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周産期に大動脈解離を来したMarfan症候群の１例
http://hdl.handle.net/10091/9254
http://hdl.handle.net/10091/9254523bcd28-34e4-46f2-96b8-e94bdf7813d5
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
Shinshu_Med47-4-06.pdf (486.9 kB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||
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| 公開日 | 2010-03-24 | |||||
| タイトル | ||||||
| タイトル | 周産期に大動脈解離を来したMarfan症候群の１例 | |||||
| タイトル | ||||||
| タイトル | A Case of Marfan Syndrome Complicated by Aortic Dissection during Pregnancy | |||||
| 言語 | ||||||
| 言語 | jpn | |||||
| キーワード | ||||||
| 主題 | Marfan syndrome, aortic dissection, pregnancy, surgical operation マルファン症候群, 大動脈解離, 妊娠, 手術 |
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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 |
坂口, 昌幸
× 坂口, 昌幸× 藤井, 尚文× 西村, 和典× 柳谷, 信之 |
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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 47(4): 315-319(1999) | |||||
| 書誌情報 |
信州医学雑誌 巻 47, 号 4, p. 315-319, 発行日 1999-08-10 |
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| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | Marfan syndrome is a heritable connective tissue disorder.The cardiovascular effects are life-threatening and life expectancy depends upon aortic dilatation,which results in dissection,rupture,or aortic regurgitation. We experienced a case of Marfan syndrome complicated by aortic dissection during pregnancy. A 28-year-old woman,who had been diagnosed with gestosis and imminent premature delivery in the 30th week of gestation by another obstetrician,visited our hospital because of general fatigue.The chest X-ray film showed cardiomegaly and congestion of the lung.Echocardiography showed enlargement of the aortic root and intimal flap,and severe aortic regurgitaton.We diagnosed this case as acute aortic dissection (DeBakey typeﾜ)with annuro-aortic ectasia. After transvaginal delivery, emergency operations for composite graft replacement with reimplantation of the coronary artery and aortic valve replacement were peformed.The post operative course was uneventful and the patient and her baby were discharged safely. Pregnancy,which is known to impose substantial cardiovascular stress, increases the risk of dissection especially in the patients with Marfan syndrome.We should recognize the risk in such cases,obtain the full understanding of the patient and her family, decide whether the pregnancy should go on, and have close cooperation with other relevant departments. | |||||
| 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 | |||||
