{"created":"2023-06-20T15:46:06.282364+00:00","id":592,"links":{},"metadata":{"_buckets":{"deposit":"9ee5f6a0-3f44-4080-9cf2-fe085237440e"},"_deposit":{"created_by":4,"id":"592","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"592"},"status":"published"},"_oai":{"id":"oai:hama-med.repo.nii.ac.jp:00000592","sets":["1:11"]},"author_link":["1839","1840","1841","1842"],"item_3_alternative_title_1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"A Case of Descending Graft Replacement of the Anastomotic Aneurysm Using Simple Hypothermic Retrograde Cerebral Circulation 9 Years after Surgery of the Distal Aortic Arch"}]},"item_3_biblio_info_5":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2002-07-15","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"4","bibliographicPageEnd":"313","bibliographicPageStart":"311","bibliographicVolumeNumber":"31","bibliographic_titles":[{"bibliographic_title":"日本心臓血管外科学会雑誌"}]}]},"item_3_description_9":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は77歳,男性.主訴は喀血.既往歴に遠位弓部大動脈瘤で平成3年に胸骨正中切開でinclusion法にて3分枝付き人工血管で弓部全置換術を受けている.造影CTでは末梢の吻合部に径5cmの瘤を人工血管と瘤壁の間に認めた.手術は平成12年11月24日左第4肋間開胸で入った.瘤の癒着は高度で瘤の中枢側の剥離,遮断は困難なため,F-Fバイパスで直腸温18℃まで冷却し,高本法による単純低体温逆行性脳灌流を補助手段とし,前回の3分枝付き人工血管の末梢側を血管の内側からはずして1分枝付き人工血管と吻合した.逆行性脳灌流時間は16分であった.冷却に57分,加温に1時間52分要したが術中の出血は少なく脳合併症も認めなかった.  Anastomotic aneurysm was diagnosed in a 77-year-old man following graft replacement of the distal aortic arch aneurysm using the inclusion method in 1991. Enhanced CT demonstrated the aneurysm of the distal anastomotic site with a maximum diameter of 5 cm between the graft and the aneurysmal wall. On left thoracotomy the aneurysm was found to severely adhere to the lung, so it was difficult to dissect its adhesion and clamp the proximal aorta. The rectal temperature was cooled to 18℃ with the aid of femoro-femoral bypass. We anastomosed the previous graft-end to the new graft with one side branch during simple hypothermic retrograde cerebral circulation (RCC). RCC time was 16 min and the distal end was anastomosed to the descending thoracic aorta. Though it took a long time to undertake systemic cooling and rewarming, intraoperative bleeding was small and the postoperative course was satisfactory without cerebral complication.","subitem_description_type":"Abstract"}]},"item_3_publisher_6":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"日本心臓血管外科学会"}]},"item_3_relation_22":{"attribute_name":"NII論文ID","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"110004000553","subitem_relation_type_select":"NAID"}}]},"item_3_rights_7":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"日本心臓血管外科学会"},{"subitem_rights":"本文データは学協会の許諾に基づきCiNiiから複製したものである"}]},"item_3_source_id_19":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"02851474","subitem_source_identifier_type":"ISSN"}]},"item_3_version_type_32":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"佐々木, 昭彦"}],"nameIdentifiers":[{"nameIdentifier":"1839","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"坂田, 純一"}],"nameIdentifiers":[{"nameIdentifier":"1840","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"佐藤, 浩樹"}],"nameIdentifiers":[{"nameIdentifier":"1841","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"数井, 暉久"}],"nameIdentifiers":[{"nameIdentifier":"1842","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-08-27"}],"displaytype":"detail","filename":"110004000553.pdf","filesize":[{"value":"384.2 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"110004000553.pdf","url":"https://hama-med.repo.nii.ac.jp/record/592/files/110004000553.pdf"},"version_id":"3e8af431-2ec1-4ce5-9c2b-3082d0c69c48"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"遠位弓部大動脈瘤","subitem_subject_scheme":"Other"},{"subitem_subject":"吻合部仮性動脈瘤","subitem_subject_scheme":"Other"},{"subitem_subject":"単純低体温逆行性脳灌流","subitem_subject_scheme":"Other"},{"subitem_subject":"下行置換術","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"遠位弓部大動脈瘤術後9年目の吻合部仮性大動脈瘤に対する単純低体温逆行性脳灌流による下行置換術","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"遠位弓部大動脈瘤術後9年目の吻合部仮性大動脈瘤に対する単純低体温逆行性脳灌流による下行置換術","subitem_title_language":"ja"}]},"item_type_id":"3","owner":"4","path":["11"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2013-08-27"},"publish_date":"2013-08-27","publish_status":"0","recid":"592","relation_version_is_last":true,"title":["遠位弓部大動脈瘤術後9年目の吻合部仮性大動脈瘤に対する単純低体温逆行性脳灌流による下行置換術"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2023-08-02T05:48:04.283036+00:00"}