{"created":"2023-06-19T10:44:05.685646+00:00","id":4471,"links":{},"metadata":{"_buckets":{"deposit":"50a6e9ce-ffef-48ac-8f96-f694080b36e1"},"_deposit":{"created_by":11,"id":"4471","owners":[11],"pid":{"revision_id":0,"type":"depid","value":"4471"},"status":"published"},"_oai":{"id":"oai:shiga-med.repo.nii.ac.jp:00004471","sets":["6:7:449:450"]},"author_link":["8085","6087","8752","7951","8089","9247","9249","9248","3183","8085","6087","8752","7951","8089","9247","9249","9248","3183"],"control_number":"4471","item_3_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2023-03-31","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"83","bibliographicPageStart":"80","bibliographicVolumeNumber":"36","bibliographic_titles":[{"bibliographic_title":"滋賀医科大学雑誌","bibliographic_titleLang":"ja"}]}]},"item_3_creator_3":{"attribute_name":"著者別名","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"ENOMOTO, Masahide","creatorNameLang":"en"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"TAKASHIMA, Noriyuki","creatorNameLang":"en"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"KAMIYA, Kenichi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"HACHIRO, Kohei","creatorNameLang":"en"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"WAKISAKA, Hodaka","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"KADO, Komei","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SHIMADA, Yuji","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"MATSUOKA, Kentaro","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SUZUKI, Tomoaki","creatorNameLang":"en"}],"nameIdentifiers":[{},{},{}]}]},"item_3_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は67歳男性。1週間前からの動悸と呼吸苦を主訴に前医を受診した。経胸壁心臓超音波検査で著明な右心負荷（右房右室間圧格差81 mmHg）と重度の三尖弁閉鎖不全症を指摘され、原因精査のために行われた造影CT検査で最大径100 mmの上行大動脈瘤を指摘された。巨大な上行大動脈瘤が主肺動脈を圧排し、右心不全を引き起こしていると考えられた。同日当院に転院搬送され、緊急手術を施行された。体外循環を確立した後に、人工血管を用いた上行大動脈置換と自己心膜パッチを用いた主肺動脈の瘻孔部の閉鎖を行った。術後経過は良好で、術後11日目に独歩で自宅退院した。術後1835日目の外来でも良好な経過を確認されている。今回の症例は、巨大な上行大動脈瘤により肺動脈が圧排されて高度狭窄を来し、右心不全を呈したと考えられる。早期の外科治療で救命し得た１例を経験したので報告する。","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"A 67-year-old man was admitted to his previous hospital because of heart palpitations and dyspnea. Transthoracic echocardiography showed right ventricular overload with tricuspid regurgitant pressure gradient of 80 mmHg and severe tricuspid regurgitation. In addition, contrast-enhanced computed tomography showed a pulmonary artery occlusion due to an ascending aortic aneurysm of which maximum diameter is 100 mm. He was therefore transferred to our hospital for undergoing emergency surgery. At operation, the ascending aortic aneurysm covered and invaded the main pulmonary artery. The ascending aorta was replaced using a vascular prosthesis and the defect hole of the main pulmonary artery was repaired with a patch of autologous pericardium. The postoperative period was uneventful, and he was discharged 11 days after the operation. At an 1853-day-follow-up visit, he was found to be asymptomatic with no activity limitations.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_3_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.14999/1521.00013546","subitem_identifier_reg_type":"JaLC"}]},"item_3_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"滋賀医科大学雑誌編集委員会","subitem_publisher_language":"ja"}]},"item_3_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_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"榎本, 匡秀","creatorNameLang":"ja"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"高島, 範之","creatorNameLang":"ja"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"神谷, 賢一","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"鉢呂, 康平","creatorNameLang":"ja"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"脇坂, 穂高","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"角, 宏明","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"島田, ゆうじ","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"松岡, 健太郎","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"鈴木, 友彰","creatorNameLang":"ja"}],"nameIdentifiers":[{},{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2023-04-25"}],"displaytype":"detail","filename":"jsums3601p080.pdf","filesize":[{"value":"913.4 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"jsums3601p080","url":"https://shiga-med.repo.nii.ac.jp/record/4471/files/jsums3601p080.pdf"},"version_id":"07dddadc-60b6-484f-91c9-504c52316cc4"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"上行大動脈瘤","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"肺動脈狭窄","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"急性右心不全","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"ascending aortic aneurysm","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"pulmonary artery occlusion","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"acute right heart failure","subitem_subject_language":"en","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":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"巨大上行大動脈瘤により肺動脈が圧排され右心不全を呈した１例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"巨大上行大動脈瘤により肺動脈が圧排され右心不全を呈した１例","subitem_title_language":"ja"},{"subitem_title":"Right heart failure secondary to compression of pulmonary artery  by an ascending aortic aneurysm : a case report","subitem_title_language":"en"},{"subitem_title":"キョダイ ジョウコウ ダイドウミャクリュウ ニヨリ ハイドウミャク ガ アッパイサレ ウシン フゼン オ テイシタ 1レイ","subitem_title_language":"ja-Kana"}]},"item_type_id":"3","owner":"11","path":["450"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2023-04-25"},"publish_date":"2023-04-25","publish_status":"0","recid":"4471","relation_version_is_last":true,"title":["巨大上行大動脈瘤により肺動脈が圧排され右心不全を呈した１例"],"weko_creator_id":"11","weko_shared_id":-1},"updated":"2023-11-16T08:15:34.017441+00:00"}