Coronary artery dissection due to blunt chest trauma (traumatic coronary artery dissection [TCAD]) may heal spontaneously, and some surgeons believe that conservative or elective treat-ments are sufficient, provided t...Coronary artery dissection due to blunt chest trauma (traumatic coronary artery dissection [TCAD]) may heal spontaneously, and some surgeons believe that conservative or elective treat-ments are sufficient, provided that there are no progressing ischemic symptoms. However, we report a patient who experienced sudden ventricular fibrillation (VF) during initial medical care for trauma injuries. The 32-year-old woman was riding in a passenger car when an accident occurred, and was subsequently transported to our emergency department. Twelve-lead electrocardiography revealed ST segment elevation in leads II, III, and aVF, although her vital signs remained stable. Therefore, we prioritized assessing the trauma at other sites, and VF suddenly occurred. Coronary angiography was performed with repeated defibrillation and chest compressions, which resulted in recovery of spontaneous circulation. Occlusion was observed in the right coronary artery, which we treated with balloon angioplasty. However, intravascular ultrasonography (IVUS) subsequently revealed coronary artery dissection, a stent was placed, and the patient successfully recovered. Therefore, IVUS may be useful for diagnosing TCAD, and swift intervention is needed if TCAD is detected.展开更多
About 15years have passed since I first attended the International Conference on Fine Chemistry and Functional Polymers(FCFP).One day,I was asked by Prof.Inomata of Kanazawa University to attend the conference,and aft...About 15years have passed since I first attended the International Conference on Fine Chemistry and Functional Polymers(FCFP).One day,I was asked by Prof.Inomata of Kanazawa University to attend the conference,and after a while Prof.Jiang sent me a kind invitation letter.This is the beginning of my first trip to China.Prof.Takemoto of Osaka University was also very active展开更多
1 Results We have already published a double nucleophilic addition reaction of α,β-unsaturated imines with several nucleophiles such as ketene silyl acetals, trimethylsilyl cyanides, trimethylsilyl azides and thiols...1 Results We have already published a double nucleophilic addition reaction of α,β-unsaturated imines with several nucleophiles such as ketene silyl acetals, trimethylsilyl cyanides, trimethylsilyl azides and thiols[1]. However, it was not easy to use N-allylideneamine 2 derived from acrolein for such reactions. Since there is no substituent at the β-position, imine 2 has high reactivity and are prone to be polymerization. We report the first synthesis of N-allylideneamines 2 using the isomerization of ...展开更多
1 Results Titanium iodides have been found to be good reagents for iodination,reductive formation of enolates,pinacol coupling,and so on.Following new reactions will be discussed:(1) Iodination: Titanium(Ⅳ) iodide is...1 Results Titanium iodides have been found to be good reagents for iodination,reductive formation of enolates,pinacol coupling,and so on.Following new reactions will be discussed:(1) Iodination: Titanium(Ⅳ) iodide is a good iodination reagent for olefins and acetylenes.Simple olefins are iodotitanated with titanium (Ⅳ) iodide to give,after quenching with water,iodoalkanes in moderate to good yields.Phenylacetylene gives α-iodostyrene,whereas 2,2-diiodoalkanes are major products from 1-alkynes when they...展开更多
文摘Coronary artery dissection due to blunt chest trauma (traumatic coronary artery dissection [TCAD]) may heal spontaneously, and some surgeons believe that conservative or elective treat-ments are sufficient, provided that there are no progressing ischemic symptoms. However, we report a patient who experienced sudden ventricular fibrillation (VF) during initial medical care for trauma injuries. The 32-year-old woman was riding in a passenger car when an accident occurred, and was subsequently transported to our emergency department. Twelve-lead electrocardiography revealed ST segment elevation in leads II, III, and aVF, although her vital signs remained stable. Therefore, we prioritized assessing the trauma at other sites, and VF suddenly occurred. Coronary angiography was performed with repeated defibrillation and chest compressions, which resulted in recovery of spontaneous circulation. Occlusion was observed in the right coronary artery, which we treated with balloon angioplasty. However, intravascular ultrasonography (IVUS) subsequently revealed coronary artery dissection, a stent was placed, and the patient successfully recovered. Therefore, IVUS may be useful for diagnosing TCAD, and swift intervention is needed if TCAD is detected.
文摘About 15years have passed since I first attended the International Conference on Fine Chemistry and Functional Polymers(FCFP).One day,I was asked by Prof.Inomata of Kanazawa University to attend the conference,and after a while Prof.Jiang sent me a kind invitation letter.This is the beginning of my first trip to China.Prof.Takemoto of Osaka University was also very active
文摘1 Results We have already published a double nucleophilic addition reaction of α,β-unsaturated imines with several nucleophiles such as ketene silyl acetals, trimethylsilyl cyanides, trimethylsilyl azides and thiols[1]. However, it was not easy to use N-allylideneamine 2 derived from acrolein for such reactions. Since there is no substituent at the β-position, imine 2 has high reactivity and are prone to be polymerization. We report the first synthesis of N-allylideneamines 2 using the isomerization of ...
文摘1 Results Titanium iodides have been found to be good reagents for iodination,reductive formation of enolates,pinacol coupling,and so on.Following new reactions will be discussed:(1) Iodination: Titanium(Ⅳ) iodide is a good iodination reagent for olefins and acetylenes.Simple olefins are iodotitanated with titanium (Ⅳ) iodide to give,after quenching with water,iodoalkanes in moderate to good yields.Phenylacetylene gives α-iodostyrene,whereas 2,2-diiodoalkanes are major products from 1-alkynes when they...
