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急性心筋梗塞に伴う心室中隔穿孔,左室瘤に左室形成術(SAVE手術)を施行した1例
http://hdl.handle.net/10069/18707
http://hdl.handle.net/10069/1870750024ada-5002-4491-ac2b-48817ec1dc01
名前 / ファイル | ライセンス | アクション |
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110006666457.pdf (2.0 MB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2008-07-16 | |||||
タイトル | ||||||
タイトル | 急性心筋梗塞に伴う心室中隔穿孔,左室瘤に左室形成術(SAVE手術)を施行した1例 | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 心室中隔穿孔 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 左室瘤 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | SAVE手術 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 急性心筋梗塞合併症 | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
久田, 洋一
× 久田, 洋一× 迫, 史朗× 泉, 賢太× 江石, 清行 |
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著者別名 | ||||||
姓名 | Hisata, Yoichi | |||||
著者別名 | ||||||
姓名 | Hazama, Shiro | |||||
著者別名 | ||||||
姓名 | Izumi, Kenta | |||||
著者別名 | ||||||
姓名 | Eishi, Kiyoyuki | |||||
その他のタイトル | ||||||
その他のタイトル | A Case of Left Ventricular Plasty (SAVE Operation) for a Ventricular Septal Perforation and a Left Ventricular Aneurysm Associated with Acute Myocardial Infarction | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | 症例は71歳,男性.左前下行枝(#7)閉塞による急性心筋梗塞を発症した.心臓超音波検査および心臓カテーテル検査により心室中隔穿孔(VSP)と前壁中隔領域に広範な左室瘤を認めた.発症7週目に手術を施行した.手術は体外循環確立後,心停止下に左前下行枝の左側で左室瘤を縦切開した.左室瘤および VSP部をexclusionするように長楕円形のウマ心膜パッチを用いたSAVE (septal anterior ventricular exclusion)手術を施行した.VSPは心筋梗塞発症後7週目であり周囲組織は比較的強固であったことと,同部はウマ心膜パッチで exclusionすることから直接縫合閉鎖した.同時にCABG(LITA-LAD)も施行した.術後左室造影において遺残シャントを認めず良好な左室形態および左室機能が保持できた.左室瘤を伴うVSPに対して,本法は梗塞部およびVSP部もexclusionし,かつ左室形態を改善させる有用な術式と考えられた. | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | A 71-year-old man with obstruction of the left anterior descending branch (#7) suffered an acute myocardial infarction. A ventricular septal perforation (VSP) and a widespread left ventricular aneurysm were detected in the anteroseptal region by both cardiac ultrasonography and cardiac catheterization. Surgery was performed at week 7 after onset. After establishing extracorporeal circulation, the left ventricular aneurysm was longitudinally excised from the left side of the left anterior descending branch while the patient was maintained in a state of cardiac arrest. A septal anterior ventricular exclusion (SAVE) operation was performed using oblong equine pericardial patches to exclude the left ventricular aneurysm and the VSP portion. The VSP was directly closed with sutures because the surrounding tissues were relatively strong at week 7 after the onset of the myocardial infarction and the portion was excluded with an equine pericardial patch. At the same time, CABG (LITA-LAD) was also performed. After surgery, left ventriculography found no residual shunts and we were able to obtain both a good morphology and satisfactory functioning of the left ventricle. The present method is thus considered to be an effective surgical method that excludes both the VSP portion and the infracted portion, while improving the morphology of the left ventricle for VSP with a left ventricular aneurysm. | |||||
書誌情報 |
日本心臓血管外科学会雑誌 巻 37, 号 3, p. 197-200, 発行日 2008-05-15 |
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出版者 | ||||||
出版者 | 本心臓血管外科学会 | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 02851474 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN00193284 | |||||
権利 | ||||||
権利情報 | 特定非営利活動法人日本心臓血管外科学会 | |||||
権利 | ||||||
権利情報 | 本文データは学協会の許諾に基づきCiNiiから複製したものである | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 日本心臓血管外科学会雑誌 37(3), pp.197-200; 2008 |