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Biomedical subjects

T Sueda

Publications and source records attributed to T Sueda.

At least 181 records · Page 10Linked to original sources
PubMed1990

Pocket depth reduction by tooth types and sites after initial treatment.

Differences in pockets depth reduction rates were compared between different tooth types and sites after initial treatment in 41 adult periodontitis patients whose O'Leary plaque records were maintained at less than 10% during initial treatment. Pocket depths were significantly reduced after initial treatment. Response to treatment was good at 15, 25, 14, 24, 33, 43, 31, 41, 34 and 44; but was poor in 11, 21, 17, 27, 37 and 47. Response to treatment was poor on the mesiopalatal surfaces; midpalatal surfaces of 16 and 26; the distolingual surfaces of 17, 27, 37 and 47; and the mesiopalatal surfaces of 11 and 21; but was good on the distobuccal and midpalatal surfaces of 14 and 24, the mesio- and distal-buccal surfaces of 15 and 25; and the mesiolingual surfaces of 34 and 44. The tooth types and root surfaces that require careful attention during treatment were clarified.

Adult↗
PubMed1990

[Nonischemic ventricular tachycardia with coronary arterio-venous fistula].

A 22 year-old man who suffered ventricular tachycardia (VT) during 8 years was admitted to our hospital for treatment of VT. He also had diseased, coronary arterio-venous fistula with a mild L-R shunt and coronary fistula was closed operatively 4 years ago because it was presumed to be a cause of VT, but the VT remained after the closing on the fistula. After admission in our hospital, catheter endomyocardial mapping and coronary cineangiography were undergone and revealed that the coronary artery was intact and a pre-excitation area located in the LV apico-lateral wall. Dual catheter ablations were attempted but resulted in failure. Then, surgical cryoablation was employed under the use of extracorporeal circulation, following epicardial and endocardial mapping. Cryoablation (-150 degrees C) to the postero-septal wall of LV could terminate VT completely.

Adult↗
PubMed1990

[Simultaneous operation of WPW syndrome combined with mitral regurgitation caused by infective endocarditis].

A case of WPW syndrome combined with mitral regurgitation caused by infective endocarditis underwent surgical division of accessory pathway and mitral valve replacement preserving posterior leaflet simultaneously. A 56-years old woman suffered atrial fibrillation with pseudo VT and cardiac failure caused by mitral regurgitation. Electro-physiological study (EPS) revealed accessory pathway in postero-lateral wall in left atrium and atrio-fascicular pathway like James bundle in AV node. ECHO cardiography showed mitral valve prolapse and severe regurgitation. Accessory pathway was divided surgically and deep freeze coagulation was followed. Perforation of anterior leaflet and chordal rupture of posterior leaflet caused by infective endocarditis were repaired by annuloplasty (Kay and McGoon method) at first, but regurgitation retained moderately. After re-clamping of aorta, mitral valve was replaced with prosthesis (SJM 29 mm) preserving posterior leaflet. Postoperative examination revealed division of accessory pathway and no regurgitation of mitral prosthesis.

Endocarditis, Bacterial↗
PubMed1990

A heterotopic cardiac transplantation model for evaluation of rejection using transvenous endomyocardial biopsy.

A model of heterotopic cardiac transplantation for diagnosis of rejection is described. Heterotopic cardiac transplantations were performed in the thorax using the left innominate artery as an arterial supply with venous return into the superior vena cava. Six pairs of mongrel dogs underwent cardiac transplantation using this technique. Two dogs died postoperatively on the 2nd and 3rd day due to respiratory failure. Another four donor hearts arrested their beats in 6 to 8 postoperative days (mean 6.3 days) resulting from acute cardiac rejection. Serial echocardiographic recordings were found to be a reliable measure of acute cardiac rejection, since the left ventricular wall thickness of the donor heart increased until the donor heart stopped by rejection. Endomyocardial biopsy was easy to perform by passage of flexible cardiac biotome into the right ventricle of the donor and the recipient heart through the right internal jugular vein. Pathological findings revealed that early changes of the donor heart were interstitial edema caused by myocardial ischemia. This was followed by lymphocyte infiltration around peripheral coronary arteries and acute rejection resulting in myocyte necrosis.

Animals↗
PubMed1989

[Influence of residual plaque score during initial treatment on pocket reduction rate at individual tooth surfaces].

The purpose of this study is to examine the relation ship between residual plaque score at an individual tooth surface during initial treatment and the pocket reduction rate at the evaluation time. Thirty-nine adult periodontal patients (mean age 30.2 years) who O'Leary plaque control record (PCR) reached a level of 10% PCR, were selected for this study. A total of 5638 surfaces were monitored by recording probing pocket depths at the disto-buccal (a), mid-buccal (b), mesio-buccal (c), disto-lingual (d), mid-lingual and (e), mesio-lingual (f) regions, and by examining O'Leary plaque control records. The results were as follows: 1) The residual plaque score at all teeth surfaces was 14.74 +/- 19.21%. 2) The lowest plaque score were seen at 54/45, and 21/12. 3) The highest plaque score were seen at 7/7, and 76/67. 4) Well-responding sites that showed a high residual plaque score and a good pocket reduction rate, were 5/5 (initial probing pocket depth 3.0-3.5mm, a), and 4/4 (initial probing pocket depth 3.0-3.5 mm,f; 5.0-5.5 mm, f). 5) 7/7 (initial probing pocket depth 3.0 mm a, b, d), and 7/7 (initial probing pocket depth 3.0-3.5 mm, f) showed a high residual plaque score and a low pocket reduction rate. 6) The normal pocket response occurred at a level of residual plaque score and a low pocket reduction rate. 6) The normal pocket response occurred at a level of residual plaque score of less than 25%. In order to gain good pocket response, it is important to keep the level of residual plaque score at less than 25% rather than to keep the level of PCR at 10% or 20% (as several authors have previously stated). 7) A low residual plaque score during treatment is therefore more important than a low PCR.

Adult↗
PubMed1989

[Relationship between pocket reduction and plaque control in initial treatment].

It has been suggested that plaque control is important in periodontal treatment. This study used O'Leary's plaque control record (PCR) to investigate the influence of plaque control in initial treatment. Thirty patients (18 men and 12 women, mean age 46.7 years) were selected for this study. The results were as follows: The mean pocket depth was reduced from 3.19 mm (at the first examination) to 2.11 mm (at re-evaluation). Mean pocket depth of 3 mm or more at the first examination was reduced from 4.09 mm to 2.43 mm. The mean number of times plaque control instruction was given to reduce the PCR 10% or less was 3.8. The quantity of pocket reduction was significantly greater in the group that underwent instructions to reduce the PCR 10% or less 4 times or less compared with the group that underwent instructions 5 times or more. The group whose mean PCR was 10% or less from the time 10% or less at the first time to re-evaluation, had significantly greater pocket reduction than the group with 20% or more. There was no correlation between pocket reduction and PCR at the first examination and bone loss scores obtained from X-ray films.

Dental Plaque↗
PubMed1989

[Pocket reduction after initial treatment in relation to tooth type and site].

The purpose of this study was to compare differences in pocket reduction rate between different tooth types and sites after initial treatment. Forty-one adult periodontitis patients (mean age 40.8) whose O'Leary plaque records during initial treatment were maintained at a level of less than 10% (mean level 9.02 +/- 4.93%) were selected for this study. A total of 5983 surfaces were monitored by recording probing pocket depths (P.P.D.). The results obtained were as follows. 1. Significant probing pocket depth reduction was obtained following initial treatment (P less than 0.001). 2. Significantly improved teeth were 421/124 (p less than 0.001), 5/5 and 53/35 (p less than 0.05), and 32/23 (p less than 0.05). Deep residual P.P.D. were observed in 1/1, 6/6, 7/7, 6/6 and 7/7 (p less than 0.001), and 2/2 and 3/3 (p less than 0.05). 3. Response to treatment by tooth type was favorable in 54/45 and 431/134 and was poor in 71/17, 7/7. 4. Mandibular residual pocket depths were much deeper on proximal surfaces than on the mid-facial and lingual surfaces. Maxillary pockets on palatal surfaces were significant deeper than on facial ones. 5. Poor response to treatment was treatment was observed on the mesio-palatal surfaces (p less than 0.001), mid-palatal surfaces (p less than 0.01) of 6/6 (p less than 0.001), the distolingual surfaces of 7/7, and 7/7 (p less than 0.001), and the mesio-palatal surfaces of 1/1 (p less than 0.05). Favorable responses were observed on the disto-buccal and the id-palatal surface of 4/4 (p less than 0.05), mesio-distal buccal surfaces of 5/5 (p less than 0.05) and mesio-lingual surfaces of 4/4 (p less than 0.05). This results clearly indicate which tooth types and root surfaces must be paid careful attention to during treatment.

Humans↗
PubMed1989

Prevention of limb ischemia in surgical patients by intra-aortic balloon pumping.

Intra-aortic balloon pumping (IABP) was recently performed during the perioperative period in seven patients in whom balloon insertion was difficult because of vascular complication. Prophylactic measures for the prevention of limb ischemia were taken when the balloon was inserted. These measures included (1) balloon insertion through the femoral artery and continuous infusion of heparin into the femoral artery in three patients, (2) balloon insertion through the left femoral artery and femoro-femoral arterial crossover bypass in two patients, and (3) balloon insertion through the left common iliac artery and axillo-femoral bypass on the same side in two patients. Most patients recovered satisfactorily without any evidence of ischemia of the limbs either clinically or in serum biochemistry examination. One patient died of prolonged cardiac failure.

Aged↗
PubMed1989

[Interest of percutaneous transvenous mitral commissurotomy in the management of rheumatic mitral stenosis].

During from April 1987 to October 1988, 13 cases of mitral stenosis (MS) were treated with percutaneous transvenous mitral commissurotomy (PTMC) among 24 cases of MS. The indications of PTMC were determined by surgeons in 4 cases with several reasons described as follows: 1. Patient, having been treated with closed mitral commissurotomy, who refused to be operated with open heart technique. 2. Patient associated with early gastric cancer. 3. Patient associated with severe hyperthyroidism and cardiac cachexia. 4. Patients suffering from acute renal failure following left heart failure due to association of aortic stenosis. Other 9 cases were determined by cardiologist because of the inherent benefit of PTMC being less invasive. After PTMC, the symptomatic improvement, assessed by means of NYHA classification, were observed in 11 cases out of 13. Hemodynamic data such as mitral valvular area, mitral valve gradient and cardiac index showed marked improvement without any inducing of significant mitral regurgitation. The authors thought with these results as follows: 1. The effect of PTMC may be appreciable for mild or moderate stenotic lesion of mitral orifice, however, severely affected valves should be treated by open heart techniques in order to perform radical procedures. Otherwise, significant MR may occur by overloading of balloon size beyond some extent. 2. On account of the appearance of PTMC, the indicational determination for the treatment of MS will be more controvertial than now.

Adult↗
PubMed1989

[A case of complete disruption of right truncus intermedius treated by operation].

A case of right bronchial disruption caused by blunt chest trauma was successfully operated. Patient is a 35-year-old woman who was transferred to our intensive care unit with markedly dyspnea and subcutaneous emphysema. Rupture of right bronchus was suspected by chest x-ray film and bronchial fiberscopy. An emergency thoracotomy was performed with the aid of selective lung ventilation by the use of double lumen endobronchial tube. Right bronchus was completely transected and small part of upper lobe was lacerated. Right bronchus was anastomosed directly with interrupted 3-0 vinyl sutures and laceration of upper lobe was sutured. Postoperative course was uneventful, but postoperative bronchoscopy confirmed slight stenosis of the anastomotic position. Prompt diagnosis by bronchoscopy and emergency thoracotomy followed by selective lung ventilation are mandatory in this patient survival.

Adult↗
PubMed1989

A functional new experimental biventricular model of heterotopic cardiac transplantation.

A heterotopic cardiac transplantation model in which the donor heart was able to maintain the systemic and pulmonary circulation of the recipient was devised, which did not require extracorporeal circulation or heparinization. All donor hearts in five pairs of adult mongrel dogs were resuscitated, and the systemic and pulmonary circulations maintained by the donor hearts alone were studied hemodynamically up to 3 hr after resuscitation, although long-term survival was not achieved.

Animals↗
PubMed1989

[A case of pericardial cyst associated with atrial septal defect].

A 51-year-old woman with an abnormal shadow in the right upper mediastinum and systolic heart murmur was diagnosed as mediastinal cyst and atrial septal defect (ASD). Before the operation, the cyst was suspected as bronchogenic cyst or cystic thymoma based on the findings by CT and NMR. Both cystectomy and closure of ASD was successfully performed and the cyst was diagnosed as pericardial cyst by pathological examination. A brief of literature on the pericardial cyst is given.

Female↗
PubMed1989

[A case report of infective endocarditis with acute pulmonary edema and renal dysfunction treated by emergent mitral valve replacement and postoperative extracorporeal ultrafiltration].

A 40-year-old woman with staphylococcus aureus endocarditis of the mitral valve associated with acute pulmonary edema and renal dysfunction is presented. The patient was admitted to Hiroshima University Hospital with infective endocarditis. On the 14th day after admission, she suffered from severe cardiac failure and oligouria, then she was transferred ICU. Chest X-ray film showed pulmonary congestion and echocardiogram revealed 4th grade of mitral valve regurgitation. Emergent mitral valve replacement was performed and rupture of anterior mitral chorda was found as the cause of acute pulmonary edema. Postoperative care was difficult because of advanced renal failure and cardiac failure not responded to diuretics. Extracorporeal ultrafiltration method was effectively used on the 1st and the 2nd postoperative days and 3000 ml of water was filtered without hemodynamic change. Symptoms of renal and cardiac failure recovered promptly after ultrafiltration. Emergent operative and postoperative use of ultrafiltration method is effective in some cases of infective endocarditis complicated with cardiac and renal failure.

Acute Disease↗
PubMed1989

[A case report of successful aortic and mitral balloon valvotomy in patient with acute renal failure].

An effective percutaneous transvenous mitral commissurotomy (PTMC) and aortic valvotomy (PTAV) was performed upon a 61-year-old male patient suffered from acute left heart failure due to combined valvular disease (mitral and aortic stenosis) and had complicated with acute renal failure following low cardiac output. Hemodynamic study being examined through Swan-Ganz catheter and echocardiography after PTMC and PTAV showed marked releaf from these two valvular stenosis. We consider that although this new treatment can't exceed surgical commissurotomy in an effect, it can be applied to those who are thought to be riskfull for the surgical intervention because of its inherent characteristics being simple and less invasive.

Acute Kidney Injury↗
PubMed1988

Mechanics of percutaneous balloon valvotomy for mitral valvular stenosis.

The present study was performed to measure and calculate the mechanical force of percutaneous balloon valvotomy (PBV) for mitral valvular stenosis, using an equation pertaining to the mechanical force of the balloon needed to dilate the stenotic mitral valve. In case 1, the diameter of the mitral valve was enlarged by PBV from 1.43 cm to 2.40 cm and, in case 2, from 1.76 cm to 2.42 cm, with a mechanical force of 321 g and 436 g, respectively, following the equation.

Biomechanical Phenomena↗