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  1. 050 医学部, 大学院医学系研究科
  2. 0502 紀要・刊行物
  3. 05021 信州医学雑誌
  4. Vol. 55 No. 5

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
cb317a46-13ad-4786-876e-b55c992f0243
名前 / ファイル ライセンス アクション
Shinshu_Med55-5-04.pdf Shinshu_Med55-5-04.pdf (955.0 kB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2009-12-04
タイトル
言語 ja
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
言語
言語 jpn
キーワード
主題Scheme Other
主題 stuck valve
キーワード
主題Scheme Other
主題 mitral valve replacement preserving posterior leaflet
キーワード
主題Scheme Other
主題 pannus
キーワード
主題Scheme Other
主題 CarboMedics
キーワード
主題Scheme Other
主題 人工弁機能不全
キーワード
主題Scheme Other
主題 後尖温存僧帽弁置換術
キーワード
主題Scheme Other
主題 パンヌス
キーワード
主題Scheme Other
主題 カーボメディクス
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ journal article
その他(別言語等)のタイトル
その他のタイトル A Case of Stuck Valve after Mitral Valve Replacement Preserving Posterior Leaflet
言語 en
著者 恒元, 秀夫

× 恒元, 秀夫

WEKO 9618

ja 恒元, 秀夫

Search repository
月岡, 勝晶

× 月岡, 勝晶

WEKO 9619

ja 月岡, 勝晶

Search repository
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
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
DOI
関連タイプ isIdenticalTo
関連識別子
識別子タイプ DOI
関連識別子 https://doi.org/10.11441/shinshumedj.55.245
関連名称
関連名称 10.11441/shinshumedj.55.245
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
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