WordNet

toward or on the left; also used figuratively; "he looked right and left"; "the political party has moved left"
a turn toward the side of the body that is on the north when the person is facing east; "take a left at the corner"
the hand that is on the left side of the body; "jab with your left" (同)left_hand
those who support varying degrees of social or political or economic change designed to promote the public welfare (同)left wing
location near or direction toward the left side; i.e. the side to the north when a person or object faces east; "she stood on the left"
intended for the left hand; "I rarely lose a left-hand glove" (同)left-hand
being or located on or directed toward the side of the body to the west when facing north; "my left hand"; "left center field"; "the left bank of a river is bank on your left side when you are facing downstream"
of or belonging to the political or intellectual left
a plane figure with rounded sides curving inward at the top and intersecting at the bottom; conventionally used on playing cards and valentines; "he drew a heart and called it a valentine"
the courage to carry on; "he kept fighting on pure spunk"; "you havent got the heart for baseball" (同)mettle, nerve, spunk
an inclination or tendency of a certain kind; "he had a change of heart" (同)spirit
a playing card in the major suit that has one or more red hearts on it; "he led the queen of hearts"; "hearts were trumps"
the locus of feelings and intuitions; "in your heart you know it is true"; "her story would melt your bosom" (同)bosom
the hollow muscular organ located behind the sternum and between the lungs; its rhythmic contractions move the blood through the body; "he stood still, his heart thumping wildly" (同)pump, ticker
a firm rather dry variety meat (usually beef or veal); "a five-pound beef heart will serve six"
able to perceive sound
an opportunity to state your case and be heard; "they condemned him without a hearing"; "he saw that he had lost his audience" (同)audience
(law) a proceeding (usually by a court) where evidence is taken for the purpose of determining an issue of fact and reaching a decision based on that evidence
the ability to hear; the auditory faculty; "his hearing was impaired" (同)audition, auditory sense, sense of hearing, auditory modality
a session (of a committee or grand jury) in which witnesses are called and testimony is taken; "the investigative committee will hold hearings in Chicago"
receive a communication from someone; "We heard nothing from our son for five years"
examine or hear (evidence or a case) by judicial process; "The jury had heard all the evidence"; "The case will be tried in California" (同)try
perceive (sound) via the auditory sense
a way of doing something, especially a systematic way; implies an orderly logical arrangement (usually in steps)

PrepTutorEJDIC

leaveの過去・過去分詞
《名詞の前にのみ用いて》『左の』,左方の / 《しばしばl-》(政治上の)左翼の,左派の,革新派の / 左に,左方に / 《通例 the ~》『左』,左方,左側 / 《しばしばthe L-》左翼の政党(団体),左派 / 〈U〉(野球で)左翼,レフト(left field);〈C〉左翼手(left fielder) / 〈C〉(ボクシングで)左手打ち
〈C〉『心臓』;胸 / 〈C〉(感情の中心をなす)『心』,気持ち / 〈U〉愛情,同情 / 〈U〉『勇気』,元気,熱意 / 《the ~》『中心』,内部,(物事の)本質,核心 / 〈C〉ハート形の物;(カードの)ハートの札
〈U〉『聴力』,聴覚〈U〉〈C〉(…を)『聞くこと』,(…の)聞き取り《+『of』+『名』》・〈C〉聞いてもらう機会,聞いてやること・聴取・聴聞会〈C〉(法廷などでの)尋問,審問,;(刑罰の減免を求める)釈明,意見陳述 / 〈U〉聞こえる距離(範囲)
〈音〉‘が'『聞こえる』,‘を'聞く(進行形にできない) / 〈人の言うこと〉‘に'『耳を傾ける』,‘を'注意深く聞く(listen);(裁判官などが)…の申し立てを聞く / 〈うわさ・ニュースなど〉‘を'『耳にしている』,聞いている / 『耳が聞こえる』 / 《しばしば命令形で》耳を傾ける,注意を向ける / 『うわさ』(『消息』)『を聞く』
〈C〉(特に秩序だった)(…の)『方法』,方式《+『of』+『名』(do『ing』)》 / 〈C〉〈U〉(思考行・行為・行動の)きちょうめんさ;秩序,筋道

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1. 心肺バイパス術（人工心肺）の開始initiation of cardiopulmonary bypass [show details]
… and is used to assist with removal of air from the left heart chambers in preparation for weaning from bypass.…initiation of bypass, not prior to bypass like RAP, it does not subject the patient to a prebypass period of potential hypovolemia and hypotension. Consequently, it is more safely used as a routine method to decrease…
2. 急性心筋梗塞後の左室瘤および仮性左室瘤left ventricular aneurysm and pseudoaneurysm following acute myocardial infarction [show details]
… A third and/or fourth heart sound is often heard, indicating blood flow into a dilated and stiffened left ventricular chamber.… sternotomy incision using cardiopulmonary bypass . However, in unusual circumstances, the operation can be performed via a left thoracotomy,… Both methods of repair result in a significant improvement in hemodynamics. Postoperatively cardiac index and LVEF are markedly increased and left ventricular end-diastolic…
3. 心臓移植を受ける患者に行う麻酔anesthesia for heart transplantation [show details]
… available to increase heart rate. The denervated transplanted heart will not respond to treatment with atropine. Inability to wean from bypass with standard doses… remnants cannot be removed and are left in place; this should have no sequelae. Candidates for cardiac transplantation undergo right heart catheterization and determination… retracted from the right heart just prior to SVC snare placement, then refloated into position in the pulmonary artery after weaning from CPB. An alternative method is manipulation…
4. 安定冠動脈疾患患者ににおける血行再建術：冠動脈バイパス移植術と経皮的冠動脈形成術の比較revascularization in patients with stable coronary artery disease coronary artery bypass graft surgery versus percutaneous coronary intervention [show details]
… which method of revascularization is used, aggressive risk-factor modification is necessary in all patients. The decision to proceed with revascularization with either coronary artery bypass graft surgery… artery bypass graft surgery (CABG) and percutaneous coronary intervention (PCI) are generally consistent with those found in the 2014 update of the American College of Cardiology American Heart Association… and who typically have a left ventricular ejection fraction ≤35 to 40 percent, are discussed separately. The approach to revascularization in patients with left main disease,…
5. 人工心肺からの離脱weaning from cardiopulmonary bypass [show details]
… left ventricle (LV), and left atrium (LA) during surgery, particularly if the left heart chambers have been opened,… cardiopulmonary bypass (CPB) is the transition from the complete mechanical circulatory and respiratory support provided by CPB to the unassisted function of the patient native heart and lungs.… An alternative method is collection of residual pump blood into a separate blood transfusion bag, thereby allowing reinfusion later in the postbypass period. If this method is selected,…

English Journal

Chronic Total Occlusion - Percutaneous Coronary Intervention (CTO-PCI) Experience in a Single, Multi-operator Australian Centre: Need for dedicated CTO-PCI programs.

BoganaShanmugam V1, Psaltis PJ2, Wong DT3, Seneviratne S3, Cameron J3, Meredith IT3, Malaiapan Y3.
Heart, lung & circulation.Heart Lung Circ.2016 Jul;25(7):676-82. doi: 10.1016/j.hlc.2015.12.101. Epub 2016 Feb 6.
BACKGROUND: Chronic total occlusions (CTOs) represent a unique set of lesions for percutaneous coronary intervention (PCI) because of the complexity of techniques required to treat them.METHODS: We retrospectively reviewed the CTO-PCI experience between January 2010 and December 2012, in a multi-ope
PMID 26906284

Variation in Practice Regarding Pretreatment With Dual Antiplatelet Therapy for Patients With Non-ST Elevation Myocardial Infarction.

Shafiq A1, Valle J2, Jang JS3, Qintar M4, Gosch K5, Cohen DJ4, Singh M6, Bach R7, Spertus JA4.
Journal of the American Heart Association.J Am Heart Assoc.2016 Jun 10;5(6). pii: e003576.
BACKGROUND: Despite guideline recommendations, a significant number of patients with non-ST elevation myocardial infarction (NSTEMI) do not receive dual antiplatelet therapy (DAPT) before angiography "pretreatment." While there may be valid clinical reasons to not pretreat, such as concern for bleed
PMID 27287700

Mini-aortic surgery with percutaneous cannulation and rapid-deployment valve.

Bruno P1, Farina P1, Cammertoni F2, Biondi R1, Perri G1, Di Cesare A1, Crea F1, Massetti M1.
Asian cardiovascular & thoracic annals.Asian Cardiovasc Thorac Ann.2016 Jun 9. pii: 0218492316654774. [Epub ahead of print]
BACKGROUND: We aimed to evaluate the results of the combined use of rapid-deployment valves, percutaneous cardioplegia delivery and left heart venting during minimally invasive aortic valve replacement surgery.METHODS: We identified 2 propensity-matched cohorts of patients who underwent primary elec
PMID 27286783

Japanese Journal

手術術式：緊急・準緊急姑息術のPoint

大嶋義博
日本小児循環器学会雑誌 31(1-2), 25-29, 2015
姑息手術の多くは，肺血流調整を目的に行われ，特に肺血管抵抗の高い新生児期に適応される．修復術が低年齢化し，早期の一期的修復術が進んだ現在でも，体・肺動脈短絡術，肺動脈絞扼術の適応が見直され，かつ多様化している．体外循環を用いた修復術や姑息術がより安全に行われるようになった一方で，新生児期の体外循環を回避し，周術期，遠隔成績のさらなる成績向上のため，両側肺動脈絞扼術のように復活した術式もある．肺血管 …
NAID 130005068162

左側開胸アプローチにて旧大伏在静脈バイパスグラフトに中枢側吻合をおいた再OPCABG の1 例

平沼進,南淵明宏,奥山浩,遠藤真弘
日本冠疾患学会雑誌, 2014
左冠動脈主幹部（LMT）を含む多枝病変に対する心拍動下冠動脈バイパスグラフト移植術（OPCABG）の再（re-do）手術において，左側開胸アプローチにて大伏在静脈グラフト（SVG）の中枢側吻合を旧SVG におくという非定型的な選択を行った．症例は狭心症として，繰り返し経皮的冠動脈インターベンション（PCI）が施行されている血液透析患者．他院で3 枝病変としてOPCABG が施行されたが，左冠動脈前 …
NAID 130004682748

自転車にて来院した心筋梗塞後左室自由壁破裂の1例

藤井弘通,青山孝信,末廣泰男,瀬尾浩之,笹子佳門
日本臨床外科学会雑誌 = The journal of the Japan Surgical Association 74(9), 2402-2405, 2013-09-25
症例は69歳の男性で，全身倦怠感を主訴に前医を自転車で受診した．心電図，心エコー，CTにて急性心筋梗塞後の左室自由壁破裂が疑われ，当院に救急搬送された．循環動態は非常に安定しており，意識消失やショック症状は認めなかった．冠動脈造影検査にて左前下行枝の閉塞が認められた．緊急手術を行ったが，循環動態が安定していたため，まず左内胸動脈を採取した．心嚢内は血腫で充満しており，心尖部に約2cmの亀裂がありb …
NAID 10031203126

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