The ➡ somehow until it can be use myocardial sheet ,ja
. (Noguchi) Team Dragon that you want to have a weak heart is ➡ ,ja
It brought the patient? ,ja
Excellent indeed (Kito). ➡ I management consultant ,ja
➡ in the gateway that the patient ,ja
Team Dragon set foot in L & P. ,ja
The. ➡ would be the best environment (Okamura) Asada teacher to wield arms ,ja
Please feel free to use what is available. ,ja
Result of HIT (Fujiyoshi) inspection is discovered. ,ja
Can not use (Arase) heparin. ➡ If you can not be used (Ijuin) heparin ,ja
It is not turning the heart-lung machine. Can not be (Inohara) ... operating. ,ja
And I'm sorry. Can not be operating (Ryutaro) state of now. ,ja
➡ If it is how to put the (Ijuin) myocardial sheet ,ja
Treatment is to be without administration of heparin. ,ja
Approval of myocardial sheet is not down yet but (Fujiyoshi)! ,ja
(Noguchi) I'm sorry. ➡ The team also how much Dragon ,ja
The ➡ not be used in myocardial sheet that can not be operated ,ja
Hands and legs and we will not even out. ,ja
(Kihara) rapid mitral regurgitation has occurred. ,ja
(Fujiyoshi) ruptured chordae tendineae can not be cured only by operations. ,ja
. ➡ that it is not possible for operating But (Kihara) ,ja
Yes. (Nurse) to bring (Kato) dopamine. ,ja
Yes. (Nurse) to bring (Kihara) CV catheter. ,ja
(The plus) Ganay. ,zh-CN
(Ijuin) ➡ The patients ,ja
Heparin Argatroban also can not be used. So it is not turning the heart-lung machine. ,ja
Is it not possible operations do not use the (Fujiyoshi) heparin? ,ja
It is not turning to the heart-lung without (Ijuin) heparin. ,ja
Is it not possible operations do not use a heart-lung machine Well (Fujiyoshi)? ,ja
Are you operating while moving (Ijuin) heart? ,ja
It's impossible. Yea this time (Arase). Tricuspid regurgitation is increasing.
That (Ijuin) is ➡ In addition to mitral valvuloplasty
Tricuspid valvuloplasty. It must be operating three overlapping.
The ➡ in (Arase) How much Asada
You do all three, without the heart-lung machine It is impossible.
«Patients (Inohara) director. Fujiyoshi teacher a little while ago ➡
. (Sakurai) What caused chordae rupture of the mitral valve?
(Ijuin) I do what I do?
Do not if you can (Arase) to wait. wait (Ijuin)?
Data (Arase) HIT antibody that evaporate within a few months is out.
Heparin ➡ (Ijuin) HIT antibody and if there is no
Do you be able to use? (Oh Arase).
So do not Shinoge managed medically until then?
No, ➡ at PCPS and Bud in this situation.
We need assistance of artificial heart.
(Ijuin) heart ➡ also helped us temporarily take it easy
Limbs and organs will get necrotic thrombus.
(Kihara) saturation is reduced.
I'll I'll Kato intubation. Yes (nurse).
Mr. (the plus).
The ➡ offend (Ryutaro) risk
There is no choice but to the operations using heparin.
What do you mean?
I do in the shortest amount of time the operations of the minimum required life-saving.
➡ Using the heparin in the condition of the patient now
The Okosuzo thromboembolism in high probability.
I can not help anymore if it becomes so.
Such unreasonable can not let even Asada how much.
Or that I can do nothing about the other (Arase).
«(Sound to open the door)
It is if (Sakurai) workarounds,.
We've got to (Sakurai) hirudin.
Hirudin?
(Warning sound of electrocardiograph) is (nurse) short-run.
Yes. (Nurse) smoked (Kato) mexiletine 50 mm.
(Kihara) What are you doing? Aitsu-ra! I can not wait anymore!
It is an anti-coagulant that is secreted from the salivary glands of the leech.
(Arase) a replacement for heparin if hirudin certainly.
So I use the heart-lung machine.
Can be operated. [TEL] (sound of vibrator)
Can not be used at any hirudin (Arase). Eh (Ijuin)? Why not?
Hirudin has been used in Europe and America, but it's unauthorized medicine in Japan.
➡ So the first place (Ijuin) Unauthorized. (Arase)
Not hirudin in Japan. ➡ Well (Ijuin)
.... (Fujiyoshi) not to be enough Well then as brought from the United States!
(Sakurai) OK. Thank You.
Hirudin to arrive 10 minutes later.
Ha (Arase)? What do you mean? I have ordered from (Sakurai)-based.
U.S. military bases are you (Ijuin) What base?
I (Arase) Who? Hirudin ➡ even (Ijuin)
I'm a drug not yet approved in Japan?
There is no other way.
Medicine (Kihara) Unauthorized? It'll be bad.
. ➡ The white operating using the hirudin
Responsibility, however. (Fujiyoshi) ... I take.
I used to do the best for the patient if the doctor.
Patients survive if there is a hirudin. No reason if you hesitate.
Yes.
You are waiting for the patient.'ll Go.
(Sakurai) Jun Okamura.
. ➡ the patient does not Sukekara If you do not operating immediately
I do not but use the hirudin to the operations.
Even (Kihara) in unauthorized ... it.
Please use (Okamura) the seventh operating room.
Huh? Well (Kihara)?
Would have caused the mitral regurgitation. (Okamura) patients and not hurry.
Hirudin ➡ .... (Okamura) This L & P at any hospital (Kihara)
I have been certified medical zones.
(Ijuin) Medical, DC? (Okamura) ee. ➡
Hirudin. ➡ is a drug widely used in Europe and the United States
➡ in Japan unauthorized in this medical Zone
Has been granted special use drugs is a standard of the world.
So I use my. (Okamura) hirudin.
To early operating room.
Thank you.. Rei and do not need a (Okamura).
. ➡ because I is in collaboration with the hospital and Sakurai (Okamura) L & P
It is a matter of course. Yeah (Sakurai).
Teacher Why do not we been visited together?
It's all right if they.
Ne there are patients who are waiting for me.
Sakurai teacher and I was surprised but (Okamura).
That there is a connection to the U.S. military surely is.
I just have an old acquaintance.
(Fujiyoshi) may operating in this. Oh.
It's turning the heart-lung machine in the state of now just deteriorated heart function ➡
60 minutes's limit. (Ijuin) in 60 minutes? Operating the three
I can not fold a heart-lung machine to take it and more.
Patients. ➡ you become bedridden life Soshitara (Ijuin)
で も three sharp Bian Bian angioplasty revascularization mitral ➡
In 60 minutes ... the three overlapping.
There is no choice but to catch on to save the patient.
(Arase) I'm going to be concentrated in only. Operating good.
You call me a Inohara's.
Loss of one second is not permitted in this operating.
(Fujiyoshi) it was found.'ll You asked. Asada.
Ah.
Yes (Inohara). Was found. It. ➡ go immediately
The. ➡'ll become emergency operations in the L & P
I ask that of patients here. (Yes Shaeda).
(Tomoko) I found.
(Kihara) early ku. ➡
You know? operating team of dragon I was brought up is ➡
The. ➡ Oke I look good or what kind of mon
Begins a little. Seventh operating room.
(Together) 1.2.3.
I Disconnect (nurse) stretcher.
. O2 100% of (Kato) blood pressure was off the 50.
. heart-lung machine setup (Arase) it was found.
(ME) hai.
I'll come back (Kato) immediately.
You have (Ijuin) hirudin arrival. (Arase) I came.
I'm going (Ijuin) hand-washing.
It'll turn in (Arase) hirudin. Yes (Everyone).
(Shortage Seto) FFP. Platelet も intention shi ro. ➡
Hirudin ➡ blood loss weight than when using heparin
Na because there is likely to be many.. ➡ Yes (nurse)
. ➡ is the seventh operating room
. ➡ you ask blood Tomita Kana-chan
There are additional order.
And (Everyone) please.
Is Inohara of (Inohara) Sakurai General Hospital.. ➡ Thank you
Slowed.
The ze ask (Arase).. Gauze Yes (Inohara).
It'll be fine again (Arase).
(Okamura) hirudin also seem to have arrived safely.
Yeah (Fujiyoshi). ➡ and their (Okamura) after
It is to say as soon as the arm.
You can do it they. It. ➡ helps the patient always
The patient's heart ➡ by ventricular overextended
➡ joint failure of the valve of one mitral valve and tricuspid valve 2 is generated
Valve regurgitation occurs. ➡ in Kay method first
Three sharp contraction joints Benten round を expands times ni artificial chordae を ➡
. ➡ to carry out the formation valve implanted in the mitral valve
The ➡ by overlapping method then
➡ piecing part of the left ventricle was fully extended
I will re-form to the appropriate size.
Tricuspid valvuloplasty mitral valvuloplasty than this and ➡
I do left ventricular plasty by overlapping method.
➡ for. Reduced cardiac function Yes (Everyone)
Artificial cardiopulmonary support to end in 60 minutes.
Yes female. (Inohara).
(Okamura) 60 minutes? ➡ in the state of (Fujiyoshi) patients
Can not be disengaged by turning the heart-lung machine any more.
It is unreasonable Nantes operations of three (Hayakawa) in 60 minutes.
Oh (Kihara). ➡ of the mitral valve it (Hayakawa)
➡ If a priority. Shortening hours Nantes angioplasty
You should choose a prosthetic valve replacement surgery.
To do so if the surgeon (Kihara) normal. But it ➡ in pediatric patients
. ➡ you will not be able to accommodate growth if you use the prosthetic valve
➡ to choose the best way for the patient than the difficulty of operating
A man named Ryutaro Asada. Nevertheless (Hayakawa) ....
Aue? Eh (Hayakawa)?
You are also wearing Ijuin.!
Yes 4-0 proline. (Inohara).
➡ in Kato tourniquet. Arase. Hirudin pro 0.7 km
Me bolus shot.
Were placed (Arase) hirudin 9.8 mm.
No different (ME) vital.
Ponpuon. (ME) Ponpuon.
Came out (ME) full flow.
Count start. (Nurse) Count start.
Fu~u.
(Hayakawa) heart-lung machine is turned. Operations of the three in 60 minutes from here.
possible. It is not only. Asada No. if Asada.
Technology of everyone I'm exceptionally Team Dragon.
Operations of guys (doctors) and Sakurai. ➡'ll seems to be doing
Are you really? Team Dragon are you? That girl are you?
Female.
(Kato) tweezers. (Swine original) hai.
Expansion of the surgical field of Standing before this (Hayakawa)'s artistic.
. ➡ sites you want to surgery has spread right in front of
Second assistant ➡ Asada teacher is to facilitate the treatment
. ➡ you are always proactively
's Evidence that can be operating at the same level as the surgeon. That ➡
And anesthesiologist ➡ surgeon to be able to focus only on the surgical field
I have a whole body control to not miss a small change.
Nurse (Kihara) of that instrument out is also a distinguished reflexes.
Yes. (ME) and restore (Arase) volume.
Female. Kato Cooley hook.
And (Ijuin) pump up football. (ME) football up.
This is Team Dragon.
I have never seen such a beautiful operating.
Yes 3-0 pledget with Dacron. (Inohara).
Mettsu~en.
Yes leak test. (Inohara).
(Kato) countercurrent は na Iwaki. Benten angioplasty three sharp end.
Tricuspid valvuloplasty has finished another (Hayakawa).
You might end up with 60 minutes to really if this.
Ya want to evolve him also, et al. (Hayakawa) The following mitral valvuloplasty.
[TV] female. [TV] (Kato) Cooley hook.
[TV] I will (Ijuin) artificial chordae available.
What's the matter? Asada.
What?
This is.
vegetation da. (Ijuin) え っ?
. ➡ clumps of bacteria attached to the apex (Fujiyoshi) valve
In other words, would be that they are complicated by infective endocarditis.
(Ijuin) infective endocarditis. ➡
Nothing was not reflected in the echocardiography.
I did not able to Kato detect.
➡ and not just repair of chordae of (Ijuin) mitral valve
Valve repair is also required.
There is only (Kato) valve replacement.
No, do not use artificial valve in this patient..
Performing angioplasty by compensating self pericardium.
It does not end 's 60 minutes (Ijuin) I get up there.
Does not go (Arase) foam sputum is out. To not run away.
Can not be separated from the heart-lung machine if Sugire (Hayakawa) 60 minutes.
How to (Kihara)? Asada.
. Full. Haha~tsu. ➡ Yes (Noguchi)
Thank you. Yes.
(Fujiyoshi) Asada.
[TEL] (sound of the vibrator)
Yes (Okamura).
Huh?
There is no other choice but to do. To end in time.
Yes (Ijuin). (Kato) I found.
Yes Mettsu~en. (Inohara).
Speed ​​went up also (Hayakawa).
But it's to finish in 40 minutes after it's absolutely impossible.
If it is. Team Dragon I can do that No, if. Guy, et al.
Give me a glutaraldehyde treatment.
Yes CV5. (Inohara).
And (Ijuin) football up. (ME) football up.
It's 12 × 8. Ijuin. Size (yes Ijuin).
Yes 5-0 proline. (Inohara).
Leak test.
Mitral Benten angioplasty end.
Do you like to do is (Ijuin) overlapping?
'll Only five minutes (Arase) after. (Kato) intracardiac repair was done to perfection.
(Kato) I should stop here. ➡ If you continue to force more
Failure'll also extends to the heart muscle that is functioning.
(Ijuin) towards Tian.
(Kihara) did you do? Reoperation is difficult if you stop Asada. Now.
But it is too reckless Nantes continue.
I do fuckable if (Kihara) guy, et al!
(Hayakawa) What is impossible.
King.
(Noguchi) ♬ "Tanta turn Tintin data turn Tan" ➡
♬ "Tanta turn Tintin data turn" ➡
♬ "Tanta turn Tintin data turn Tan"
I want to end the operations.
I'm able to do it now we'm up here.
(Inohara) over-lapping .... Operating is.
Da end.
Pump Off.
(ME) pump-off.
(Noguchi) ♬ "Tanta turn Tintin data turn Tan" ➡
♬ "Tanta turn Tintin data turn" ➡
♬ "Tanta turn Tintin data turn Tan" ➡
♬ "Tanta turn Tintin data turn" ➡
♬ "Tanta turn Tintin data turn Tan" ➡
♬ "Tanta turn Tintin data turn" ➡
♬ "Tanta turn Tintin data turn Tan" ➡
♬ "Tanta turn Tintin data turn"
Asada is lost.
. ➡ that was terminated at an incredible rate the tricuspid valve plasty of the mitral valve
➡ And in situations where time is not enough
I have added at the discretion of the instant papillary muscle osteotomy.
It is a miracle just survived.
It's not something a miracle for him, et al.
Was rambling but is Ichimei. ➡ the state of the heart has not changed
No ➡ minute you put a burden in. Operating
Contraction of the remaining myocardium. ➡ you are worse
You could not over-lapping ➡
It's definitely defeat for Asada.
Remains cardiomyopathy remained even after the operations in this state. ➡
I also cause heart failure immediately.
I can not help as long as the next in less than transplantation.
Let (Ijuin) closed-chest.
Ah.
[Mike] (Okamura) operations is not over yet.
«(Sound to open the door)
(Ijuin) vine Gil.
(Kato) ... it.
It is heart muscle sheets cultured from myoblasts (Fujiyoshi) patients.
(Arase) myocardial sheet? Even Kato still ... myocardial sheet.
Asada. Bleeding is less expected (Fujiyoshi).
(Ijuin) What does it mean? ➡ (Fujiyoshi) blood loss is large
Survival rate of the sheet is deteriorated. That case ➡
Also. ➡ that had to be changed its day
But. ➡ the treatment at the same time can be now if this state
Burden on the body of the patient is minimized.
Overlapping same. ➡ it could utilize the Kato myocardial sheet
Ie I'll effects can be expected. More.
And How am I really even (Ijuin)? ➡
Even with myocardial sheet.
(Fujiyoshi) to do.
(Fujiyoshi) Yes forceps. Spatula. (Inohara).
And after collection ➡ myoblasts from thighs (Fujiyoshi) patients
The ➡ sheet of 0.2mm in thickness of about 4cm diameter and cultured
I want to set two.
The ➡ sheets superimposed carefully in order to strengthen the (Fujiyoshi) strength
I will be stuck left ventricle to be covered.
➡ which I made from the patient's own cells in a portion (Ijuin) heart function is weak
I go stuck myocardial sheet.
(Kato) heart-lung machine. ➡ there is no fear of not needed. Rejection
Moreover, the post-operative recovery is also faster than the over-wrapping.
(Ijuin) is great. It's state-of-the-art treatments exactly.
Medical care of the world's first crawling. (Kihara) in front of? I Where?
Is not that just are stuck in the tweezers.
Cells taken from muscle (Hayakawa) thigh ➡
. This is a revolution just Nantes change to the heart muscle.
I have witnessed the moment when history is changed.
That's Yuba Mitee.
Marriage of regenerative medicine and state-of-the-art surgical procedures (Okamura) the highest level.
It's finished.
And (Ijuin) closed-chest.
Stage around the world ➡
We look forward to be of you.
(The plus) Kanako?
(Fujiyoshi) successful surgery was successful. Thank you (Yuka).
There is no need for re-operation already.
. ➡ (Yuka) Thank you very much sir.
Thank you all!
I worked hard well.
I hope in time entrance ceremony.
«(Footsteps)
What (Inohara) even wonder could use myocardial sheet?
I wonder because it is (Ijuin) Medical Zone. And I can reuse specially even hirudin.
Myocardial sheet and Kato hirudin. ➡'m different
Hirudin ➡ but has been used in Europe and the United States
Myocardial sheet treatment ➡
It is not done anywhere in the world still.
That's good.
I'm sorry. (Men) (men) white soon.
Starting another (man).
Cheers for good work is (Katsura).
The operating ➡ if also. 3 months and succeeded safely
I can expect a recovery of cardiac function in myocardial sheet effect.
Or so. Yes. That was good.
It Nantes to carry hirudin by the U.S. military, however (Arase).
(Katsura) What are you talking about?
Do you have any relationship with the United States Armed Forces (Ijuin) What Sakurai teacher?
(Katsura) director are you? Come on.
Excuse me! Eh. (Inohara) on TV now?
[TV] (Noguchi) we ➡ medical Japanese state-of-the-art
And we have worked hard in order to spread around the world.
(Kato) Noguchi.
(Ijuin) Medical International Promotion Committee chairman?
[Mike] (Noguchi) One example is. ➡ is a medical Zone
It has been approved in foreign countries although ➡ in the medical zones
➡ therapy is not approved in Japan yet
I'm going to attempt that allow specially.
Why is Noguchi (Kato)? [TV] ➡ only (Noguchi)
It's just not enough really.
This badge.
This guy too? Was a man of L & P.
[TV] want to send our country from medical care (Noguchi) world's most advanced.
[TV] International Medical Promotion Committee ➡ (Noguchi) for the
. ➡ You have taken a new step
➡ it that one step further medical Zone
's A super medical Zone. (Cheers, applause)
(Ijuin) Super Medical Zone?
(Kito) I'm thinking. Nantes's super medical zones.
I was also surprised by the ability to take action (Okamura) Noguchi teacher.
The ➡ In the super medical Zone
➡ the state-of-the-art treatment that has not been done anywhere in the world yet
Be carried out as clinical trials. ➡ are specifically permitted
And 40 minutes. ➡ 9 am today
The treatment first example of a super ➡ medical zones in L & P hospital
The ➡ for patients with dilated cardiomyopathy
Myocardial sheet treatment was a great success.
(Huan sound · clap)
I was able to use myocardial sheet in the power of Kato Noguchi.
Why (Inohara) do you have?
This guy is some reason I was drawing a picture in the back.
(Noguchi) [TV] it also ➡ patients of this operating
It was a girl of six years old what.
➡ If there is no myocardial sheet of this super special zones within the medical if
The ➡ also an excellent no matter how heart surgeon
It would not have been able to save this girl.
This is simply because it Noguchi teacher with a fat pipe and government.
(Kito) Team Dragon made a great rent to Noguchi in this.
[TV] patients ➡ If there is a (Noguchi) myocardial sheet
The. ➡ I would like to live in my heart
It is a treatment made in heaven.
Though it is a myocardial sheet (Ijuin) of Fujiyoshi teacher.
[TV] ➡ that was the first in the world in this (Noguchi)
Let's guru introduction of myocardial sheet treatment.
L & P Medical lab researcher ➡
Is Fujiyoshi Keisuke teacher.
Rattan Gil!?
(Clap)
(Ijuin) vine Gil But L & P ni.
➡ admit the medical super special zones
The ➡ in exchange for the treatment of myocardial sheet there
I'm fished beautifully Fujiyoshi.
And to prepare the appropriate stage (Okamura) superstar to shine ➡
Because it is my job.
Do you use a "myocardial sheet? "Yeah" "
The L & P Hospital ➡ right now "
It was authorized in medical super special zones that can be used myocardial sheet of Fujiyoshi teacher "
Only this L & P hospital ➡ only in (Okamura) "around the world
And I could save patients with myocardial sheet "
The ➡ The teacher but Fujiyoshi (Okamura) "" ready soon "
You need to become a researcher of L & P Medical lab "
Eh "? ➡ in "(Okamura)" Super Medical Zone
Because treatment is limited to physicians in the hospital "
➡ by (Okamura) "You is the researcher
And I can save the patient in front of you "
Contact force of Fujiyoshi teacher ➡ in the way of Sakurai hospital course (Okamura) "
I do not care if I have done when needed "
(Kana) "Ganay. Elementary school ni line け ru? "
"OK け ru"
(Kana) "Absolute? "(Fujiyoshi)" u san. Absolute "
(Kana) "It was good" "Yeah" (Fujiyoshi)
"I found"
(Noguchi) [Mike] ➡ and L & P hospital this time
and it was with that Fujiyoshi teacher join tag.
➡ that super special zones medical facilities and state-of-the-art world-class
➡ that combines the perfect environment
You will be asked to research in this L & P hospital.
➡ his study if it is put to practical use
It can help patients worldwide.
In other words ➡ his study selling to the world
Enormous benefit is brought to L & P.
Study (Okamura) of fluoride. Cutting-edge medical care ➡
It is a part of the right business.
➡ If you do not keep holding firmly the rights of research
Because you can not save the large number of patients in our hands.
The. ➡'s the era of medical care in Japan must have a competitive international
That's masterpiece.
What are you thinking (Kato) time? Noguchi.
[TV] reporter with a question to Dr. Fujiyoshi ➡ In (Noguchi)
I hope the show of hands.
[TV] What Would a thing and (Reporter) myocardial sheet?
➡ to be called in the case of [TV] this time
➡ In those sheeted culturing the thigh muscle of the patient
The. ➡ called a myoblast sheet formally
➡ for the patient's own cells
There is no worry of such rejection.
Water of India he is I hope and fit.
(Okamura) It would be fluoride. Okay.
Because does not admit to go alone.
Yoshi.. ➡ Let me proceed in the amount
This is the thing with priority of product development. Conditions ➡
. ➡ going to invest on a priority basis from the commodity leading to the world
You ought to know talk bad also for the other side.
. Researchers to provide here oh.
So I proceeded to talk as soon as possible.