Masatoshi Ikeshita

Successful Combined Operation for Mitral Stenosis and Atrial Fibrillation

Simultaneous surgical treatment of mitral stenosis and atrial fibrillation was performed. The patients postoperative course was uneventful, the rhythm changed to sinus rhythm, and the patient was discharged on the 21st postoperative day in stable condition.

A Case of Cardiac Foreign Bodies Associated with Four Types of Tachycardias

A case of cardiac foreign bodies leading to development of four varieties of automatic tachycardia is reported. A 51‐year‐old male with aortic regurgitation was admitted to our hospital because of palpitations. An electrocardiogram revealed junctional tachycardia with or without left bundle branch block, and two types of fascicular tachycardias. Computed tomography showed metallic foreign bodies from a fractured guidewire in the membranous portion of the interventricular septum, which was inadvertently retained when he underwent diagnostic cardiac catheterization at the age of 27.

Congenital aortic regurgitation caused by a rudimentary noncoronary cusp: Report of a case

A 14-year-old asymptomatic boy was admitted to our department for investigation of a diastolic murmur which had been discovered by his family doctor during a routine examination. Echocardiography showed aortic regurgitation with dilatation of the left ventricle. Inspection of the aortic valve at the time of operation revealed normal left and right cusps with a rudimentary noncoronary cusp. An aortic commissuro-plication was performed and a new bicuspid aortic valve successfully reconstructed. His postoperative course was uneventful and he has been well and leading an active life since his discharge from hospital.

Right Atrial Isolation for Atrial Fibrillation Associated With Atrial Septal Defect

Two patients with atrial fibrillation associated with an atrial septal defect underwent simultaneous surgical correction of the atrial septal defect and right atrial isolation. The right atrium was surgically isolated while the continuity with the sinoatrial node was preserved in the remainder of the heart. After the operation, the patients maintained normal sinus rhythm for 99 and 65 months. Thus, right atrial isolation offers an alternative to the current surgical treatment for atrial fibrillation associated with an atrial septal defect.

Surgical laser ablation of a pediatric idiopathic ventricular tachycardia

A pediatric patient with medically refractory idiopathic ventricular tachycardia was successfully treated by surgical laser ablation. Application of laser on the normothermic beating heart enables continuous electrophysiological assessment. The histopathology of idiopathic ventricular tachycardia and the advantages of laser ablation are presented.

Continuous and stable recording of the his bundle electrogram during open heart operations

We describe a method for continuously recording the stabilized His bundle electrogram from the aortic root during open heart surgical procedures. This simple technique was useful in all surgical procedures for the oblation of supraventricular tachyarrhythmias in the region around the atrioventricular conduction system.