{"created":"2023-05-15T16:41:30.744258+00:00","id":16173,"links":{},"metadata":{"_buckets":{"deposit":"bb97e966-0758-441d-90fe-1cb9fe1d8bfe"},"_deposit":{"created_by":2,"id":"16173","owners":[2],"pid":{"revision_id":0,"type":"depid","value":"16173"},"status":"published"},"_oai":{"id":"oai:nagasaki-u.repo.nii.ac.jp:00016173","sets":["29:30:1713167819629:1282"]},"author_link":["60850","60854","60849","60847","60852","60853","60848","60851"],"item_3_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2009-07","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"20","bibliographicPageStart":"15","bibliographicVolumeNumber":"54","bibliographic_titles":[{"bibliographic_title":"Acta medica Nagasakiensia"}]}]},"item_3_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"There have been various arguments concerning the patient-prosthesis mismatch (PPM) after aortic valve replacement (AVR) for small valves. The objective of this study was to evaluate the postoperative hemodynamics in patients. Methods: The subjects were 6 patients [6 females aged 64 (17~74) years, with a median body surface area (BSA) of 1.37 (1.29~1.51) m2] who underwent AVR at our facility using the 18-mm ATS-AP and tolerated exercise loading. We estimated pressure gradient(PG) ,ejection fraction(EF), left ventricular mass Index(LVMI)at pre-operation and post-operation. Exercise echocardiography on an ergometer was performed before and 29.0 ± 14.4 months after surgery. We estimated PG and effective orifice area(EOAI) at rest and at exercise. We compared echo data between pre-operation and post-operation, between at rest and at exercise. Results: The effective orifice area index(EOAI) at rest was 0.92(0.75~1.06) cm2/m2. There was a significant change in the LVMI between pre-operation and post-operation[158.5(104.0~222.2) g/m2 versus 102.4(92.3~146.4) g/m2; P < 0.05]. However, There was no significant change in the EOAI[0.92(0.75~1.06) cm2/m2 versus 0.84(0.78~0.91) cm2/m2; P > 0.05] and mean PG[11.0(6.6~16) mmHg versus 14.0(6.3~16) mmHg; P > 0.05], on maximal exercise. Conclusion: In patients whose BSA were 1.37(1.29~1.51) m2,the 18-mm ATS-AP was suggested to be a prosthetic valve that improves myocardial remodeling and provides stable hemodynamics even during exercise.","subitem_description_type":"Abstract"}]},"item_3_description_64":{"attribute_name":"引用","attribute_value_mlt":[{"subitem_description":"Acta medica Nagasakiensia, 54(1), pp.15-20 ; 2009","subitem_description_type":"Other"}]},"item_3_relation_42":{"attribute_name":"関係URI","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"http://joi.jlc.jst.go.jp/JST.JSTAGE/amn/54.15"}]}]},"item_3_source_id_10":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA00508433","subitem_source_identifier_type":"NCID"}]},"item_3_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"00016055","subitem_source_identifier_type":"ISSN"}]},"item_3_version_type_16":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Odate, Tomohiro"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Hashizume, Koji"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Ariyoshi, Tsuneo"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Taniguchi, Shinichiro"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Hashimoto, Wataru"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Matsukuma, Seiji"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Hisatomi, Kazuki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Eishi, Kiyoyuki"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-12-23"}],"displaytype":"detail","filename":"acta_54_1_15.pdf","filesize":[{"value":"204.0 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"acta_54_1_15.pdf","url":"https://nagasaki-u.repo.nii.ac.jp/record/16173/files/acta_54_1_15.pdf"},"version_id":"2ee9b93a-8b27-4240-951a-d0300338bda6"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Aortic valve replacement","subitem_subject_scheme":"Other"},{"subitem_subject":"PPM","subitem_subject_scheme":"Other"},{"subitem_subject":"Exercise echocardiography","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Comparison of Exercise Echocardiography in Patients with 18mm ATS-AP Aortic Prosthesis","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Comparison of Exercise Echocardiography in Patients with 18mm ATS-AP Aortic Prosthesis"}]},"item_type_id":"3","owner":"2","path":["1282"],"pubdate":{"attribute_name":"公開日","attribute_value":"2009-08-03"},"publish_date":"2009-08-03","publish_status":"0","recid":"16173","relation_version_is_last":true,"title":["Comparison of Exercise Echocardiography in Patients with 18mm ATS-AP Aortic Prosthesis"],"weko_creator_id":"2","weko_shared_id":-1},"updated":"2024-04-16T05:32:43.881676+00:00"}