Postoperative atrial fibrillation: mechanism, prevention, and future perspective.

Abstract:

:Postoperative atrial fibrillation (POAF) is the most common complication after cardiac surgery, despite improvements in anesthesia, surgical techniques, and medical therapies. Although beta-blockers have been proven to be effective, the incidence of POAF is around 20 % even with these agents. The mechanism of POAF is not fully elucidated and no optimal strategy has been established for POAF. There are two important elements of "structural" and "electrical" remodelling of the atrium in the mechanism of POAF. A patient's age and preoperative left atrial fibrosis can predict POAF associated with structural remodelling. Although inflammation and oxidative stress during cardiac surgery may be the underlying mechanisms for electrical remodelling causing POAF, there are no reliable clinical parameters for their detection. Nonetheless, postoperative P-wave dispersion and electromechanical delay, which reflects excitation-contraction coupling abnormalities, could be new parameters for POAF. In conclusion, despite the importance of prevention of POAF, there are only a few parameters for predicting POAF. It is therefore necessary to consider both disease-mediated structural remodeling before surgery and electrical remodeling caused by cardiac surgery.

journal_name

Surg Today

journal_title

Surgery today

authors

Shingu Y,Kubota S,Wakasa S,Ooka T,Tachibana T,Matsui Y

doi

10.1007/s00595-012-0199-4

subject

Has Abstract

pub_date

2012-09-01 00:00:00

pages

819-24

issue

9

eissn

0941-1291

issn

1436-2813

journal_volume

42

pub_type

杂志文章,评审
  • Separate functions of alpha2beta1 and alpha3beta1 integrins in the metastatic process of human gastric carcinoma.

    abstract::The expression of alpha2beta1 and alpha3beta1 integrins was studied immunohistochemically in 110 resected human gastric carcinomas. Formalin-fixed and paraffin-embedded samples were serially sectioned and stained with monoclonal antibodies specifically against the alpha2 and alpha3 subunits of beta1 integrins. Approxi...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/BF02483952

    authors: Ura H,Denno R,Hirata K,Yamaguchi K,Yasoshima T

    更新日期:1998-01-01 00:00:00

  • Single-incision laparoscopic appendectomy versus conventional 3-port laparoscopic appendectomy for appendicitis: an updated meta-analysis of randomized controlled trials.

    abstract:PURPOSE:To compare the efficacy and safety of single-incision laparoscopic appendectomy (SILA) and conventional 3-port laparoscopic appendectomy (3-port LA) for appendectomy. METHODS:We searched the PubMed, Embase, Springer link, and the Cochrane library databases up to April, 2014, for relevant randomized controlled ...

    journal_title:Surgery today

    pub_type: 杂志文章,meta分析

    doi:10.1007/s00595-014-1094-y

    authors: Xue C,Lin B,Huang Z,Chen Z

    更新日期:2015-09-01 00:00:00

  • Primary anastomosis of the trachea: management and pitfalls.

    abstract::Twenty-four patients with tracheal lesions were managed by various procedures, including primary anastomosis in 16, tracheoplasty in 2, and a terminal tracheostomy in 6. The patients undergoing anastomosis included 4 with primary tumors, 7 with secondary tumors, and 5 with benign stricture. Except for 2 patients, ther...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s005950050172

    authors: Tsubota N,Yoshimura M,Miyamoto Y,Nakamura H,Minami H

    更新日期:1998-01-01 00:00:00

  • Effect of imatinib (STI571) on metastatic gastrointestinal stromal tumors: report of a case.

    abstract::The prognosis for advanced gastrointestinal stromal tumor (GIST) is poor. However, recent reports from Europe have described the effects of imatinib against metastatic GIST. We herein report the case of a Japanese patient treated with imatinib for advanced GIST. Imatinib at 400 mg daily was given to an adult with mult...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-004-2890-6

    authors: Ando Y,Tsunoda T,Beck Y,Takayama T,Tahara H

    更新日期:2005-01-01 00:00:00

  • Postradiation sarcoma of the chest wall: report of two cases.

    abstract::Postradiation sarcoma is a rare late complication of external radiotherapy. We herein present two cases with this disease. A 54-year-old man had undergone a lobectomy and chest wall resection for Pancoast type lung cancer 7 years previously. He had undergone irradiation with a total dose of 50 Gy. Computed tomography ...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-004-3300-9

    authors: Ninomiya H,Miyoshi T,Shirakusa T,Shiraishi T,Yamamoto N,Nabeshima K

    更新日期:2006-01-01 00:00:00

  • Surgical resection of pulmonary metastases from meningioma: report of a case.

    abstract::Meningiomas rarely metastasize, and little information on pulmonary metastasectomy from meningioma has been documented. We herein report a case of a potentially curative resection for meningioma that metastasized to the lung. A 67-year-old woman was admitted to our hospital because of two masses in the right lung. In ...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-010-4409-7

    authors: Kanzaki R,Higashiyama M,Fujiwara A,Tokunaga T,Maeda J,Okami J,Tomita Y,Kodama K

    更新日期:2011-07-01 00:00:00

  • The diagnosis and treatment of esophageal perforations resulting from nonmalignant causes.

    abstract::Esophageal perforations are extremely difficult to diagnose and treat. We report herein our results of a review of 26 patients with esophageal perforation which were spontaneous in 11, iatrogenic in 11, and caused by a foreign body in 4. Surgical treatment was performed in 7 of the patients with spontaneous rupture, b...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/BF02385268

    authors: Mizutani K,Makuuchi H,Tajima T,Mitomi T

    更新日期:1997-01-01 00:00:00

  • Double common bile duct with choledochal cyst and cholelithiasis: report of a case.

    abstract::Double common bile duct (DCBD) is a rare congenital anomaly of the biliary system, often associated with biliary lithiasis, choledochal cyst, pancreaticobiliary maljunction (PBM), and upper gastrointestinal tract malignancies. We report a case of type I DCBD with choledochal cyst and cholelithiasis in a 52-year-old Ch...

    journal_title:Surgery today

    pub_type: 杂志文章,评审

    doi:10.1007/s00595-013-0561-1

    authors: Chen G,Wang H,Zhang L,Li Z,Bie P

    更新日期:2014-04-01 00:00:00

  • Water-clear cell parathyroid adenoma causing primary hyperparathyroidism in a patient with neurofibromatosis type 1: report of a case.

    abstract::Water-clear cell parathyroid adenoma is an exceedingly rare tumor, composed exclusively of tumor cells with abundant foamy cytoplasm. A combination of hyperparathyroidism and neurofibromatosis type 1 (NF1) is also a rare phenomenon. We report an 18-year-old woman with primary hyperparathyroidism caused by water-clear ...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-007-3484-x

    authors: Kodama H,Iihara M,Okamoto T,Obara T

    更新日期:2007-01-01 00:00:00

  • The successful application of jejunal interposition for severe dumping syndrome: report of a case.

    abstract::We report herein the case of a 76-year-old man with intractable dumping syndrome which had manifested itself 3 years after he underwent a gastric resection and Billroth I reconstruction for a gastric ulcer. Despite aggressive medical therapy by the time of admission, he had suffered from disabling dumping symptoms for...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/BF01651008

    authors: Ishikawa M,Morioka E,Wada D,Komi N

    更新日期:1994-01-01 00:00:00

  • Demonstration of microcystic disease of the pancreas by magnetic resonance cholangiopancreatography: report of a case.

    abstract::A case of microcystic disease of the pancreas which was clearly demonstrated by magnetic resonance cholangiopancreatography (MRCP) is reported herein. Cystic dilatation of the pancreatic duct was recognized by computed tomography scanning and endoscopic retrograde cholangiopancreatography (ERCP). Furthermore, the exis...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/BF02482816

    authors: Kitagawa T,Matsumoto K,Iriyama K

    更新日期:1998-01-01 00:00:00

  • A silicone prosthesis for covering a large tracheal defect in patients who underwent surgery for locally recurrent aggressive thyroid cancer.

    abstract::Following the usual sleeve or window resection of the trachea, reconstruction of the trachea can be carried out without difficulty in patients with aggressive thyroid cancer. When the cancer recurs locally in those patients, reoperation often yields a large tracheal defect, for which a commercially available tracheost...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/BF00326131

    authors: Ito K,Fujimoto Y,Obara T,Yanagisawa H,Ohyama T

    更新日期:1992-01-01 00:00:00

  • Surgical repair of a concealed aortocaval fistula associated with an abdominal aortic aneurysm: report of two cases.

    abstract::Two cases of a concealed aortocaval fistula (ACF) associated with an abdominal aortic aneurysm (AAA) are presented herein. ACF is a rare complication of AAA and only a few cases have so far shown the triad of symptoms, including congestive heart failure, a continuous abdominal bruit, and a pulsating abdominal mass. So...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s005950170062

    authors: Takazawa A,Sakahashi H,Toyama A

    更新日期:2001-01-01 00:00:00

  • A combination of subcuticular sutures and subcutaneous closed-suction drainage reduces the risk of incisional surgical site infection in loop ileostomy closure.

    abstract:PURPOSE:The purpose of this study was to evaluate the effectiveness of a wound closure method using a combination of subcuticular sutures and subcutaneous closed-suction drainage (SS closure) for preventing incisional surgical site infection (SSI) in loop ileostomy closure. METHODS:A total of 178 consecutive patients ...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-020-02128-x

    authors: Fukuoka K,Koyama F,Kuge H,Obara S,Nakamoto T,Iwasa Y,Takei T,Matsumoto Y,Sadamitsu T,Sho M

    更新日期:2020-09-04 00:00:00

  • Carcinoma arising from villous adenoma of the ampullary bile duct: Report of a case.

    abstract::Adenocarcinoma arising from the villous adenoma of the ampullary biliary epithelium is an extremely rare disorder. The preoperative diagnosis and treatment of the disease represent a major difficulty. A 67-year-old woman was admitted to the hospital with a chief complaint of jaundice. Preoperative investigations revea...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-004-3350-z

    authors: Genc H,Haciyanli M,Tavusbay C,Colakoglu O,Aksöz K,Unsal B,Ekinci N

    更新日期:2007-01-01 00:00:00

  • Predictors of the need for pacemaker implantation after the Cox maze IV procedure for atrial fibrillation.

    abstract:PURPOSE:The Cox maze IV (CMIV) procedure is being used increasingly frequently for surgical ablation of atrial fibrillation (AF). This study aimed to identify the risk factors of the need for postoperative pacemaker implantation (PMI) after CMIV. METHODS:Preoperative, intraoperative, and postoperative data were retros...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-017-1614-7

    authors: Masaki N,Kawamoto S,Motoyoshi N,Adachi O,Kumagai K,Kawatsu S,Hayatsu Y,Katahira S,Hosoyama K,Akiyama M,Saiki Y

    更新日期:2018-05-01 00:00:00

  • Co-occurrence of mucoepidermoid carcinoma and squamous cell carcinoma of the esophagus: report of a case.

    abstract::A case of co-occurrence of a mucoepidermoid carcinoma (MEC) and a squamous cell carcinoma (SCC) in the esophagus is described. The present patient was a 61-year-old man who underwent a curative esophagectomy with a regional lymph node dissection for a MEC in the lower esophagus and a SCC near the esophagogastric junct...

    journal_title:Surgery today

    pub_type: 杂志文章,评审

    doi:10.1007/s005950070104

    authors: Koide N,Hamanaka K,Igarashi J,Hanazaki K,Adachi W,Hosaka S,Uehara T,Amano J

    更新日期:2000-01-01 00:00:00

  • Lymphoepithelial cyst of the pancreas: report of a case.

    abstract::An extremely rare case of a lymphoepithelial cyst (LEC) of the pancreas is described herein. A pancreatic cystic tumor was initially detected in a 50-year-old man at a medical checkup. On admission, his serum carbohydrate antigen (CA) 19-9 level was 8100 U/ml and a computed tomography scan revealed a well-circumscribe...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s005950070074

    authors: Tsuchiya Y,Suzuki S,Sakaguchi T,Kojima Y,Okamoto K,Kurachi K,Konno H,Baba S,Nakamura S

    更新日期:2000-01-01 00:00:00

  • Induction of discriminant function concerning postoperative local recurrence or distant metastasis in 589 patients with differentiated thyroid cancer.

    abstract::For the purpose of predicting postoperative local recurrence and/or distant metastasis in differentiated thyroid cancer, a discriminant analysis was done. To assess the reliability of this method and the induced function, simulation was done by using random samples under various conditions. Simulation revealed that th...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/BF00311619

    authors: Mori Y,Takaya K,Miyata Y,Satomi S,Sasaki T,Taguti Y,Mori S,Sekita Y,Matoba N,Kurihara H

    更新日期:1993-01-01 00:00:00

  • Combined total gastrectomy, total esophagectomy, and D2 lymph node dissection with transverse colonic interposition for adenocarcinoma of the gastroesophageal junction.

    abstract::The surgical treatment of adenocarcinoma of the gastroesophageal junction (GEJ) is complex. A large tumor involving a substantial portion of both the esophagus and stomach requires complete resection with negative proximal and distal margins as well as D2 lymph node dissection. Some investigators have found that patie...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-010-4412-z

    authors: Butte JM,Waugh E,Parada H,De La Fuente H

    更新日期:2011-09-01 00:00:00

  • Colonic tattooing using fluorescence imaging with light-emitting diode-activated indocyanine green: a feasibility study.

    abstract:PURPOSE:We investigated the feasibility of a fluorescence imaging technique using light-emitting diode (LED)-activated indocyanine green (ICG) fluorescence. METHODS:Indocyanine green injections were given to patients undergoing preoperative colonoscopy for early colon cancer or colon adenoma. During subsequent laparot...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-008-3849-9

    authors: Watanabe M,Tsunoda A,Narita K,Kusano M,Miwa M

    更新日期:2009-01-01 00:00:00

  • Arterial blood gas analysis in acute caustic ingestion injuries.

    abstract:PURPOSE:Quickly differentiating patients who need emergency salvage operation for caustic ingestion injury from those who do not remains difficult. We thus conducted a retrospective study to assess whether arterial blood gas (ABG) analysis is helpful for deciding on the best management plan. METHODS:We divided 129 pat...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s10595-002-2523-y

    authors: Cheng YJ,Kao EL

    更新日期:2003-01-01 00:00:00

  • Jejunal cancer detected after a resection of bilateral ovarian metastasis: report of a case.

    abstract::A 50-year-old woman was admitted to our hospital because of abdominal distension and fullness. Computed tomography and magnetic resonance imaging showed bilateral ovarian tumors. Although these ovarian tumors were suspected of being metastatic, the primary tumor site could not be detected before the bilateral salpingo...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-009-4174-7

    authors: Maekawa H,Sato K,Komatsu Y,Orita H,Sakurada M

    更新日期:2010-11-01 00:00:00

  • Embolization of the replaced common hepatic artery before surgery for pancreatic head cancer: report of a case.

    abstract::We report the case of a patient with pancreatic head cancer, whose replaced common hepatic artery (RCHA) arose from the superior mesenteric artery (SMA). We performed preoperative embolization of the RCHA, after which the liver blood flow was well maintained by the left gastric artery. The patient underwent a radical ...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-004-2785-6

    authors: Miyamoto N,Kodama Y,Endo H,Shimizu T,Miyasaka K,Tanaka E,Anbo Y,Hirano S,Kondo S,Katoh H

    更新日期:2004-01-01 00:00:00

  • The impact of frailty syndrome and risk scores on emergency cholecystectomy patients.

    abstract:PURPOSE:Cholecystectomy, which is one of the most common surgical procedures, is also performed in the emergency setting. A number of risk scores have been introduced in recent studies; moreover, over the last few years literature has focused on surgical patients with frailty syndrome. The aim of the present study is t...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-016-1361-1

    authors: Lorenzon L,Costa G,Massa G,Frezza B,Stella F,Balducci G

    更新日期:2017-01-01 00:00:00

  • Solitary pancreatic metastasis from renal cell carcinoma concomitant with early gastric cancer 17 years after nephrectomy: report of a case.

    abstract::The pancreas is an uncommon site for metastasis from renal cell carcinoma. We report the case of a 70-year-old man in whom a solitary pancreatic metastasis from renal cell carcinoma, found 17 years after nephrectomy, was successfully resected, combined with gastrectomy for early gastric cancer. We also discuss the rel...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s005950300090

    authors: Uemura T,Kurita A,Nishimura R,Ishizaki M,Takashima S

    更新日期:2003-01-01 00:00:00

  • Intracystic carcinoma of the male breast: report of a case.

    abstract::We experienced a very rare case of male intracystic breast carcinoma. A 66-year-old man presented at our hospital because of a palpable mass in his right breast. The imaging diagnosis was an intracystic carcinoma with hemorrhagic fluid and two mural nodules. Modified radical mastectomy was performed under general anes...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s005950170052

    authors: Tochika N,Takano A,Yoshimoto T,Tanaka J,Sugimoto T,Kobayashi M,Matsuura K,Araki K,Ogawa Y,Moriki T

    更新日期:2001-01-01 00:00:00

  • A randomized prospective study of complications between general surgery residents and attending surgeons in near-total thyroidectomies.

    abstract:PURPOSE:Recurrent laryngeal nerve palsy and hypoparathyroidism are the most common and serious complications after thyroid operations. Surgeon experience has been defined as a significant factor in the number of complications occurring in thyroid surgery. There has so far been no prospective randomized study that compa...

    journal_title:Surgery today

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/s00595-004-2857-7

    authors: Acun Z,Cihan A,Ulukent SC,Comert M,Ucan B,Cakmak GK,Cesur A

    更新日期:2004-01-01 00:00:00

  • Surgical approaches for pancreatic ascites: report of three cases.

    abstract::Pancreatic ascites can occur in association with the rupture of a pseudocyst or the disruption of a pancreatic duct during the natural course of chronic pancreatitis. We report herein the successful treatment of three patients with pancreatic ascites by performing a surgical procedure after 4-6 weeks of total parenter...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/BF02483041

    authors: Ohge H,Yokoyama T,Kodama T,Takesue Y,Murakami Y,Hiyama E,Matsuura Y

    更新日期:1999-01-01 00:00:00

  • A clinical analysis of small-sized lung cancer with advanced disease.

    abstract::A clinical analysis of small-sized lung cancers with advanced disease was conducted on a total of 58 patients: 34 diagnosed as T1N2, 6 as T1N3, 9 as T1M1, and 9 as T4 due to pleural dissemination. The cumulative 5-year survival rate after surgery for the 34 patients with a T1N2 lesion was 17.4%. Of these 34 patients, ...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/BF01676879

    authors: Shimizu J,Hayashi Y,Oda M,Murakami S,Arano Y,Morita K,Kobayashi K,Ietsugu K,Watanabe Y

    更新日期:1994-01-01 00:00:00