心臓バイパス手術（Cardiac bypass surgery）

手術の方針は、宮内庁の金沢・皇室医務主管ら医師団が天皇、皇后両陛下に１１、１２両日にわたって説明した。両陛下は自然な様子で受け止めていたというが、３月１１日に政府が催す東日本大震災１周年追悼式までに公務に復帰できるかを気にかけていたという。
　天皇陛下は７８歳になる今も多くの行事への出席を続けており、昨年３月以降はとくに、被災地のお見舞いなど、震災関連の務めを大切にしてきた。金沢氏は手術について「生活の質（ＱＯＬ）を上げ、活動していただくためのもの」と説明。今までのように公務に臨んだり、テニスなどを再開したりできることをめざすという。 　
　天皇陛下が昨年２月に冠動脈の検査を受けたのは２０１０年秋、葉山御用邸での静養中に訴えた息苦しさがきっかけという。その後、心電図をつけて２４時間過ごす検査を実施した際は、卓球など運動をしたときに血液が流れにくくなる「虚血」状態を示す数値の変化が表れた。
　医師団は、血管狭窄（きょうさく）の場所や形状を検討し、細い管（カテーテル）を使って血管を広げる治療には適さないと判断。狭心症の一般的な治療法として確立している冠動脈バイパス手術を実施することにしたという。 心臓バイパス手術は、日本で行われる心臓手術では最も多い。日本胸部外科学会によると、年間約１万５０００件行われ、成功率は９８～９９％。心臓外科医の須磨久善医師は「（血管が詰まった状態を）放っておけば命取りになるが、命綱をつなぎ直すという意味で手術による効果は高い」と話す。
　手術が成功すれば、心疾患のおそれはかなり改善される見通しだが、陛下は２００３年に前立腺がんの手術を受けるなど、健康不安は残っており「ご年齢に伴うご負担の軽減はやはり必要」と金沢氏は説明している。昨年１１月には医師団の進言で、天皇家の私的行事である宮中祭祀の一つ「新嘗祭（にいなめさい）」の出席時間を短くした。宮内庁にとっては今後も天皇陛下の公務への思いを大切にしつつ、ご健康、ご年齢と公務の負担との兼ね合いをはかる作業が続く。
　日本の父母的な存在ですから、子（国民）のことを考えると無理をされてしまうんでしょうね。東日本大震災１周年追悼式までに公務に復帰というお気持ちを大切にされながらもご健康を優先して考えてほしいですね。皇太子殿下ご夫妻がもっと積極的に公務を負担してほしい気もしますが難しいのでしょうかね。

Policy of surgery, a team of doctors from the medical charge of the imperial family, Imperial Household Agency, Kanazawa over both days 11 and 12 have described the Emperor and Empress. The Emperor and Empress said to have been taken in the natural state, that care had been able to return to public service or memorial service before an earthquake anniversary East hold the government on March 11.
His Majesty the Emperor has continued to attend many events at the age of 78 now, especially since March last year, has been important, such as sympathy to the affected area, the ministry of earthquake-related. Mr. Kanazawa, "explains things for increasing the quality of life (QOL), you been working" for surgery. That aim to face the public service can take the like until now, and either resume and tennis.
Coronary artery was inspected in February of last year that led the Emperor is choking the fall of 2010, appealed to the Imperial Villa in retreat in Hayama. Then, when the inspection was to spend 24 hours with the electrocardiogram, blood indicates a state change of the number "ischemia" when the flow becomes difficult to exercise, such as table tennis appeared.
Doctors will consider the location and shape (stenosis), treatment decision to widen blood vessels by using the (catheter) is not suitable for thin tube narrowing of the vessel. It was decided to conduct coronary artery bypass surgery has been established as a common treatment of angina pectoris. Heart bypass surgery, heart surgery is most often done in Japan. According to the Japanese Association for Thoracic Surgery, held about 15,000 years, the success rate of 98 to 99 percent. Goodness of heart surgeon Dr. H. Suma is "If you leave people alone, but fatal (the state clogged blood vessels), the effect of surgery is high in the sense that re-connect the lifeline" to talk with.
After a successful surgery, it your heart disease is expected to be considerably improved, His Majesty, such as surgery for prostate cancer in 2003, poor health has left "reduce the burden us with age your are still required Mr. Kanazawa explains that ". In November last year in the recommendations of a team of doctors, was to shorten the time to attend "(Ninamesai) Ninamesai" One of the imperial court rituals of the Imperial Family is a private event. While working for the Imperial Household Agency is followed by the important thoughts of the Emperor to public service in the future, in order to balance with your health burden, the public service and your age.
Because their existence is Japanese parents, I guess would have been impossible to think that the (national) child. Think I want to prioritize your health while your feelings are important to that return to public service in an earthquake anniversary memorial service to East. Why it difficult but I will also Mr. and Mrs. Prince wants to bear the public service more aggressively.