大島晋 | 大動脈外科 (Susumu Oshima | Aortic surgery)'s banner

大島晋 | 大動脈外科 (Susumu Oshima | Aortic surgery)

@SusumuOshima • 2,785 subscribers

川崎幸病院大動脈センターでは年間600件胸部大動脈手術を行っています。I’m an aortic surgeon from Japan. Kawasaki Aortic Center where I am chief, has the largest number of aortic surgery in Japan.

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The expansion of an abdominal aortic aneurysm causes back pain.

The expansion of an abdominal aortic aneurysm causes back pain.

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"Durable treatment is mandatory for aortic diseases"- Insight from Prof. Morad's visit to KAC Today: A patient deemed "cured" after TEVAR at a university hospital. Reality: 80mm aortic aneurysm requiring emergency open surgery. The issue isn't the device—TEVAR is excellent for appropriate cases. The issue is system failure: Complex cases in young patients need referral to centers capable of durable open repair BEFORE attempted endovascular "solutions." "Can do" ≠ "Should do" We need courage to choose the RIGHT treatment, not just the AVAILABLE treatment. We need courage to refer patients to appropriate centers. This is what patient-centered care truly means. 600 open TAAA cases/year taught me this lesson repeatedly. #AorticSurgery #TEVAR #OpenRepair #DurableTreatment

"Durable treatment is mandatory for aortic diseases"- Insight from Prof. Morad's visit to KAC Today: A patient deemed "cured" after TEVAR at a university hospital. Reality: 80mm aortic aneurysm requiring emergency open surgery. The issue isn't the device—TEVAR is excellent for appropriate cases. The issue is system failure: Complex cases in young patients need referral to centers capable of durable open repair BEFORE attempted endovascular "solutions." "Can do" ≠ "Should do" We need courage to choose the RIGHT treatment, not just the AVAILABLE treatment. We need courage to refer patients to appropriate centers. This is what patient-centered care truly means. 600 open TAAA cases/year taught me this lesson repeatedly. #AorticSurgery #TEVAR #OpenRepair #DurableTreatment

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