{"created":"2023-06-19T11:23:01.069324+00:00","id":3480,"links":{},"metadata":{"_buckets":{"deposit":"660c4bc5-6fb4-498e-a731-9457378a86de"},"_deposit":{"created_by":3,"id":"3480","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"3480"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00003480","sets":["7","7:23"]},"author_link":["9725","9726","9727","9728","9729","9730","9731","9732","9733"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1990-10-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"10","bibliographicPageEnd":"1190","bibliographicPageStart":"1185","bibliographicVolumeNumber":"22","bibliographic_titles":[{"bibliographic_title":"心臓"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は50歳の男性。胸部圧迫感を主訴に入院した。発作時の心電図でV1\"'V5のST上昇を認めた。心雑音は聴取しなかったが、冠動脈造影上、右冠動脈は拡張し末梢から左室後壁面へ開口しており、左冠動脈は回旋枝より異常血管が起始して右肺動脈に流入していた。肺動脈でのO2 step upは認めなかった。ergonovineの静注にて胸痛が出現し、前下行枝Seg. 7と右冠動脈Seg.4の100%閉塞を認めた。また運動負荷心電図、 201Tl運動負荷心筋シンチグラム、PTCA用バルーンカテーテルによる痩血管閉塞法によってもcoronary steal現象による心筋虚血は証明されなかった。以上よりcoronary steal現象は関与せず、 vasospastic anginaを合併した右冠動脈―左室痩、左冠動脈―右肺動脈痩と診断した。近 年、冠動脈痩はまれな疾患ではなくなってきているが、本症例のように肺動脈と左心室に開口する例の報告は我々が検索し得た限りでは初めてであり、またvasospastic anginaを合併した冠動脈痩の報告もわずかである。","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"注記","attribute_value_mlt":[{"subitem_description":"雑誌掲載版","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":"PISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1991132137"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1960"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1600"}]},"item_5_text_7":{"attribute_name":"著者 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