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Freestyle生体弁移植後の弁輪部狭窄に対し大動脈弁輪拡大術を併用施行した大動脈弁再置換術の1例
http://hdl.handle.net/10069/21539
http://hdl.handle.net/10069/215395bc58a87-9eb1-4eb6-99aa-a88501f25f2d
名前 / ファイル | ライセンス | アクション |
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110004013253.pdf (1.5 MB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2009-04-10 | |||||
タイトル | ||||||
タイトル | Freestyle生体弁移植後の弁輪部狭窄に対し大動脈弁輪拡大術を併用施行した大動脈弁再置換術の1例 | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 大動脈弁置換術 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | ステントレス生体弁 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | over sizing technique | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | sub-coronary法 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 弁輪拡大術 | |||||
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 |
松丸, 一朗
× 松丸, 一朗× 江石, 清行× 山近, 史郎× 迫, 史朗× 有吉, 毅子男× 高井, 秀明× 中路, 俊× 安倍, 邦子× 林, 徳真吉 |
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著者別名 | ||||||
姓名 | Matsumaru, Ichiro | |||||
著者別名 | ||||||
姓名 | Eishi, Kiyoyuki | |||||
著者別名 | ||||||
姓名 | Yamachika, Shiro | |||||
著者別名 | ||||||
姓名 | Hazama, Shiro | |||||
著者別名 | ||||||
姓名 | Ariyoshi, Tsuneo | |||||
著者別名 | ||||||
姓名 | Takai, Hideaki | |||||
著者別名 | ||||||
姓名 | Nakaji, Shun | |||||
著者別名 | ||||||
姓名 | Abe, Kuniko | |||||
著者別名 | ||||||
姓名 | Hayashi, Tomayoshi | |||||
その他のタイトル | ||||||
その他のタイトル | Aortic Valve Re-Replacement with Aortic Root Enlargement for Aortic Valvular Stenosis after Aortic Valve Implantation with a Freestyle Stentless Porcine Valve | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | 若年女性に対しステントレス弁大動脈弁置換術後,オーバーサイジングsub-coronary法が原因と考えられた大動脈弁狭窄症に対する再手術例を経験した. 症例は17歳,女性12歳時に他院にて21mm Freestyle stentless porcine valve(Freestyle生体弁)を用い,modified sub-coronary法にて大動脈弁置換術(AVR)を施行された.術直後より心不全が続いていたが,手術5年後に心臓カテーテル検査で大動脈弁収縮期圧較差が115mmHgである弁輪部狭窄が顕在化し心不全症状が再悪化したため,今回当科にて弁輪拡大術を併用したATS AP 18mmによるAVRを施行した.術中所見として,Freestyle生体弁がオーバーサイジングsub-coronary法で縫着されたことが弁輪部狭窄の原因に関与している可能性が示唆された. | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | We present a successfully treated case of re-operation for aortic valvular stenosis caused by implantation of a stentless prosthesis using oversizing sub-coronary insertion in a young woman. The 17-year-old Japanese woman received aortic valve replacement (AVR) with a 21 mm Freestyle stentless porcine valve (Medtronic Inc.), using the oversizing modified sub-coronary insertion because of infectious endocarditis 12 years previously at another hospital. Just after the operation, she suffered severe heart failure. At 16 years old, since a cardiac murmur and dyspnea on effort appeared, and she presented severe heart failure due to significant aortic valvular stenosis with a mean aortic valve gradient 115 mmHg, we performed aortic valve re-replacement (ATS AP 18 mm) with an aortic root enlargement procedure. Intraoperative findings suggested that the oversizing technique was related to aortic valvular stenosis. The postoperative course has been uneventful. | |||||
書誌情報 |
日本心臓血管外科学会雑誌 en : Japanese Journal of Cardiovascular Surgery 巻 33, 号 6, p. 425-428, 発行日 2004-11 |
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出版者 | ||||||
出版者 | 日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 | 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, 33(6) pp. 425-428; 2004 |