ID | 53701 |
タイトルヨミ | シュヨウナ フクブ ゾウキ ケツリュウ オ meandering mesenteric artery カラ キョウキュウ サレタ フクブ ダイドウミャクリュウ ノ 1 シュジュツレイ
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タイトル別表記 | Extracorporeal perfusion of the meandering mesenteric arterial circulation for an abdominal aortic aneurysm operation with obstructed visceral branches
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著者 |
富永, 崇司
徳島大学大学院器官病態修復医学講座循環機能制御外科学分野
市川, 洋一
徳島大学大学院器官病態修復医学講座循環機能制御外科学分野
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キーワード | meandering mesenteric arterial
abdominal aortic aneurysm
obstructed visceral branches
Extracorporeal perf
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資料タイプ |
学術雑誌論文
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抄録 | A 64 year old man underwent hemodialysis one year ago was detected an infra renal abdominal aortic aneurysm with the occluded lesion of the superior mesenteric(SMA)and the celiac arteries. Abdominal angiogrphy revealed that the branches of the SMA filled reversely from the inferior mesenteric artery through the large meandering mesenteric artery(MMA). Therefore it was thought that a prolonged clamping time during the aortic reconstruction would possibly result in visceral ischemic injury, the MMA was perfused by an extracorporeal circulation system during the aortic cross-clamping. The postoperative course was uneventful, without visceral ischemic complication. Consequently ischemic enterocolitis is a serious complication and a factor of poor prognosis in an operation of abdominal aortic aneurysm, it is important that understood the state of the visceral circulation and decided the strategy of the operation with or without the branches repaired for preventing ischemia.
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掲載誌名 |
四国医学雑誌
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ISSN | 00373699
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cat書誌ID | AN00102041
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出版者 | 徳島医学会
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巻 | 63
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号 | 1-2
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開始ページ | 58
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終了ページ | 62
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並び順 | 58
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発行日 | 2007-04-25
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備考 | |
EDB ID | |
フルテキストファイル | |
言語 |
jpn
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著者版フラグ |
出版社版
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部局 |
医学系
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