{"created":"2023-06-19T10:43:56.462562+00:00","id":4293,"links":{},"metadata":{"_buckets":{"deposit":"f906a356-df43-4389-b12d-1352630c601b"},"_deposit":{"created_by":11,"id":"4293","owners":[11],"pid":{"revision_id":0,"type":"depid","value":"4293"},"status":"published"},"_oai":{"id":"oai:shiga-med.repo.nii.ac.jp:00004293","sets":["30:229:230"]},"author_link":["3183","6087","8087"],"item_4_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2022-07-06","bibliographicIssueDateType":"Issued"},"bibliographicVolumeNumber":"17","bibliographic_titles":[{}]}]},"item_4_creator_3":{"attribute_name":"著者別名","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"南舘, 直志"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"高島, 範之"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"鈴木, 友彰"}],"nameIdentifiers":[{},{},{}]}]},"item_4_description_14":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"pdf","subitem_description_type":"Other"}]},"item_4_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Background:\nAcute type A aortic dissection (ATAAD) is a fatal disease and requires emergency surgery. In particular, it is known that mortality is high when a coronary artery is involved. However, the degree of myocardial damage of the coronary acute artery involvement (ACI) varies and may or may not increase creatine kinase muscle and brain isoenzyme (CK-MB). It is unknown how CK-MB elevation affects the surgical outcome. This study compared the surgical results between the two groups of ACI with or without CK-MB elevation. ","subitem_description_type":"Abstract"},{"subitem_description":"Methods:\nAmong 348 patients who underwent an emergency operation for acute type A aortic dissection, there were 28 (8.0%) patients complicated by ACI and underwent additional coronary artery bypass grafting. We divided 26 of those patients into two groups; the MI group ( with CK-MB elevation) and the NMI group (without CK-MB elevation), and compared both groups.","subitem_description_type":"Abstract"},{"subitem_description":"Results:\nOf the 26, sixteen were in the MI group, and ten were in the NMI group. The average CK-MB in the MI group was 225.5 IU/L, and that in the NMI group was 13.5 IU/L. The mean time from onset to surgery was 248 min in the MI group and 250 min in the NMI group. There was statistical significance in mortality ( 69% vs. 13%, p = 0.03). There was no significance in major complications (ICU days, reintubation, reoperation, pneumonia, sepsis). ","subitem_description_type":"Abstract"},{"subitem_description":"Conclusions:\nAcute coronary artery involvement was associated with 8.0% of patients with ATAAD, and 62% had myocardial ischemia with CK-MB elevation. The MI group had significantly higher mortality than the NMI group. It is crucial for cases with suspected ACI to obtain coronary perfusion as soon as possible to prevent CK-MB from elevating. ","subitem_description_type":"Abstract"}]},"item_4_description_42":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"Journal Article","subitem_description_type":"Other"}]},"item_4_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"BioMed Central Ltd"}]},"item_4_relation_10":{"attribute_name":"PubMed番号","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"35794624","subitem_relation_type_select":"PMID"}}]},"item_4_relation_11":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"10.1186/s13019-022-01924-5"}],"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.1186/s13019-022-01924-5","subitem_relation_type_select":"DOI"}}]},"item_4_relation_13":{"attribute_name":"PMCID","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"PMC9260987"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"http://www.ncbi.nlm.nih.gov/pmc/articles/pmc9260987/","subitem_relation_type_select":"URI"}}]},"item_4_rights_12":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"© 2022. The Author(s). "}]},"item_4_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1749-8090","subitem_source_identifier_type":"ISSN"}]},"item_4_version_type_15":{"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":"MINAMIDATE, Naoshi"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"TAKASHIMA, Noriyuki"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"SUZUKI, Tomoaki"}],"nameIdentifiers":[{},{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2022-07-21"}],"displaytype":"detail","filename":"s13019-022-01924-5.pdf","filesize":[{"value":"999.2 kB"}],"format":"application/pdf","license_note":"This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. \nThe Creative Commons Public Domain Dedication waiver \n(http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"s13019-022-01924-5","url":"https://shiga-med.repo.nii.ac.jp/record/4293/files/s13019-022-01924-5.pdf"},"version_id":"4e0a5c43-1b67-4a19-b76d-dbd214c66cc2"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Acute coronary artery involvement","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Coronary malperfusion","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Acute type A aortic dissection","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Coronary artery bypass grafting","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"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":"The impact of CK-MB elevation in patients with acute type A aortic dissection with coronary artery involvement","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"The impact of CK-MB elevation in patients with acute type A aortic dissection with coronary artery involvement"}]},"item_type_id":"4","owner":"11","path":["230"],"pubdate":{"attribute_name":"公開日","attribute_value":"2022-07-21"},"publish_date":"2022-07-21","publish_status":"0","recid":"4293","relation_version_is_last":true,"title":["The impact of CK-MB elevation in patients with acute type A aortic dissection with coronary artery involvement"],"weko_creator_id":"11","weko_shared_id":-1},"updated":"2023-06-19T11:12:20.057318+00:00"}