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  1. Content type: Case report

    Giant cell myocarditis, characterized by infiltration of multinucleated giant cells in the myocardium, is a rare type of myocarditis. It often progresses rapidly into fulminant heart failure and indicates a po...

    Authors: Yusuke Takei, Yutaka Ejima, Hiroaki Toyama, Kana Takei, Takahisa Ota and Masanori Yamauchi

    Citation: JA Clinical Reports 2016 2:41

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  2. Content type: Clinical research letter

    Surgery cancellation results in unavailability of the operating room and loss time. We identified the frequency of and reasons for operation cancellations after patients entered the operating room and assessed...

    Authors: Yoko Hori, Ayami Nakayama and Atsuhiro Sakamoto

    Citation: JA Clinical Reports 2016 2:40

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  3. Content type: Clinical research letter

    It has been reported that prolonged intensive care unit (ICU) stay after cardiac surgery is associated with poor patient outcome. In addition, prolonged stay can block the efficient use of ICU beds with an inc...

    Authors: Satoko Noguchi, Junichi Saito, Eiji Hashiba, Tetsuya Kushikata and Kazuyoshi Hirota

    Citation: JA Clinical Reports 2016 2:39

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  4. Content type: Case report

    Posterior reversible encephalopathy syndrome is characterized by reversible neurological symptoms with leukoencephalopathy detectable by computed tomography (CT) and magnetic resonance (MR) imaging.

    Authors: Nobuo Sato, Haruhiko Machida, Mitsuharu Kodaka, Keiko Nishiyama and Makiko Komori

    Citation: JA Clinical Reports 2016 2:38

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  5. Content type: Case report

    The occurrence of spinal epidural hematomas associated with the use of epidural catheters is relatively rare. Furthermore, it is unusual for hematoma-associated neurological symptoms to occur within 15 min of ...

    Authors: Takeshi Umegaki, Kiichi Hirota, Sayaka Ohira, Takeo Uba, Munenori Kusunoki, Akihisa Okamoto, Kenichiro Nishi and Takahiko Kamibayashi

    Citation: JA Clinical Reports 2016 2:37

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  6. Content type: Case report

    Schwartz–Jampel syndrome (SJS) is a rare disorder characterized by micrognathia, kyphoscoliosis, and myotonia. The greatest challenge in the anesthetic management of patients with SJS is performing tracheal in...

    Authors: Keika Mukaihara, Kohei Godai, Tomotsugu Yamada, Maiko Hasegawa-Moriyama and Yuichi Kanmura

    Citation: JA Clinical Reports 2016 2:36

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  7. Content type: Case report

    A 66-year-old man with thrombocytosis was brought to our hospital to undergo removal of a left ventricular thrombus. He had developed cerebral infarction 6 days before presenting to the hospital and suffered f...

    Authors: Mika Nakanishi, Eri Oota, Takehiro Soeda, Kaoru Masumo, Yukihiko Tomita, Takeshi Kato and Toshihiro Imanishi

    Citation: JA Clinical Reports 2016 2:35

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  8. Content type: Case report

    Cervical nerves block cannot be performed on some patients because of the risk of phrenic nerve paralysis. To overcome this limitation, we discovered the site of selective only supraclavicular nerve block at t...

    Authors: Hironobu Ueshima and Hiroshi Otake

    Citation: JA Clinical Reports 2016 2:34

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  9. Content type: Case report

    A solitary iliac aneurysm (SIA) is more uncommon than an abdominal aortic aneurysm. The aneurysm is located in the deep pelvis and is diagnosed when it reaches a large size with symptoms of compression around ...

    Authors: Shintaro Doi, Yoshiaki Motoyama and Hiromi Ito

    Citation: JA Clinical Reports 2016 2:33

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  10. Content type: Case report

    Congenital factor VII (FVII) deficiency is a rare autosomal recessive coagulation disorder that is characterized by prolongation of prothrombin time. Recombinant activated FVII (rFVIIa) is widely used in the m...

    Authors: Akari Yoshida, Yoshiki Kimoto, Kanako Ejiri, Yasuyuki Mitani and Tomoyuki Kawamata

    Citation: JA Clinical Reports 2016 2:30

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  11. Content type: Clinical research letter

    In spinal anesthesia for cesarean section, the addition of fentanyl to the local anesthetic has been reported to improve perioperative analgesia. However, there is only limited knowledge on sedative effects of...

    Authors: Hiroki Iwata, Hiroaki Sakai, Souichiro Mimuro, Nako Uozaki, Hiromitsu Yamaguchi, Kenji Takahashi and Yoshito Shiraishi

    Citation: JA Clinical Reports 2016 2:32

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  12. Content type: Case report

    Therapeutic plasma exchange (TPE) is a potentially life-saving procedure which effectively removes donor-specific human leukocyte antigen (HLA) antibodies from the bloodstream, allowing critically ill heart tr...

    Authors: Andrew Crabbe, John S. McNeil, Seema P. Deshpande, Zachary Kon, Si M. Pham and Kenichi A. Tanaka

    Citation: JA Clinical Reports 2016 2:31

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  13. Content type: Case report

    Here, we report the case of a patient who developed protamine shock during a transcatheter aortic valve implant (TAVI) procedure, which was diagnosed by intraoperative transesophageal echocardiography (TEE). A...

    Authors: Akihisa Kataoka, Yusuke Watanabe, Shutaro Seki, Shintaro Takamura, Hirofumi Hioki, Hiroyuki Kyono, Shigehito Sawamura and Ken Kozuma

    Citation: JA Clinical Reports 2016 2:29

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  14. Content type: Case Report

    Recently, rocuronium with subsequent use of sugammadex was proposed for electroconvulsive therapy (ECT) as an alternative to succinylcholine. Because sugammadex is cleared via the kidney with no metabolism, it...

    Authors: Shigeaki Kurita, Katsuyuki Moriwaki, Kazuhisa Shiroyama, Mikako Sanuki, Yukari Toyota and Minoru Takebayashi

    Citation: JA Clinical Reports 2016 2:28

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  15. Content type: Clinical research letter

    Very few studies have investigated the blood flow velocity from the inferior vena cava (IVC) to the pulmonary artery following the Fontan operation using an extra-cardiac conduit (ECC). No studies at all have ...

    Authors: Satoshi Kurokawa, Kenji Doi, Shihoko Iwata, Keita Sato, Yusuke Seino, Minoru Nomura and Makoto Ozaki

    Citation: JA Clinical Reports 2016 2:27

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  16. Content type: Case report

    Infectious endocarditis (IE) with acute heart failure is a medical emergency. In particular, postoperative IE after aortic repair with an artificial vascular graft is a life-threatening matter. We present a ca...

    Authors: Toshiyuki Sawai, Junko Nakahira, Manabu Kitano and Toshiaki Minami

    Citation: JA Clinical Reports 2016 2:26

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  17. Content type: Case report

    Maternal uniparental disomy 14 (UPD(14)mat) is an imprinting disorder. It is a rare disease, but there is the possibility that more undiagnosed patients might exist because the clinical features of UPD(14)mat ...

    Authors: Kenta Furutani, Yoshie Kodera, Masataka Hiruma, Hideaki Ishii and Hiroshi Baba

    Citation: JA Clinical Reports 2016 2:25

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  18. Content type: Case report

    The anesthetic management of centenarians is challenging, since they have loss of functional reserve in all organs. The mortality rate of 25 % is reported in patients over 100 years old who underwent emergency...

    Authors: Yoshiyuki Nagamine, Kohei Godai, Hiroshi Oki and Yuichi Kanmura

    Citation: JA Clinical Reports 2016 2:24

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  19. Content type: Letter to the Editor

    Mitral valve stenosis (MS) associated with rheumatic disease no longer represents a major heart problem during the perinatal period in Japan. Here we present a case of acute heart failure due to MS after emerg...

    Authors: Yuichiro Shimoyama, Toshiyuki Sawai, Osamu Umegaki, Tomoyuki Agui, Noriko Kadono, Junko Nakahira and Toshiaki Minami

    Citation: JA Clinical Reports 2016 2:23

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  20. Content type: Case report

    In 2005, “anti-N-methyl-d-aspartate (NMDA) receptor encephalitis,” a syndrome with prominent psychiatric symptoms, memory loss, decrease in level of consciousness, and central hypoventilation, was described in yo...

    Authors: Yuichiro Shimoyama, Osamu Umegaki, Tomoyuki Agui, Noriko Kadono and Toshiaki Minami

    Citation: JA Clinical Reports 2016 2:22

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  21. Content type: Case report

    Although brain arteriovenous malformations (AVM) usually remain asymptomatic during pregnancy, they can cause intracranial hemorrhage and lead to serious neurological deficits. Nowadays, it is accepted that tr...

    Authors: Satoru Asano, Nahoko Hayashi, Shunsuke Edakubo, Maiko Hosokawa, Junko Suwa, Yutaka Saito, Shunsuke Ichi, Masuzo Taneda and Keiichi Katoh

    Citation: JA Clinical Reports 2016 2:21

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  22. Content type: Case report

    Factor XI deficiency is rare but may cause life-threatening bleeding during the perioperative period. The clinical manifestation of factor XI deficiency is characterized by bleeding tendency. This unpredictabl...

    Authors: Sachio Yoshikawa, Isao Kumano, Yasushi Satoh and Shinya Yufune

    Citation: JA Clinical Reports 2016 2:17

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  23. Content type: Case report

    The pin-index medical gas pipeline system, which complies with Japan Industrial Standard (JIS), is considered to be “foolproof” and is widely used in Japan to avoid medical gas misconnections.

    Authors: Tatsuhiro Ishimura, Yoshihiro Ikuta and Tatsuo Yamamoto

    Citation: JA Clinical Reports 2016 2:20

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  24. Content type: Case report

    Ultiva™ contains the potent short-acting μ-opioid receptor agonist remifentanil hydrochloride, and it is commonly administered intravenously during general anesthesia. It is not approved for epidural or intrat...

    Authors: Kota Nishimoto, Sachiyo Sakamoto, Makiko Mikami, Kiichi Hirota and Koh Shingu

    Citation: JA Clinical Reports 2016 2:19

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  25. Content type: Case report

    This report describes a case of transient cardiac arrest in a child with Down syndrome. The cardiac arrest occurred during induction of anesthesia with sevoflurane. To the best of our knowledge, this is the fi...

    Authors: Kentaro Nogami, Shogo Taniguchi and Kyoko Togami

    Citation: JA Clinical Reports 2016 2:18

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  26. Content type: Case report

    A 71-year-old woman was transported to our hospital due to traumatic bleeding, and an operation was immediately performed for achieving hemostasis. We decided to perform Sonoclot®-guided blood transfusion. Whe...

    Authors: Mitsutaka Edanaga, Tomoe Hoshi, Ryu Azumaguchi and Michiaki Yamakage

    Citation: JA Clinical Reports 2016 2:16

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  27. Content type: Case report

    General theory of anesthetic managements for nontransplant procedures in lung transplant patients was proposed. However, there are few literatures reporting the perioperative management of thoracoabdominal maj...

    Authors: Hiroaki Toyama, Kazutomo Saito, Yusuke Takei, Kana Saito, Takuya Fujimine, Yutaka Ejima, Takashi Kamei, Tatsuaki Watanabe, Yoshinori Okada and Masanori Yamauchi

    Citation: JA Clinical Reports 2016 2:15

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  28. Content type: Case report

    We report a case of difficult lumbar puncture due to the inability to obtain adequate cerebrospinal fluid (CSF) in a patient later diagnosed with spinal epidural lipomatosis (SEL). A 76-year-old man with a bod...

    Authors: Daiki Yamanaka, Takashi Kawano, Marie Shigematsu-Locatelli, Atsushi Nishigaki, Sonoe Kitamura, Bun Aoyama, Hiroki Tateiwa, Noriko Kitaoka and Masataka Yokoyama

    Citation: JA Clinical Reports 2016 2:14

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  29. Content type: Case report

    Malignant hyperthermia (MH) occurred during anesthesia with volatile inhalation anesthetics in a patient under treatment with multiple oral antipsychotic drugs and with a history of multi-acting receptor-targe...

    Authors: Yoshiki Hara, Yutaka Hosoya, Ryo Deguchi and Shigehito Sawamura

    Citation: JA Clinical Reports 2016 2:8

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  30. Content type: Letter to the Editor

    Rapid sequence spinal anesthesia is a recently developed technique for the most urgent, category-1 cesarean section. To successfully perform this technique, it is important to multi-disciplinarily discuss with...

    Authors: Kotaro Hori, Yutaka Oda, Masayoshi Ryokai and Ryu Okutani

    Citation: JA Clinical Reports 2016 2:6

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  31. Content type: Case report

    Barber-Say syndrome (BSS) is a very rare congenital disorder characterized by macrostomia, cutis laxa, and other features. We report our experience of performing general anesthesia on a Japanese child with BSS.

    Authors: Eisuke Hamaguchi, Yasuo M. Tsutsumi, Katsuyoshi Kume, Yoko Sakai, Nami Kakuta, Yuta Uemura, Shinji Kawahito and Katsuya Tanaka

    Citation: JA Clinical Reports 2016 2:11

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  32. Content type: Clinical research letter

    This study investigated plasma concentrations of substance P (SP) in patients undergoing general anesthesia (GA) and postoperative nausea and vomiting (PONV). This prospective, observational, cohort study incl...

    Authors: Takako Kadota, Nami Kakuta, Yousuke T. Horikawa, Rie Tsutsumi, Takuro Oyama, Katsuya Tanaka and Yasuo M. Tsutsumi

    Citation: JA Clinical Reports 2016 2:9

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  33. Content type: Case report

    No successful resuscitation has ever been reported about intraoperative cardiopulmonary resuscitation (CPR) for an extended period of time in the lateral position. Here we report a case of successful resuscita...

    Authors: Kazuma Yunoki, Ryo Sasaki, Akihisa Taguchi, Shun Maekawa, Hiroshi Ueta and Kazuo Yamazaki

    Citation: JA Clinical Reports 2016 2:7

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  34. Content type: Clinical research letter

    Neutrophils are the first line of defense against invasive microorganisms during and after surgery. There is a possibility that different opioid analgesics used during surgery have different effects on the leu...

    Authors: Toshiichro Inagi, Hideko Hoshina, Manzo Suzuki, Miki Wada, Hiroyasu Bito and Atsuhiro Sakamoto

    Citation: JA Clinical Reports 2016 2:5

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  35. Content type: Case report

    Spinal anesthesia is popular for endoscopic urological surgery. Many patients undergoing urological surgery are elderly. It is important to limit the dose to reduce any resultant hemodynamic effect. We present...

    Authors: Yoshimichi Namba, Michiaki Yamakage and Yoshinori Tanaka

    Citation: JA Clinical Reports 2016 2:4

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  36. Content type: Case report

    Regional cerebral oxygen saturation (rSO2) and the bispectral index (BIS) are used to detect cerebral perfusion abnormalities. However, whether rSO2 and BIS values change during ligation of the internal jugular v...

    Authors: Maiko Hasegawa-Moriyama, Kohei Godai, Tomotsugu Yamada, Akira Matsunaga and Yuichi Kanmura

    Citation: JA Clinical Reports 2016 2:1

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  37. Content type: Case report

    Ossification of the anterior longitudinal ligament (OALL), also called Forestier’s disease or diffuse idiopathic skeletal hyperostosis, is characterized by anterior bridging osteophytes of unknown etiology. OA...

    Authors: Miki Iida, Kumiko Tanabe, Shuji Dohi and Hiroki Iida

    Citation: JA Clinical Reports 2015 1:11

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  38. Content type: Letter to the Editor

    The patient was a 67-year-old woman with a history of worsening dyspnea over several months. Cardiac echocardiography showed a large, mobile left atrial myxoma. Emergency surgery was performed. Cardiac arrest ...

    Authors: Takuma Maeda, Ryo Sakurai and Yoshihiko Ohnishi

    Citation: JA Clinical Reports 2015 1:24

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  39. Content type: Case report

    A 32-year-old gravida 2, para 1 woman without structural cardiac disease was scheduled for her second cesarean section under combined spinal and epidural anesthesia (CSEA). She had stable hemodynamics after de...

    Authors: Mika Nakanishi, Kaoru Masumo, Takako Oota, Takeshi Kato and Toshihiro Imanishi

    Citation: JA Clinical Reports 2015 1:23

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  40. Content type: Case report

    We report a patient who developed drug-eluting stent (DES) thrombosis induced by discontinuation of dual antiplatelet therapy (DAPT) and subsequently had a massive surgical site bleed caused by restarting hepa...

    Authors: Hiroaki Toyama, Kazutomo Saito, Hiroyuki Anzai, Naoya Kobayashi, Takanori Aihara, Yutaka Ejima and Masanori Yamauchi

    Citation: JA Clinical Reports 2015 1:22

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  41. Content type: Case report

    A 2-year-and-7-month-old boy underwent an emergent reconstruction surgery of the right ventricle-pulmonary artery (RV-PA) conduit. Although he was successfully weaned from cardiopulmonary bypass (CPB) after re...

    Authors: Mariko Ishihara, Yoshikazu Miyamoto, Akihiro Taniguchi and Keiko Kinouchi

    Citation: JA Clinical Reports 2015 1:9

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  42. Content type: Case report

    Left ventricular assist devices (LVAD) are a currently established destination and bridge therapy until cardiac transplantation; hence, this patient population continues to increase. Here, we present the first...

    Authors: Koko Adachi, Toshihiro Wagatsuma, Takuya Shiga, Hiroaki Toyama and Masanori Yamauchi

    Citation: JA Clinical Reports 2015 1:10

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  43. Content type: Case report

    We report a patient who developed sustained hypotension during craniotomy; further, owing to a mediastinal mass, critical tracheal stenosis and brain edema were observed after craniotomy, despite the absence o...

    Authors: Shota Sonobe, Satoki Inoue, Kazuaki Atagi and Masahiko Kawaguchi

    Citation: JA Clinical Reports 2015 1:20

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