{"created":"2023-06-19T11:24:12.395074+00:00","id":4884,"links":{},"metadata":{"_buckets":{"deposit":"98cc964a-0efb-4f0d-8172-d6f7f40ee3f3"},"_deposit":{"created_by":1,"id":"4884","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"4884"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00004884","sets":["7","7:23"]},"author_link":["15083","15074","15078","15077","15075","15073","15080","15076","15081","15082","15079"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2001-12-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"122","bibliographicPageStart":"119","bibliographicVolumeNumber":"46","bibliographic_titles":[{"bibliographic_title":"北海道外科雑誌"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"73歳男.IIIb型大動脈解離の手術目的で入院した.解離発症後の緊急造影CTにより解離腔の血栓化が確認されたため保存治療を行った.その1.5ヵ月後に合併した直径4.8cmの腹部大動脈瘤に対し瘤空置バイパス術を施行し良好な経過を得た.しかし,術後の大動脈造影検査で遠位弓部の下行胸部大動脈にulcer like projection(ULP)を認めたため,その閉鎖のために内径30mmのZ stentを2個連結した長さ10cmのstent graftを内挿したところ,良好な結果を得た.術後約1ヵ月の遠隔期に動脈造影によりULPの閉鎖と解離腔の血栓化が確認された.stent graftは脊髄虚血の危険も少なく,本例のような症例にはよい適応であると考察した","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":"2002131694","subitem_relation_type_select":"ICHUSHI"}}]},"item_5_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0288-7509","subitem_source_identifier_type":"ISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2002131694"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"645"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"719"}]},"item_5_text_7":{"attribute_name":"著者 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projectionの閉鎖"}]},"item_type_id":"5","owner":"1","path":["6","7","23"],"pubdate":{"attribute_name":"公開日","attribute_value":"2014-05-14"},"publish_date":"2014-05-14","publish_status":"0","recid":"4884","relation_version_is_last":true,"title":["stent graftによるulcer like projectionの閉鎖"],"weko_creator_id":"1","weko_shared_id":-1},"updated":"2023-06-19T12:34:04.607185+00:00"}