{"created":"2023-06-19T11:21:49.339970+00:00","id":2086,"links":{},"metadata":{"_buckets":{"deposit":"587ed0bf-e5cf-4a93-85d0-0defee630a28"},"_deposit":{"created_by":3,"id":"2086","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"2086"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00002086","sets":["7","7:23"]},"author_link":["6318","6319","6320","6321","6322","6323","6324"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1997-12-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"12","bibliographicPageEnd":"950","bibliographicPageStart":"945","bibliographicVolumeNumber":"29","bibliographic_titles":[{"bibliographic_title":"心臓"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"56歳,男.主訴は動悸,息切れ.昭和53年に僧帽弁閉鎖不全症(MR)3度にてHancock弁を用いた僧帽弁置換術(MVR)が施行された.平成3年に労作時の息切れ,咳嗽が出現しうっ血性心不全,人工弁逆流を認めたため,同年10月Carbomedics弁(29mm)を用いた2回目のMVRが施行された.その後症状なく経過していたが,平成7年2月より動悸,息切れが出現し4月5日当科入院した.経胸壁心エコーにて左房径は44mmで左房内の異常は指摘できなかった.経食道心エコーでは左房の前壁側に2つの解離腔を認めた.1つは弁輪部より流入血流を認め,更に左房への流出血流を認めた.再々弁置換を施行し,術前治療に苦慮した心房粗動も見られなくなり良好な経過を得ている","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"注記","attribute_value_mlt":[{"subitem_description":"雑誌掲載版","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_5_description_37":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"text","subitem_description_type":"Other"}]},"item_5_description_41":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_5_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0586-4488","subitem_source_identifier_type":"ISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1998098246"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1416"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"687"}]},"item_5_text_7":{"attribute_name":"著者 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