Publications by authors named "Tatsuji Yoshimoto"

5 Publications

  • Page 1 of 1

Coronary Artery Fistula Aneurysm: Pathological Analysis After Surgery.

Cureus 2021 May 8;13(5):e14903. Epub 2021 May 8.

Cardiology, Kawasaki Municipal Ida Hospital, Kawasaki, JPN.

An asymptomatic 75-year-old woman was identified with a 40-mm-sized, round-shaped lesion beside the pulmonary artery on computed tomography (CT). Coronary angiography showed a coronary artery fistula (CAF) with an aneurysm branching from the left anterior descending artery toward the pulmonary artery. The CAF aneurysm (CAFA) was resected and coronary artery bypass graft surgery using the left internal thoracic artery was performed successfully. Pathological analysis revealed that medial depletion similar to segmental arterial mediolysis (SAM) may contribute to aneurysm formation.
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http://dx.doi.org/10.7759/cureus.14903DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8183465PMC
May 2021

Giant Aneurysm of Coronary Artery Fistula Successfully Treated by Surgical Repair.

Cureus 2020 Mar 27;12(3):e7430. Epub 2020 Mar 27.

Cardiology, Kawasaki Municipal Ida Hospital, Kawasaki, JPN.

An asymptomatic 65-year-old woman was identified with an oversized round-shaped hypoechoic lesion (62 mm in diameter) between right and left atria by echocardiogram. A contrast-enhanced 320-slice multidetector computed tomography demonstrated a giant aneurysmatic fistula branched from the left main coronary trunk towards right atrium. The patient underwent an elective surgical repair. The aneurysm was resected, followed by coronary artery bypass graft surgery using bilateral internal thoracic arteries. The surgery was successful, and the patient enjoys normal life without any symptoms for 15 months.
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http://dx.doi.org/10.7759/cureus.7430DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7186111PMC
March 2020

Cardiac arrest in a patient with polyarteritis nodosa.

Intern Med 2013 ;52(24):2759-63

Department of Cardiology, Kawasaki Municipal Ida Hospital, Japan.

Polyarteritis nodosa (PAN) is a rare necrotizing vasculitis that occurs in small- to medium-sized muscular arteries. A 71-year-old man was admitted to our hospital for an evaluation of a sustained fever and he later died of cardiac arrest. The autopsy revealed that the patient had PAN and severe coronary vasculitis with no signs of cardiac ischemia. The reason for the patient's sudden death remains unclear; however, cardiac arrest due to coronary vasculitis was suggested. This is a rare case of PAN coronary vasculitis that led to sudden death without either stenosis or any embolism.
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http://dx.doi.org/10.2169/internalmedicine.52.1090DOI Listing
August 2014

Thyroid storm with multiple organ failure, disseminated intravascular coagulation, and stroke with a normal serum FT3 level.

Intern Med 2012 1;51(17):2379-83. Epub 2012 Sep 1.

Department of Cardiology, Kawasaki Municipal Ida Hospital, Japan.

Thyroid storm is a rare disorder with a sudden onset, rapid progression and high mortality. We experienced a case of thyroid storm which had a devastating course, including multiple organ failure (MOF), severe hypoglycemia, disseminated intravascular coagulation (DIC), and stroke. It was difficult to make a diagnosis of thyroid storm in the present patient, because she did not have a history of thyroid disease and her serum FT3 level was normal. Clinicians should be aware that thyroid storm can occur even when there is an almost normal level of thyroid hormones, and that intensive anticoagulation is required for patients with atrial fibrillation to prevent stroke after thyroid storm.
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http://dx.doi.org/10.2169/internalmedicine.51.7974DOI Listing
April 2013
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