was 11.2 +/- 4.8 ml per kilogram of body weight per minute to the right axillary artery, 8.5 +/- 1.0 to the right common carotid artery, 7.0 +/- 2.0 to the left common carotid artery, and 3.9 to the left subclavian artery. All the patients came off bypass smoothly, and only 3 required small amounts of inotropic agents postoperatively. One patient with mycotic aneurysm died in the fourth postoperative week of massive bleeding due to disruption of the suture line. No cerebral complications were experienced. The operative results of this series suggest the usefulness of cardiopulmonary bypass with selective cerebral perfusion, and reasonably favorable outlook for patients with aneurysm involving the aortic arch and the ascending aorta.

Adult↗
PubMed1982

Computed tomography in moyamoya disease.

Eighteen patients with moyamoya disease were examined by computed tomography (CT). At the first examination, CT findings were normal in one patient and abnormal in 17 patients. Significant abnormalities on precontrast CT were characterized by low density lesions in 14, ventricular dilatation in 9, and cerebral atrophy in 11 patients. Postcontrast CT showed the presence of contrast enhanced lesions in three patients. Follow-up examinations were performed in 13 patients, and the following changes on CT were found in 10 of them: increase or development of low density lesions in 10, ventricular dilatation in 4, cerebral atrophy in 5, appearance of a contrast enhanced lesion in 1, and disappearance of the enhanced lesion in 3. The patient with normal findings at the first examination showed a low density lesion on the second examination. The abnormal vascular networks in the region of the basal ganglia were visualized successfully in six examinations of five patients by higher concentration of contrast medium in blood than usual. Abnormal CT findings consisted of those seen in multiple cerebral infarctions and the visualization of the abnormal vascular networks. Computed tomographic findings on these patients showed evolution as seen in clinical and angiographic findings.

Adolescent↗
PubMed1982

Mechanisms of toxicities of some detergents added to a diet and of the ameliorating effect of dietary fiber in the rat.

Mechanisms of the adverse effects of dietary Tween 20, Tween 60, Span 20, sodium taurocholate (NaTC), sodium deoxycholate (DOC), sodium laurylbenzene sulfonate (LBS) and sodium dodecyl sulfate (SDS), and of the ameliorating effect of the concurrent feeding of dietary fiber were investigated along with releases of the hydrolase activities, which were localized in the brush border membrane of rat small intestine, during a jejunum perfusion in vivo. The releases of sucrase, maltase and alkaline phosphatase activities from the jejunum with Ringer bicarbonate solution (RBS) perfusion for 150 min proceeded at a constant rate after RBS perfusion for the first 30 min. The detergents were perfused after RBS perfusion for 60 min. In Tween 20- or 60-RBS perfusion at the 2% level, the released sucrase activity gradually increased, reaching a level 3 times that with RBS perfusion 90 min after the beginning of Tween 20- or Tween 60-RBS perfusion. With NaTC- or DOC-RBS perfusion at the 0.5% or 0.2% level respectively, the released sucrase activity reached a level 3 to 4 times that with RBS perfusion within 30 min of the beginning of NaTC- or DOC-RBS perfusion, but that with Span 20-RBS perfusion at the 2% level was slightly lower compared with that with RBS perfusion. On the other hand, with SDS- or LBS-RBS perfusion at the 0.5% level, the released alkaline phosphatase activity rapidly reached a level 3 to 4 times as high as that with RBS perfusion. The inclusion of Gobo dietary fiber at the 0.04% level with Tween 20-RBS perfusion completely eliminated the releasing effect of Tween 20 on sucrase activity. These results suggest that the primary cause of the adverse effects of the feeding of these detergents is the exfoliating or releasing effect thereof on the brush border membrane, together with the inhibitory effect of some of these detergents on intestinal disaccharidase activities, and that the dietary fiber prevents the exfoliating or releasing effects of several detergents on the brush border membrane.

Alkaline Phosphatase↗