{"created":"2023-06-19T11:24:12.253307+00:00","id":4881,"links":{},"metadata":{"_buckets":{"deposit":"31512c82-55bb-4c93-a584-ab299095432f"},"_deposit":{"created_by":1,"id":"4881","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"4881"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00004881","sets":["7","7:23"]},"author_link":["15053","15057","15055","15054","15056"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2003-07-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"4","bibliographicPageEnd":"249","bibliographicPageStart":"246","bibliographicVolumeNumber":"32","bibliographic_titles":[{"bibliographic_title":"日本心臓血管外科学会雑誌"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"47歳男性.患者は胸背部痛を主訴に,特発性食道破裂と診断され,著者らの施設で緊急食道破裂部縫合閉鎖を施行した.術前造影CTでは腎動脈下大動脈の最大径は3.0cm,右総腸骨動脈の最大径は2.5cmで,偽腔は開存していた.しかし,術後8日目の腹部CTで腎動脈下大動脈から右総腸骨動脈までの解離が確認され,手術を行った.手術は右後腹膜経路でアプローチ,腎動脈下で大動脈を遮断し瘤壁を切開したところ,右前方に偽腔が存在し,大動脈に2ヵ所と総腸骨動脈に1ヵ所のエントリーまたはリエントリーを示す交通孔を認めた.解離腔は,中枢側で腎動脈下,末梢側で右総腸骨動脈分岐部で収束しているのが確認され,Y型人工血管を用いて腎動脈下大動脈から両側腸骨動脈までの置換を行った.術後経過良好で15日目に退院となった.本症例では食道破裂時以外に強い疼痛の既往がないことなどから,特発性食道破裂と同時に腹部限局大動脈解離が発症した可能性が示唆された","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"内容記述","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_relation_27":{"attribute_name":"医中誌ID","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"2004107807","subitem_relation_type_select":"ICHUSHI"}}]},"item_5_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0285-1474","subitem_source_identifier_type":"ISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2004107807"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"479"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"399"}]},"item_5_text_7":{"attribute_name":"著者 ローマ字","attribute_value_mlt":[{"subitem_text_value":"Nakanishi, Keisuke"},{"subitem_text_value":"Izumi, Yuichi"},{"subitem_text_value":"Magishi, Katsuaki"},{"subitem_text_value":"Mitsube, Keijiro"},{"subitem_text_value":"Kubota, Hiroshi"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"中西, 啓介"},{"creatorName":"ナカニシ, ケイスケ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"15053","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"和泉, 裕一"},{"creatorName":"イズミ, ユウイチ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"15054","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"眞岸, 克明"},{"creatorName":"マギシ, カツアキ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"15055","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"光部, 啓治郎"},{"creatorName":"ミツベ, 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