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後尖温存僧帽弁置換術後に人工弁機能不全を発症した１例
http://hdl.handle.net/10091/3711
http://hdl.handle.net/10091/3711cb317a46-13ad-4786-876e-b55c992f0243
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
Shinshu_Med55-5-04.pdf (955.0 kB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||
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| 公開日 | 2009-12-04 | |||||
| タイトル | ||||||
| タイトル | 後尖温存僧帽弁置換術後に人工弁機能不全を発症した１例 | |||||
| タイトル | ||||||
| タイトル | A Case of Stuck Valve after Mitral Valve Replacement Preserving Posterior Leaflet | |||||
| 言語 | ||||||
| 言語 | jpn | |||||
| DOI | ||||||
| 関連タイプ | isIdenticalTo | |||||
| 関連識別子 | https://doi.org/10.11441/shinshumedj.55.245 | |||||
| 関連名称 | 10.11441/shinshumedj.55.245 | |||||
| キーワード | ||||||
| 主題 | stuck valve, mitral valve replacement preserving posterior leaflet, pannus, CarboMedics 人工弁機能不全, 後尖温存僧帽弁置換術, パンヌス, カーボメディクス |
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| 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 |
恒元, 秀夫
× 恒元, 秀夫× 月岡, 勝晶 |
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| 出版者 | ||||||
| 出版者 | 信州医学会 | |||||
| 引用 | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | 信州医学雑誌 55(5): 245-248(2007) | |||||
| 書誌情報 |
信州医学雑誌 巻 55, 号 5, p. 245-248, 発行日 2007-10-10 |
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| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | A 78-year old female was admitted on January 13,2006 due to respiratory dysfunction resulting from left heart failure accompanied by lung congestion. The patient had received a mechanical prosthetic valve (CarboMedics 27 mm) in mitral position with posterior leaflet preservation and tricuspid valve annulopasty on December 4, 2001. Echocardiographic examination revealed moderate mitral regurgitation and an elevated transvalvular pressure gradient of 36 mmHg, suggesting a prosthetic valve dysfunction. A cineradiogram showed that one of the leaflets of the prosthesis was completely immovable. Despite intensive medical treatment her dyspnea and oligurea persisted, and urgent surgical intervention was clearly indicated. At surgery one of the leaflets of the prosthesis was found to be covered by a pannus accompanied by thrombosis on both the atrial and ventricular sides. The pannus originated from the endocardium of the preserved posterior leaflet and had folded around the cuff of the prosthesis from the previous operation. The dysfunctioning prosthesis was replaced by another mechanical valve (CarboMedics 27 mm). A preoperatively diagnosed relapse of tricuspid regurgitation was also reconstructed using DeVega’s method. Though the patient initially required high doses of innotropic support and continuous hemodiafiltration, she recovered uneventfully and was discharged on the 51st postoperative day after adequate rehabilitation. When doing mitral valve replacement preserving the posterior leaflet, it must be confirmed that the movement of the leaflet is smooth. | |||||
| 資源タイプ（コンテンツの種類） | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | Article | |||||
| ISSN | ||||||
| 収録物識別子タイプ | PISSN | |||||
| 収録物識別子 | 0037-3826 | |||||
| 書誌レコードID | ||||||
| 収録物識別子タイプ | NCID | |||||
| 収録物識別子 | AN00120815 | |||||
| 出版タイプ | ||||||
| 出版タイプ | VoR | |||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
