{"created":"2023-06-20T15:59:59.330011+00:00","id":18182,"links":{},"metadata":{"_buckets":{"deposit":"a0932d91-a952-46d1-aab5-ac220e75f2b8"},"_deposit":{"created_by":49,"id":"18182","owners":[49],"pid":{"revision_id":0,"type":"depid","value":"18182"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00018182","sets":["561:562:567"]},"author_link":["69026","69019","69018","69025","69021","69017","69020","69023","69024","69022","69027"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2018-03","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"50","bibliographicPageStart":"47","bibliographicVolumeNumber":"30","bibliographic_titles":[{"bibliographic_title":"旭川赤十字病院医学雑誌"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"80歳男性。呼吸困難感を主訴に当院へ救急搬送となった。搬送時、心電図ではII、III、aVFでST上昇、V2-6でST低下を認めた。TTE(経胸壁心エコー)より下壁のAMI(急性心筋梗塞)による心原性ショック、心不全と判断し、緊急冠動脈造影を行ったところ、右冠動脈に100%狭窄がみられた。治療として経皮的冠動脈形成術を施行したが、TIMI2の血流しか確保できず、循環補助目的で大動脈バルーンパンピングを留置し、Swan-Ganzカテーテル、中心静脈カテーテルを挿入してICU入院となった。その後も心不全症状が重篤で、経食道心エコーにて後乳頭筋断裂による重症僧帽弁閉鎖不全症と確定診断され、僧帽弁形成術と右冠動脈へのバイパス術を施行した。術後、血行動態は安定したが、意識障害は遷延し、CPAによる低酸素脳症と考えられ、長期療養目的に転院となった。","subitem_description_type":"Abstract"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0913-4417","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"狩野, 匡裕"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"宍戸, 秀行"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"佐藤, 夏代"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"岩田, 詠子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"大木, 健一"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"近藤, えり子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"片山, 晴美"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"佐藤, 賢哉"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"野澤, 幸永"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"西宮, 孝敏"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小幡, 雅彦"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2022-05-27"}],"displaytype":"simple","filename":"asahikawa2017-15症例2.pdf","filesize":[{"value":"1.9 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"asahikawa201716","url":"https://redcross.repo.nii.ac.jp/record/18182/files/asahikawa2017-15症例2.pdf"},"version_id":"0448e20d-e565-4bee-9e5b-bc4e263aae08"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"胸部X線診断","subitem_subject_scheme":"Other"},{"subitem_subject":"*心臓破裂-心筋梗塞後(病因,超音波診断,外科的療法)","subitem_subject_scheme":"Other"},{"subitem_subject":"鑑別診断","subitem_subject_scheme":"Other"},{"subitem_subject":"心電図","subitem_subject_scheme":"Other"},{"subitem_subject":"*僧帽弁閉鎖不全症(病因,超音波診断,外科的療法)","subitem_subject_scheme":"Other"},{"subitem_subject":"冠状動脈バイパス術","subitem_subject_scheme":"Other"},{"subitem_subject":"冠血管造影","subitem_subject_scheme":"Other"},{"subitem_subject":"*経食道心エコー図","subitem_subject_scheme":"Other"},{"subitem_subject":"僧帽弁形成術","subitem_subject_scheme":"Other"},{"subitem_subject":"*心筋梗塞-下壁(合併症,診断,治療)","subitem_subject_scheme":"Other"},{"subitem_subject":"*乳頭筋断裂(病因,超音波診断,外科的療法)","subitem_subject_scheme":"Other"},{"subitem_subject":"ヒト","subitem_subject_scheme":"Other"},{"subitem_subject":"高齢者(80〜)","subitem_subject_scheme":"Other"},{"subitem_subject":"男","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":"急性下壁心筋梗塞後に経食道心エコー法で診断し得た後乳頭筋断裂による重症僧帽弁閉鎖不全症の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"急性下壁心筋梗塞後に経食道心エコー法で診断し得た後乳頭筋断裂による重症僧帽弁閉鎖不全症の1例"}]},"item_type_id":"10001","owner":"49","path":["567"],"pubdate":{"attribute_name":"公開日","attribute_value":"2022-05-27"},"publish_date":"2022-05-27","publish_status":"0","recid":"18182","relation_version_is_last":true,"title":["急性下壁心筋梗塞後に経食道心エコー法で診断し得た後乳頭筋断裂による重症僧帽弁閉鎖不全症の1例"],"weko_creator_id":"49","weko_shared_id":-1},"updated":"2023-06-20T17:45:47.811202+00:00"}