Updated on 2026/05/25

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写真a

 
Tomoyuki Minami
 
Organization
YCU Medical Center Lecturer
School of Medicine Medical Course
Title
Lecturer
Profile
破裂、臓器灌流不全などの合併症を伴う急性大動脈解離B型は緊急外科的治療が必要である。また急性期以降の大動脈解離B型にも外科的治療が必要であり、これらについてよりよい治療法を研究していきたい。
External link

Degree

  • 博士(医学) ( 横浜市立大学 )

Research Interests

  • 急性大動脈解離B型に対する治療

Research Areas

  • Life Science / Cardiovascular surgery

Papers

  • 乳児期に急性循環不全に至った三心房心に対して緊急手術を行い救命した1例

    原藤 陸, 立石 実, 森 佳織, 南 智行, 小林 由幸, 鈴木 清貴, 澤井 悠樹, 豊福 優衣, 齋藤 綾

    日本胸部外科学会関東甲信越地方会要旨集   ( 197回 )   19 - 19   2025.3

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  • 大動脈弓低形成を伴う大動脈縮窄複合の乳児に対する、左側開胸を併施した正中アプローチによる修復術

    福井 雅浩, 立石 実, 森 佳織, 南 智行, 小林 由幸, 鈴木 清貴, 澤井 悠樹, 豊福 優衣, 齋藤 綾

    日本胸部外科学会関東甲信越地方会要旨集   ( 197回 )   19 - 19   2025.3

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  • 診断と治療選択に難渋した原発性肺動脈肉腫の2例

    澤井 悠樹, 立石 実, 南 智行, 小林 由幸, 森 佳織, 鈴木 清貴, 足立 広幸, 孟 真, 齋藤 綾

    日本胸部外科学会関東甲信越地方会要旨集   ( 196回 )   36 - 36   2024.11

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  • Surgical Fenestration for Acute Type A Aortic Dissection with Visceral and Lower Limb Ischemia and Paraplegia

    Suzuki Kiyotaka, Uchida Keiji, Minami Tomoyuki, Cho Tomoki, Matsuki Yusuke, Nemoto Hiroko, Kobayashi Yoshiyuki, Matsumoto Atsushi, Masuda Munetaka

    Japanese Journal of Cardiovascular Surgery   50 ( 6 )   405 - 409   2021.11

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    Language:Japanese   Publisher:The Japanese Society for Cardiovascular Surgery  

    A 70-year-old man developed sudden chest, back, abdominal, and lower extremity pain, and clinical findings and contrast-enhanced computed tomography (CT) revealed acute type A aortic dissection with visceral, lower leg, and spinal cord ischemia. The false lumen of the ascending aorta was thrombosed, and the entry site was observed in the proximal descending aorta without a re-entry tear. The true lumen of the aorta extended from the descending thoracic aorta to the abdominal aorta and was significantly narrowed. The celiac and superior mesenteric arteries received blood supply from the narrowed true lumen and several intercostal arteries from the partially thrombosed false lumen. Central repair for resection of the entry tear could impair blood flow through the false lumen and the intercostal arteries ; therefore, we performed open aortic fenestration. Postoperative contrast-enhanced CT revealed that the width of the true lumen and blood flow through the false lumen of the descending aorta were adequately improved with resolution of the patient's clinical symptoms. The patient's postoperative course was uneventful, and he was discharged on postoperative day 30. Emergency central repair has been reported as a first-line approach for acute type A aortic dissections ; however, surgical fenestration may be useful for patients who receive conservative treatment for the ascending aorta and present with multiple sites of malperfusion that causes spinal cord ischemia.

    DOI: 10.4326/jjcvs.50.405

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    Other Link: https://search.jamas.or.jp/link/ui/2022045771

  • Results of ascending aortic and arch replacement for type A aortic dissection

    Keiji Uchida, Tomoyuki Minami, Tomoki Cho, Shota Yasuda, Keiichiro Kasama, Shinichi Suzuki, Munetaka Masuda, Kiyotaka Imoto, Norihisa Karube, Motohiko Goda, Yusuke Matsuki, Hiroko Nemoto, Ryo Izubuchi, Yoshiyuki Kobayashi, Atsushi Matsumoto, Yokohama City University CVS Group

    Journal of Thoracic and Cardiovascular Surgery   162 ( 4 )   1025 - 1031   2021.10

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    Language:English   Publishing type:Research paper (international conference proceedings)   Publisher:Mosby Inc.  

    DOI: 10.1016/j.jtcvs.2020.02.087

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  • Veno-arterio-pulmonary-arterial extracorporeal membrane oxygenation in descending aortic surgery.

    Tomoyuki Minami, Keiji Uchida, Shota Yasuda, Tomoki Cho, Yusuke Matsuki, Hiroko Nemoto, Yoshiyuki Kobayashi, Keiichiro Kasama, Daisuke Machida, Munetaka Masuda

    General thoracic and cardiovascular surgery   69 ( 4 )   727 - 730   2021.4

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    Hypoxia during one-lung ventilation is a significant problem in descending aortic surgery via left thoracotomy. Veno-arterio-pulmonary-arterial extracorporeal membrane oxygenation (VAPa-ECMO), which consists of veno-arterial extracorporeal membrane oxygenation (VA-ECMO) and an additional arterial branch to perfuse a pulmonary artery (Pa), is useful.

    DOI: 10.1007/s11748-020-01518-9

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  • Brachiocephalic artery dissection is a marker of stroke after acute type A aortic dissection repair

    Tomoki Cho, Keiji Uchida, Keiichiro Kasama, Daisuke Machida, Tomoyuki Minami, Shota Yasuda, Yusuke Matsuki, Shinichi Suzuki, Munetaka Masuda

    Journal of Cardiac Surgery   36 ( 3 )   902 - 908   2021.3

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    Language:English   Publishing type:Research paper (scientific journal)   Publisher:Blackwell Publishing Inc.  

    DOI: 10.1111/jocs.15322

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  • Proposal of a new classification: “sealed type” postinfarction left ventricular free wall rupture

    Keiji Uchida, Shota Yasuda, Tomoki Cho, Yoshiyuki Kobayashi, Atsushi Matsumoto, Yusuke Matsuki, Tomoyuki Minami, Keiichiro Kasama, Daisuke Machida, Shinichi Suzuki

    General Thoracic and Cardiovascular Surgery   2021

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    Language:English   Publishing type:Research paper (scientific journal)   Publisher:Springer Japan  

    DOI: 10.1007/s11748-021-01730-1

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  • A massive postoperative stroke caused by a carotid thrombus that occurred during the surgical repair of an aortic dissection. International journal

    Hiroko Nemoto, Keiji Uchida, Tomoyuki Minami, Shota Yasuda, Tomoki Cho, Munetaka Masuda

    SAGE open medical case reports   9   2050313X211025215   2021

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    A 59-year-old man with no prior neurological deficits developed a massive stroke during the repair of a double-barreled acute type A aortic dissection with major entry in the ascending aorta and an occluded brachiocephalic artery. As right cerebral ischemia was alleviated by the circle of Willis, the patient was alert and conscious preoperatively. Nevertheless, the thrombus in the right carotid artery induced a severe postoperative right cerebral embolism. In conclusion, occlusion of the carotid artery is a risk factor of postoperative severe stroke, even in patients without neurological symptoms preoperatively.

    DOI: 10.1177/2050313X211025215

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  • 中枢吻合"Pouch法"を用いたfree RITAの1年及び5年成績の検討

    南 智行, 内田 敬二, 長 知樹, 松木 佑介, 根本 寛子, 小林 由幸, 松本 淳, 鈴木 清貴, 鈴木 光恵, 松下 直彦, 益田 宗孝

    日本胸部外科学会定期学術集会   73回   CTA3 - 2   2020.10

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  • 感染性胸部大動脈瘤に対してリファンピシン浸漬人工血管を用いて上行弓部大動脈置換術を施行した一例

    松本 淳, 内田 敬二, 南 智行, 長 知樹, 松木 佑介, 根本 寛子, 小林 由幸, 鈴木 清貴, 益田 宗孝

    日本胸部外科学会関東甲信越地方会要旨集   ( 183回 )   31 - 31   2020.7

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  • 腹部大動脈開窓術を選択した急性A型大動脈解離の1例

    鈴木 清貴, 内田 敬二, 南 智行, 長 知樹, 松木 佑介, 根本 寛子, 小林 由幸, 松本 淳, 鈴木 光恵, 松下 直彦, 益田 宗孝

    日本胸部外科学会関東甲信越地方会要旨集   ( 183回 )   29 - 29   2020.7

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  • 出生時の心臓マッサージを原因とする収縮性心膜炎の1手術例

    小林 由幸, 内田 敬二, 南 智行, 長 知樹, 松木 祐介, 根本 寛子, 松本 淳, 鈴木 清貴, 益田 宗孝

    日本胸部外科学会関東甲信越地方会要旨集   ( 183回 )   42 - 42   2020.7

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  • Excessive EP4 Signaling in Smooth Muscle Cells Induces Abdominal Aortic Aneurysm by Amplifying Inflammation. International journal

    Taro Hiromi, Utako Yokoyama, Daisuke Kurotaki, Al Mamun, Ryo Ishiwata, Yasuhiro Ichikawa, Hiroshi Nishihara, Masanari Umemura, Takayuki Fujita, Shota Yasuda, Tomoyuki Minami, Motohiko Goda, Keiji Uchida, Shinichi Suzuki, Ichiro Takeuchi, Munetaka Masuda, Richard M Breyer, Tomohiko Tamura, Yoshihiro Ishikawa

    Arteriosclerosis, thrombosis, and vascular biology   40 ( 6 )   1559 - 1573   2020.6

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    OBJECTIVE: Excessive prostaglandin E2 production is a hallmark of abdominal aortic aneurysm (AAA). Enhanced expression of prostaglandin E2 receptor EP4 (prostaglandin E receptor 4) in vascular smooth muscle cells (VSMCs) has been demonstrated in human AAAs. Although moderate expression of EP4 contributes to vascular homeostasis, the roles of excessive EP4 in vascular pathology remain uncertain. We aimed to investigate whether EP4 overexpression in VSMCs exacerbates AAAs. Approach and Results: We constructed mice with EP4 overexpressed selectively in VSMCs under an SM22α promoter (EP4-Tg). Most EP4-Tg mice died within 2 weeks of Ang II (angiotensin II) infusion due to AAA, while nontransgenic mice given Ang II displayed no overt phenotype. EP4-Tg developed much larger AAAs than nontransgenic mice after periaortic CaCl2 application. In contrast, EP4fl/+;SM22-Cre;ApoE-/- and EP4fl/+;SM22-Cre mice, which are EP4 heterozygous knockout in VSMCs, rarely exhibited AAA after Ang II or CaCl2 treatment, respectively. In Ang II-infused EP4-Tg aorta, Ly6Chi inflammatory monocyte/macrophage infiltration and MMP-9 (matrix metalloprotease-9) activation were enhanced. An unbiased analysis revealed that EP4 stimulation positively regulated the genes binding cytokine receptors in VSMCs, in which IL (interleukin)-6 was the most strongly upregulated. In VSMCs of EP4-Tg and human AAAs, EP4 stimulation caused marked IL-6 production via TAK1 (transforming growth factor-β-activated kinase 1), NF-κB (nuclear factor-kappa B), JNK (c-Jun N-terminal kinase), and p38. Inhibition of IL-6 prevented Ang II-induced AAA formation in EP4-Tg. In addition, EP4 stimulation decreased elastin/collagen cross-linking protein LOX (lysyl oxidase) in both human and mouse VSMCs. CONCLUSIONS: Dysregulated EP4 overexpression in VSMCs promotes inflammatory monocyte/macrophage infiltration and attenuates elastin/collagen fiber formation, leading to AAA exacerbation.

    DOI: 10.1161/ATVBAHA.120.314297

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  • 胸部感染性動脈瘤に対する治療選択

    根本 寛子, 内田 敬二, 南 智行, 長 知樹, 松木 佑介, 小林 由幸, 松本 淳, 浦田 望, 増田 拓, 山崎 龍人, 益田 宗孝

    日本心臓血管外科学会学術総会抄録集   50回   PR7 - 2   2020.3

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  • 腹部大動脈開窓術を選択した急性A型大動脈解離の1例

    鈴木 清貴, 内田 敬二, 南 智行, 長 知樹, 松木 佑介, 根本 寛子, 小林 由幸, 松本 淳, 鈴木 光恵, 松下 直彦, 益田 宗孝

    日本胸部外科学会関東甲信越地方会要旨集   ( 182回 )   13 - 13   2020.3

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  • 心室中隔穿孔・左室破裂:ここまでなら救命できる(または、救命できなかった症例から学ぶ) 心室中隔穿孔・左室破裂に対する手術成績と生体糊の有用性

    内田 敬二, 南 智行, 長 知樹, 松木 佑介, 根本 寛子, 小林 由幸, 松本 淳, 益田 宗孝

    日本心臓血管外科学会学術総会抄録集   50回   VS5 - 4   2020.3

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  • 収縮性心膜炎に対し心膜剥皮術を施行した一例

    鈴木 光恵, 内田 敬二, 南 智行, 長 知樹, 松木 佑介, 根本 寛子, 小林 由幸, 松本 淳, 鈴木 清貴, 松下 直彦, 益田 宗孝

    日本胸部外科学会関東甲信越地方会要旨集   ( 182回 )   30 - 30   2020.3

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  • 冠動脈malperfusionを伴うA型急性大動脈解離の正診率向上は可能か

    小林 由幸, 内田 敬二, 南 智行, 長 知樹, 松木 祐介, 根本 寛子, 松本 淳, 浦田 望, 増田 拓, 山崎 龍人, 益田 宗孝

    日本心臓血管外科学会学術総会抄録集   50回   P8 - 1   2020.3

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  • 当院における人工弁感染性心内膜炎に対する保存治療成績 手術治療成績との比較

    南 智行, 内田 敬二, 長 知樹, 松木 佑介, 根本 寛子, 小林 由幸, 松本 淳, 浦田 望, 増田 拓, 山崎 龍人, 益田 宗孝

    日本心臓血管外科学会学術総会抄録集   50回   O13 - 2   2020.3

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  • Zone0, 1 TEVARにおける脳梗塞リスク因子の検討

    長 知樹, 内田 敬二, 南 智行, 松木 佑介, 根本 寛子, 小林 由幸, 松本 淳, 浦田 望, 増田 拓, 山崎 龍人, 益田 宗孝

    日本心臓血管外科学会学術総会抄録集   50回   P11 - 4   2020.3

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  • Tracheo-innominate artery fistula with continuous bleeding successfully treated through the suprasternal approach: A case report

    Shotaro Kaneko, Keiji Uchida, Norihisa Karube, Keiichiro Kasama, Tomoyuki Minami, Tomoki Cho, Ryo Izubuchi, Kenichi Fushimi, Naoto Yabu, Motohiko Goda, Munetaka Masuda

    Journal of Cardiothoracic Surgery   15 ( 1 )   2020.2

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    Language:English   Publishing type:Research paper (scientific journal)   Publisher:BioMed Central Ltd.  

    DOI: 10.1186/s13019-020-1080-y

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  • 内臓機能不全をどう克服するか(How to conquer the visceral malperfusion?)

    内田 敬二, 南 智行, 長 知樹, 松木 佑介, 根本 寛子, 小林 由幸, 松本 淳, 鈴木 清貴, 鈴木 光恵, 松下 直彦, 益田 宗孝

    日本血管外科学会雑誌   29 ( Suppl. )   SY8 - 6   2020

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  • EVAR術後の大動脈イベントに関与する因子の検討

    松木 佑介, 内田 敬二, 南 智行, 長 知樹, 根本 寛子, 小林 由幸, 松本 淳, 鈴木 清貴, 鈴木 光恵, 松下 直彦, 益田 宗孝

    日本血管外科学会雑誌   29 ( Suppl. )   SF21 - 2   2020

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  • 2型エンドリークを有する動脈瘤拡大に対する積極的な後期開腹術の実施(Aggressive late open conversion for aneurysm enlargement with type 2 endoleak)

    長 知樹, 内田 敬二, 南 智行, 松木 佑介, 根本 寛子, 小林 由幸, 松本 淳, 鈴木 光恵, 鈴木 清貴, 松下 直彦, 益田 宗孝

    日本血管外科学会雑誌   29 ( Suppl. )   OP18 - 4   2020

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  • 急性大動脈解離Stanford A型による左冠動脈急性閉塞からCPAとなり緊急PCIを行って救命しえた1例

    松本 淳, 内田 敬二, 南 智行, 長 知樹, 松木 佑介, 根本 寛子, 小林 由幸, 鈴木 清貴, 鈴木 光恵, 松下 直彦, 益田 宗孝

    日本血管外科学会雑誌   29 ( Suppl. )   P43 - 5   2020

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  • 上行置換術直後に下行大動脈の内膜重積を起こし,追加手術を要した急性大動脈解離の1例

    小林 由幸, 内田 敬二, 南 智行, 長 知樹, 松木 祐介, 根本 寛子, 松本 淳, 鈴木 清貴, 鈴木 光恵, 松下 直彦, 益田 宗孝

    日本血管外科学会雑誌   29 ( Suppl. )   CR1 - 4   2020

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  • 大動脈弓部動脈瘤修復術における孤立性脳灌流法の臨床成績(Clinical Outcomes of Isolated Cerebral Perfusion Technique for Aortic Arch Aneurysm Repair)

    南 智行, 内田 敬二, 長 知樹, 松木 佑介, 根本 寛子, 小林 由幸, 松本 淳, 鈴木 清貴, 鈴木 光恵, 松下 直彦, 益田 宗孝

    日本血管外科学会雑誌   29 ( Suppl. )   OP6 - 3   2020

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  • Valsalva洞動脈瘤破裂術後左室流出路仮性瘤の1手術例

    松木 佑介, 内田 敬二, 輕部 義久, 南 智行, 長 知樹, 根本 寛子, 藪 直人, 益田 宗孝

    日本胸部外科学会関東甲信越地方会要旨集   ( 180回 )   20 - 20   2019.6

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  • 急性大動脈解離に対する上行弓部置換術後の脳梗塞

    根本 寛子, 内田 敬二, 輕部 義久, 南 智行, 長 知樹, 松木 佑介, 藪 直人, 池松 真人, 小野 由香利, 杉山 敦彦, 益田 宗孝

    日本胸部外科学会関東甲信越地方会要旨集   ( 180回 )   18 - 18   2019.6

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  • DVR術後に僧帽弁周囲逆流による溶血性貧血を認め自己心膜ロールを用いて修復した一例

    池松 真人, 内田 敬二, 軽部 義久, 南 智行, 長 知樹, 松木 佑介, 根本 寛子, 藪 直人, 小野 由香利, 杉山 敦彦, 益田 宗孝

    日本胸部外科学会関東甲信越地方会要旨集   ( 179回 )   26 - 26   2019.3

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  • Coil embolization of intercostal arteries accessed by surgical exposure for type II endoleak after thoracic endovascular aortic repair. Reviewed

    Karube N, Uchida K, Cho T, Minami T, Masuda M

    J Vasc Surg. 2019 Mar 6. pii: S0741-5214(19)30076-X. doi: 10.1016/j.jvs.2018.11.040.   2019.3

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  • 心肺停止蘇生後に三尖弁位感染性心内膜炎に対して三尖弁置換術を施行した一例

    杉山 敦彦, 内田 敬二, 輕部 義久, 南 智行, 長 知樹, 松木 佑介, 根本 寛子, 藪 直人, 池松 真人, 小野 由香里, 益田 宗孝

    日本胸部外科学会関東甲信越地方会要旨集   ( 179回 )   28 - 28   2019.3

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  • 中枢吻合"Pouch法"を用いたfree RITAの早期、中期成績の検討

    南 智行, 内田 敬二, 輕部 義久, 長 知樹, 松木 佑介, 根本 寛子, 藪 直人, 串田 好宏, 菊西 啓雄, 朱 美和, 益田 宗孝

    日本心臓血管外科学会学術総会抄録集   49回   [PR04 - 3]   2019.2

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  • 当院における破裂性腹部大動脈瘤に対するOpen surgery

    藪 直人, 内田 敬二, 輕部 義久, 南 智行, 長 知樹, 松木 佑介, 根本 寛子, 串田 好宏, 菊西 啓雄, 朱 美和, 益田 宗孝

    日本心臓血管外科学会学術総会抄録集   49回   [PP - 194]   2019.2

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  • 透析患者ASに対するAVRの治療成績と人工弁選択

    松木 佑介, 内田 敬二, 輕部 義久, 南 智行, 長 知樹, 根本 寛子, 藪 直人, 串田 好宏, 朱 美和, 菊西 啓雄, 益田 宗孝

    日本心臓血管外科学会学術総会抄録集   49回   [PP - 052]   2019.2

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  • 感染性大動脈瘤に対するステントグラフト治療

    根本 寛子, 内田 敬二, 輕部 義久, 南 智行, 長 知樹, 松木 佑介, 藪 直人, 串田 好宏, 菊西 啓雄, 朱 美和, 益田 宗孝

    日本心臓血管外科学会学術総会抄録集   49回   [PR14 - 8]   2019.2

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  • device選択の観点からみたTAVI初期成績の検討

    輕部 義久, 内田 敬二, 南 智行, 長 知樹, 松木 佑介, 根本 寛子, 藪 直人, 串田 好宏, 菊西 啓雄, 朱 美和, 益田 宗孝

    日本心臓血管外科学会学術総会抄録集   49回   [PP - 066]   2019.2

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  • EVAR後type2エンドリークに対する治療戦略

    長 知樹, 内田 敬二, 輕部 義久, 南 智行, 松木 祐介, 根本 寛子, 藪 直人, 串田 好宏, 菊西 啓雄, 朱 美和, 益田 宗孝

    日本心臓血管外科学会学術総会抄録集   49回   [PR39 - 3]   2019.2

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  • 急性A型大動脈解離におけるDavid手術成績

    南 智行, 内田 敬二, 輕部 義久, 長 知樹, 松木 佑介, 根本 寛子, 藪 直人, 池松 真人, 小野 由香利, 杉山 敦彦, 益田 宗孝

    日本血管外科学会雑誌   28 ( Suppl. )   P1 - 2   2019

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  • 感染性大動脈瘤に対する治療方針

    根本 寛子, 内田 敬二, 輕部 義久, 南 智行, 長 知樹, 藪 直人, 池松 真人, 小野 由香利, 杉山 敦彦, 益田 宗孝

    日本血管外科学会雑誌   28 ( Suppl. )   P11 - 4   2019

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  • 高齢者(80歳以上)腹部大動脈瘤に対するOpen surgeryとEVARの治療成績

    松木 佑介, 内田 敬二, 輕部 義久, 南 智行, 長 知樹, 根本 寛子, 藪 直人, 池松 真人, 小野 由香利, 杉山 敦彦, 益田 宗孝

    日本血管外科学会雑誌   28 ( Suppl. )   P53 - 2   2019

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  • 破裂性腹部大動脈瘤に対する最善の治療 破裂性腹部大動脈瘤に対するOpen Surgery

    藪 直人, 内田 敬二, 輕部 義久, 南 智行, 長 知樹, 松木 佑介, 根本 寛子, 池松 真人, 小野 由香利, 杉山 敦彦, 益田 宗孝

    日本血管外科学会雑誌   28 ( Suppl. )   SY11 - 2   2019

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  • 傍腎動脈腹部大動脈瘤に対する開腹人工血管置換術の成績

    長 知樹, 内田 敬二, 輕部 義久, 南 智行, 松木 佑介, 根本 寛子, 藪 直人, 池松 真人, 小野 由香利, 杉山 敦彦, 益田 宗孝

    日本血管外科学会雑誌   28 ( Suppl. )   P52 - 1   2019

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  • 4D-CTによる左室瘤症例の左室定量評価

    南 智行, 串田 好宏, 菊西 啓雄, 朱 美和, 藪 直人, 根本 寛子, 松木 佑介, 長 知樹, 軽部 義久, 内田 敬二, 益田 宗孝

    日本胸部外科学会関東甲信越地方会要旨集   ( 178回 )   7 - 7   2018.11

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  • Treatment of coronary malperfusion in type A acute aortic dissection. Reviewed

    Uchida K, Karube N, Minami T, Cho T, Matsuki Y, Nemoto H, Yabu N, Yasuda S, Suzuki S, Masuda M

    General thoracic and cardiovascular surgery   66 ( 11 )   621 - 625   2018.11

  • 大動脈に粥腫を認める開心術において脳梗塞予防目的にICP法を用いた一例

    菊西 啓雄, 朱 美和, 串田 好宏, 藪 直人, 根本 寛子, 松木 佑介, 長 知樹, 南 智行, 輕部 義久, 内田 敬二, 益田 宗孝

    日本胸部外科学会関東甲信越地方会要旨集   ( 178回 )   23 - 23   2018.11

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  • ステントグラフト時代の急性大動脈解離に対する治療戦略 Stanford A型急性大動脈解離に対する上行弓部置換術にFrozen Elephant Trunkは必要か

    内田 敬二, 輕部 義久, 南 智行, 長 知樹, 松木 佑介, 根本 寛子, 藪 直人, 益田 宗孝

    日本臨床外科学会雑誌   79 ( 増刊 )   325 - 325   2018.10

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  • Differences of patients' characteristics in acute type A aortic dissection - surgical data from Belgian and Japanese centers-

    Motohiko Goda, Tomoyuki Minami, Kiyotaka Imoto, Keiji Uchida, Munetaka Masuda, Bart Meuris

    Journal of Cardiothoracic Surgery   13 ( 1 )   2018.9

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    DOI: 10.1186/s13019-018-0782-x

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  • A selective antagonist of prostaglandin E receptor subtype 4 attenuates abdominal aortic aneurysm

    Al Mamun, Utako Yokoyama, Junichi Saito, Satoko Ito, Taro Hiromi, Masanari Umemura, Takayuki Fujita, Shota Yasuda, Tomoyuki Minami, Motohiko Goda, Keiji Uchida, Shinichi Suzuki, Munetaka Masuda, Yoshihiro Ishikawa

    Physiological Reports   6 ( 18 )   e13878 - e13878   2018.9

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    DOI: 10.14814/phy2.13878

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  • Early reperfusion strategy improves the outcomes of surgery for type A acute aortic dissection with malperfusion. Reviewed

    Uchida K, Karube N, Kasama K, Minami T, Yasuda S, Goda M, Suzuki S, Imoto K, Masuda M

    The Journal of thoracic and cardiovascular surgery   156 ( 2 )   483 - 489   2018.8

  • Proteomic analysis of aortic smooth muscle cell secretions reveals an association of myosin heavy chain 11 with abdominal aortic aneurysm. Reviewed

    Yokoyama U, Arakawa N, Ishiwata R, Yasuda S, Minami T, Goda M, Uchida K, Suzuki S, Matsumoto M, Koizumi N, Taguri M, Hirano H, Yoshimura K, Ogino H, Masuda M, Ishikawa Y

    American journal of physiology. Heart and circulatory physiology   2018.7

  • Hospital cost savings and other advantages of sutureless vs stented aortic valves for intermediate-risk elderly patients Reviewed

    Tomoyuki Minami, Sarah Sainte, Herbert De Praetere, Filip Rega, Willem Flameng, Peter Verbrugghe, Bart Meuris

    SURGERY TODAY   47 ( 10 )   1268 - 1273   2017.10

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    DOI: 10.1007/s00595-017-1516-8

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  • Evaluation and Influence of Brachiocephalic Branch Re-entry in Patients With Type A Acute Aortic Dissection Reviewed

    Shota Yasuda, Kiyotaka Imoto, Keiji Uchida, Norihisa Karube, Tomoyuki Minami, Motohiko Goda, Shinichi Suzuki, Munetaka Masuda

    CIRCULATION JOURNAL   81 ( 1 )   30 - 35   2017.1

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    DOI: 10.1253/circj.CJ-16-0462

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  • A Case of Traumatic Laceration of the Mitral Valve Leaflet Treated by Mitral Valve Plasty

    URANAKA Yasuko, MINAMI Tomoyuki, KATSUMATA Yasushi, KOIKE Shigeomi, MASUDA Munetaka

    Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)   77 ( 3 )   535 - 538   2016

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    We describe the case of a patient who underwent surgery for mitral insufficiency caused by an extremely rare traumatic tear in the mitral-valve leaflet. The patient was a 42-year-old man who fell from the third floor and sustained facial bone fractures, pelvic fracture, cerebral contusion, pulmonary contusion, and traumatic aortic dissection. He was admitted to the hospital. Mitral valve regurgitation was mild immediately after injury, with no hemodynamic abnormalities. The patient received hospital treatment and was discharged on day 18 after injury because his general condition had improved. The patient was regularly followed-up, and exertional dyspnea developed 2 years after the accident. Transthoracic echocardiography showed aggravation of mitral insufficiency. Mitral annuloplasty was performed 3 years after the accident. Intraoperative examination revealed a tear in the leaflet near the anterior commissure of the mitral valve (A1), apparently causing the severe mitral insufficiency. Mitral regurgitation resolved after suturing the tear in the leaflet, and exertional dyspnea also resolved.

    DOI: 10.3919/jjsa.77.535

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  • A Case of a Bilateral Coronary-pulmonary Artery Fistula and Coronary-artery Aneurysm Associated with Cardiopulmonary Arrest

    URANAKA Yasuko, MINAMI Tomoyuki, KITAJIMA Ryuta, KATSUMATA Yasushi, MASUDA Munetaka

    Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)   77 ( 2 )   303 - 306   2016

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    We describe our experience with a patient who underwent surgery for a bilateral coronary-pulmonary artery fistula and a coronary artery aneurysm associated with preoperative cardiopulmonary arrest. A 47-year old woman lost consciousness and was transported by ambulance to the hospital. The patient regained consciousness in the ambulance, and presented at the emergency & critical care medical center of our hospital, but cardiopulmonary arrest occurred during examination. Echocardiography showed cardiac tamponade. Pericardial drainage was immediately performed, and spontaneous circulation was restored. After the induction of brain hypothermia, a careful examination revealed an aneurysm, 5 mm in maximum diameter, in the right coronary artery and an aneurysm, 8 mm in maximum diameter, in the left coronary artery. Bilateral coronary-pulmonary artery fistulas had thus developed. Cardiopulmonary arrest was apparently caused by the rupture of a coronary artery aneurysm. Aneurysmectomy was performed, and the coronary-pulmonary artery fistulas were closed during cardiopulmonary bypass. Photodynamic eye was useful for the intraoperative detection of small coronary artery aneurysms. On postoperative day 12, the patient was discharged from the hospital uneventfully.

    DOI: 10.3919/jjsa.77.303

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  • Coronary Subclavian Steal Syndrome Detected During Coronary Bypass Surgery in a Hemodialysis Patient Reviewed

    Tomoyuki Minami, Yasuko Uranaka, Makoto Tanaka, Koji Negishi, Keiji Uchida, Munetaka Masuda

    JOURNAL OF CARDIAC SURGERY   30 ( 2 )   154 - 156   2015.2

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    DOI: 10.1111/jocs.12444

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  • Thoracic Endovascular Aortic Repair for Ruptured Descending Thoracic Aortic Aneurysm Reviewed

    Tomoyuki Minami, Kiyotaka Imoto, Keiji Uchida, Norihisa Karube, Shota Yasuda, Tomoki Choh, Shinichi Suzuki, Munetaka Masuda

    JOURNAL OF CARDIAC SURGERY   30 ( 2 )   163 - 169   2015.2

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    DOI: 10.1111/jocs.12499

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  • [Tension hemothorax accompanying rupture of the descending aortic aneurysm]. Reviewed

    Inafuku K, Imoto K, Kano K, Amano S, Cho T, Minami T, Uchida K, Masuda M

    Kyobu geka. The Japanese journal of thoracic surgery   67 ( 12 )   1056 - 1059   2014.11

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  • Intramural haematoma should be referred to as thrombosed-type aortic dissection Reviewed

    Keiji Uchida, Kiyotaka Imoto, Norihisa Karube, Tomoyuki Minami, Tomoki Cho, Motohiko Goda, Shin-ichi Suzuki, Munetaka Masuda

    EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY   44 ( 2 )   366 - 369   2013.8

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    DOI: 10.1093/ejcts/ezt040

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  • Clinical outcomes of emergency surgery for acute type B aortic dissection with rupture Reviewed

    Tomoyuki Minami, Kiyotaka Imoto, Keiji Uchida, Shota Yasuda, Tadahisa Sugiura, Norihisa Karube, Shinichi Suzuki, Munetaka Masuda

    EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY   44 ( 2 )   360 - 365   2013.8

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    DOI: 10.1093/ejcts/ezs703

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  • Mid-Term Outcomes of Acute Type B Aortic Dissection in Japan Single Center Reviewed

    Tomoyuki Minami, Kiyotaka Imoto, Keiji Uchida, Shota Yasuda, Norihisa Karube, Shinichi Suzuki, Munetaka Masuda

    ANNALS OF THORACIC AND CARDIOVASCULAR SURGERY   19 ( 6 )   461 - 467   2013

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    DOI: 10.5761/atcs.oa.12.02077

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  • A CASE REPORT OF AORTOPULMONARY FISTULA CAUSED BY RUPTURE OF AN AORTIC ARCH ANEURYSM

    SHIRAI Junya, IMOTO Kiyotaka, UCHIDA Keiji, MINAMI Tomoyuki, YASUDA Shouta, MASUDA Munetaka

    The journal of the Japanese Practical Surgeon Society   73 ( 12 )   3086 - 3090   2012.12

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    An 81-year-old man was scheduled to undergo surgery for an aortic arch aneurysm. The patient was admitted to a local hospital because of congestive heart failure. Computed tomography showed an aortopulmonary fistula due to an aortic arch aneurysm. The patient was therefore transferred to our hospital for undergoing total arch replacement with closure of the fistula and coronary artery bypass grafting (AO-SVG-#4PD). It was difficult to maintain circulation during the cardiopulmonary bypass because of an aortopulmonary shunt. The patient required percutaneous cardiopulmonary support for 2 days and was discharged 49 days after the operation. Aortopulmonary fistula is a rare, potentially fatal condition that can lead to death because of right heart failure.

    DOI: 10.3919/jjsa.73.3086

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  • Comparative study of brain protection in ascending aorta replacement for acute type A aortic dissection: Retrograde cerebral perfusion versus selective antegrade cerebral perfusion Reviewed

    Tadahisa Sugiura, Kiyotaka Imoto, Keiji Uchida, Tomoyuki Minami, Shota Yasuda

    General Thoracic and Cardiovascular Surgery   60 ( 10 )   645 - 648   2012.10

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    DOI: 10.1007/s11748-012-0142-z

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  • In situ graft replacement and rectus abdominis muscle flap transfer for infected thoracoabdominal aortic aneurysm after gastrectomy Reviewed

    Keiichiro Kasama, Shinichi Suzuki, Yukihisa Isomatsu, Tomoyuki Minami, Yusuke Matsuki, Munetaka Masuda

    General Thoracic and Cardiovascular Surgery   59 ( 7 )   485 - 487   2011.7

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    DOI: 10.1007/s11748-010-0718-4

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  • Anatomical Tricuspid Valve Replacement in a Patient with Corrected Transposition of the Great Arteries and Situs Inversus with 90 degrees Clockwise Rotation of the Heart Through Right Thoracotomy Reviewed

    Tomoyuki Minami, Sinichi Suzuki, Yukihisa Isomatsu, Munetaka Masuda

    JOURNAL OF CARDIAC SURGERY   25 ( 6 )   740 - 742   2010.11

  • [Usefulness of photo dynamic eye system for detection of graft spasm in off-pump coronary artery bypass grafting]. Reviewed

    Minami T, Suzuki S, Isomatsu Y, Kasama K, Matsuki Y, Masuda M

    Kyobu geka. The Japanese journal of thoracic surgery   63 ( 9 )   809 - 812   2010.8

  • [Thoracic aortic dissection complicating autosomal dominant polycystic kidney disease; report of a case]. Reviewed

    Minami T, Karube N, Sakamoto A

    Kyobu geka. The Japanese journal of thoracic surgery   62 ( 10 )   924 - 927   2009.9

  • 大学附属病院における外科の役割 他科依頼・共同手術の実際

    湯川 寛夫, 利野 靖, 磯松 幸尚, 鈴木 伸一, 和田 修幸, 平川 昭平, 荒井 宏雅, 村上 仁志, 松浦 仁, 菅野 伸洋, 禹 哲漢, 南 智行, 長 知樹, 松尾 歩, 益田 宗孝, 今田 敏夫

    日本外科学会雑誌   110 ( 臨増2 )   660 - 660   2009.2

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  • A Patient Who Underwent Mitral Annuloplasty for Mitral-Valve Insufficiency due to Calcification of the Mitral-Valve Annulus

    Minami Tomoyuki, Imoto Kiyotaka, Suzuki Shin-ichi, Uchida Keiji, Karube Norihisa, Date Koichiro, Goda Motohiko, Hatsune Toshiki, Masuda Munetaka

    J. J. C. V. S.   36 ( 6 )   333 - 336   2007

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    A 74-year-old woman presented with shortness of breath. Cardiac ultrasonography showed that left-ventricular-wall motion was good (left ventricular ejection fraction, 70.2%). The left atrium and ventricle were enlarged (left anterior dimension, 53.4mm; left ventricular enddiastolic dimension, 58.5mm). The posterior cusp of the mitral valve was thickened; the flexibility was decreased. Color Doppler ultrasonography revealed a regurgitant jet toward the posterior cusp of the left atrium. However, there was no deviation of the anterior cusp. Severe mitral-valve insufficiency was diagnosed, and surgery was performed. The second heart sound (P2) of the posterior cusp was shortened because of localized calcification of the posterior mitral annulus. This site may have caused the regurgitation. Mitral annuloplasty with rectangular resection of the valve cusps and annulorrhaphy was performed. The patient had an uneventful recovery after surgery. Postoperative cardiac ultrasonography showed that mitral-valve insufficiency had improved and was regarded as trivial. Mitral annuloplasty is generally considered unsuitable for mitral-valve insufficiency with calcification of the valve annulus. In patients such as the present case who have localized calcification, however, mitral annuloplasty can be performed by resection of the valve cusps with annulorrhaphy.

    DOI: 10.4326/jjcvs.36.333

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  • 胸部下行,胸腹部大動脈瘤に対する同一アプローチを含む再手術症例の検討

    南智行, 立石実, 小林由幸, 森佳織, 鈴木清貴, 澤井悠樹, 齋藤綾

    日本心臓血管外科学会学術総会(Web)   55th   2025

  • 解離性遠位弓部大動脈瘤に対する左開胸手術症例の検討

    南智行, 立石実, 小林由幸, 森佳織, 鈴木清貴, 澤井悠樹, 齋藤綾

    日本外科学会定期学術集会(Web)   125th   2025

  • APS,SLE,active IEを伴う感染性弓部大動脈瘤破裂に対する上行弓部大動脈人工血管置換術の1例

    鈴木清貴, 南智行, 立石実, 合田真海, 富永訓央, 森佳織, 増田拓, 廣瀬拓哉, 齋藤綾

    日本血管外科学会雑誌(Web)   33 ( Supplement )   2024

  • 外傷性大動脈損傷に対するステントグラフト内挿術の早期中期成績

    長知樹, 内田敬二, 輕部義久, 南智行, 出淵亮, 伏見謙一, 藪直人, 金子翔太郎, 額田卓, 益田宗孝

    日本心臓血管外科学会学術総会(Web)   48th   2018

  • 胸部大動脈再手術症例の現状と工夫

    内田敬二, 輕部義久, 南智行, 長知樹, 出淵亨, 伏見謙一, 藪直人, 金子翔太郎, 額田卓, 益田宗孝

    日本心臓血管外科学会学術総会(Web)   48th   2018

  • 高齢の急性A型大動脈解離に対する保存治療成績

    南智行, 内田敬二, 軽部義久, 長知樹, 出淵亮, 伏見謙一, 藪直人, 金子翔太郎, 額田卓, 益田宗孝

    日本心臓血管外科学会学術総会(Web)   48th   2018

  • 腕頭動脈気管瘻の1手術例

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