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Management of non-cerebral malperfusion complicating acute type A dissection
http://hdl.handle.net/10271/00004335
http://hdl.handle.net/10271/000043358c2e9f4e-7c55-41d8-97d4-8c7d2ab000c7
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
Asian Cardiovasc Thorac Ann-31-26.pdf (2.5 MB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||||
|---|---|---|---|---|---|---|---|---|
| 公開日 | 2023-03-30 | |||||||
| タイトル | ||||||||
| タイトル | Management of non-cerebral malperfusion complicating acute type A dissection | |||||||
| 言語 | ||||||||
| 言語 | eng | |||||||
| キーワード | ||||||||
| 主題 | acute type A aortic dissection | |||||||
| キーワード | ||||||||
| 主題 | malperfusion | |||||||
| キーワード | ||||||||
| 主題 | frozen elephant trunk | |||||||
| キーワード | ||||||||
| 主題 | percutaneous mesenteric stenting | |||||||
| キーワード | ||||||||
| 主題 | percutaneous coronary intervention | |||||||
| キーワード | ||||||||
| 主題 | hybrid operating room | |||||||
| 資源タイプ | ||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||
| 資源タイプ | journal article | |||||||
| その他のタイトル | ||||||||
| その他のタイトル | Management of non-cerebral malperfusion | |||||||
| 著者 |
Shiiya, Norihiko
× Shiiya, Norihiko
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| 書誌情報 |
Asian Cardiovascular and Thoracic Annals 巻 31, 号 1, p. 26-31, 発行日 2023-01 |
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| 出版者 | ||||||||
| 出版者 | SAGE Publications | |||||||
| 権利 | ||||||||
| 権利情報 | Shiiya N., Management of non-cerebral malperfusion complicating acute type A dissection, "Asian Cardiovascular and Thoracic Annals" 31(1) pp.26-31. Copyright © 2021 Author(s). DOI: https://doi.org/10.1177/02184923211069812. | |||||||
| 抄録 | ||||||||
| 内容記述タイプ | Abstract | |||||||
| 内容記述 | Vital organ malperfusion in acute type A aortic dissection is associated with worse outcomes, especially when multiple organ systems are involved, and when coronary or mesenteric malperfusion is present. To achieve the two goals of central aortic repair and adequate and timely reperfusion, mechanism and organ-specific strategy in the methods and sequence of repair should be considered. For dynamic aortic malperfusion, reperfusion can be quickly achieved by femoral artery perfusion, and the fenestrated frozen elephant trunk operation, in which the proximal end of device is secured to zone 1 or 2 and distal 1 or 2 supra-aortic vessels are preserved by fenestration of the fabric, seems optimal as a method of central aortic repair. For coronary malperfusion, percutaneous coronary intervention before central aortic repair may have a role. However, it should be kept in mind that the door-to-unloading time is also important to reduce the area of myocardial infarction, and retrograde cardioplegia is not distributed to most of the right ventricle, which can be critical when right coronary malperfusion is present. Static mesenteric malperfusion should be addressed first, and second look laparotomy should not be hesitated after central aortic repair. The use of a hybrid operating room may be an optimal solution to achieve both goals. | |||||||
| 注記 | ||||||||
| 内容記述 | 雑誌掲載タイトル：Management of noncerebral malperfusion complicating acute type A dissection | |||||||
| ISSN | ||||||||
| 収録物識別子タイプ | ISSN | |||||||
| 収録物識別子 | 0218-4923 | |||||||
| EISSN | ||||||||
| 収録物識別子タイプ | ISSN | |||||||
| 収録物識別子 | 1816-5370 | |||||||
| NII書誌ID | ||||||||
| 収録物識別子タイプ | NCID | |||||||
| 収録物識別子 | AA11015592 | |||||||
| PubMed番号 | ||||||||
| 関連タイプ | isVersionOf | |||||||
| 識別子タイプ | PMID | |||||||
| 関連識別子 | 35167355 | |||||||
| 出版社DOI | ||||||||
| 関連タイプ | isVersionOf | |||||||
| 識別子タイプ | DOI | |||||||
| 関連識別子 | 10.1177/02184923211069812 | |||||||
| 著者版フラグ | ||||||||
| 出版タイプ | AM | |||||||
| 出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||||
