{"created":"2023-06-19T11:23:03.450352+00:00","id":3528,"links":{},"metadata":{"_buckets":{"deposit":"96a677b0-eec4-4d52-93f4-fdf877c2c136"},"_deposit":{"created_by":3,"id":"3528","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"3528"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00003528","sets":["7","7:23"]},"author_link":["10045","10046","10047","10048","10049","10050"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2000-10-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"10","bibliographicPageEnd":"794","bibliographicPageStart":"789","bibliographicVolumeNumber":"32","bibliographic_titles":[{"bibliographic_title":"心臓"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"65歳男.脳外科入院中に不整脈を指摘された.自覚症状はなく受診時には整脈であったが,第2肋間胸骨左縁にLevine II/VIの収縮期雑音とII音の固定性分裂を聴取し,胸部X線像上左第2弓の突出を認めた.心臓超音波検査では心房中隔欠損(ASD)と右心系の拡大を認め,胸部CT検査では左無名静脈から分岐した左異常肺静脈を認め,肺動脈幹は径50mm,左肺動脈は径36mmと拡張した.心臓カテーテル検査では主肺動脈圧は軽度高値のみで,右室と肺動脈間,両心房間に圧較差を認めた.カテーテルは下大静脈,右房,上大静脈,左無名静脈を経て左異常肺静脈に到達し,左異常肺静脈等で酸素飽和度の高値を示し,左肺動脈造影にて左異常肺静脈は左無名静脈に還流していた.左→右シャント率は32%,Qp/Qsは1.4であった.以上より部分肺静脈還流異常(PAPVC),ASD及び肺動脈弁狭窄(PS)と診断した.自覚症状がなく,不整脈も軽度であり明らかな右心不全を認めず,更にQp/Qsが1.4であることから経過観察とした","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":"2001060173"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1093"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1958"}]},"item_5_text_7":{"attribute_name":"著者 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