{"created":"2023-06-20T15:50:37.524561+00:00","id":3479,"links":{},"metadata":{"_buckets":{"deposit":"18f11401-bcd0-428d-8d8d-e78a4f3a18af"},"_deposit":{"created_by":18,"id":"3479","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"3479"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00003479","sets":["99:64:181"]},"author_link":["348","345","346","347","190"],"item_5_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2013-03-25","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"39","bibliographicPageStart":"36","bibliographicVolumeNumber":"18","bibliographic_titles":[{"bibliographic_title":"徳島赤十字病院医学雑誌"},{"bibliographic_title":"Tokushima Red Cross Hospital Medical Journal","bibliographic_titleLang":"en"}]}]},"item_5_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"41年前に移植されたDelrin 製Bj\u0002rk-Shiley 弁の円盤破損による人工弁機能不全に対し，再弁置換術を要した1例を経験したので報告する．症例は74歳，女性．リウマチ性僧帽弁狭窄症に対して1971年（33歳時）にBj\u0002rk-Shiley 弁を用いた僧帽弁置換術が施行された．1982年に大動脈弁狭窄症の出現に対し，大動脈弁置換術（Omniscience 弁，21mm）が施行されが，大動脈弁位人工弁機能不全が出現したため，1994年に再大動脈弁置換術（Edwards-Tekna 弁，21mm）が施行された．以後良好に経過していたが，呼吸困難増悪および貧血の進行を認めたため，2012年7月に心不全の診断で入院となった．入院後，心エコー検査にて僧帽弁位人工弁機能不全による僧帽弁閉鎖不全症（以下MR）を指摘され，心不全の原因と考えた．心不全のコントロール後に，手術を施行した．4度目の開心術であり，心嚢内は強固に癒着していた．Bj\u0002rk-Shiley 弁はDelrin 製円盤の一部が欠損しており，長期使用に伴う弁の摩耗・破損がMR の原因と考えた．術後経過は良好であり，術後22日目に軽快し転院した．Delrin製円盤弁は現行のpyrolyte carbon製とは異なり，耐久性に問題があり，同様の症例の報告が散見される．厳重な経過観察が必要で，予防的な再弁置換も考慮すべきと考える．","subitem_description_type":"Abstract"}]},"item_5_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifierScheme":"WEKO"},{"nameIdentifierScheme":"CiNii ID","nameIdentifierURI":"http://ci.nii.ac.jp/nrid/9000005853897"}],"names":[{"name":"MOTOKI, Tatsuo"}]}]},"item_5_heading_23":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"症例","subitem_heading_language":"ja"}]},"item_5_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"徳島赤十字病院"}]},"item_5_relation_17":{"attribute_name":"関連サイト","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"徳島赤十字病院"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"http://www.tokushima-med.jrc.or.jp/hospital/medical/2013pdf/008.pdf","subitem_relation_type_select":"URI"}}]},"item_5_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1346-9878","subitem_source_identifier_type":"ISSN"}]},"item_5_version_type_20":{"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":"元木, 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dysfunction","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":"technical report"}]},"item_title":"僧帽弁位Delrin製Bjork-Shiley弁の円盤破損による人工弁機能不全に対する再弁置換術の１例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"僧帽弁位Delrin製Bjork-Shiley弁の円盤破損による人工弁機能不全に対する再弁置換術の１例"},{"subitem_title":"Prosthetic Valve Dysfunction Resulting from a Bjo\u0002rk-Shiley Delrin Disc Fracture in the Mitral Position : A Case Report","subitem_title_language":"en"}]},"item_type_id":"5","owner":"18","path":["181"],"pubdate":{"attribute_name":"公開日","attribute_value":"2013-05-11"},"publish_date":"2013-05-11","publish_status":"0","recid":"3479","relation_version_is_last":true,"title":["僧帽弁位Delrin製Bjork-Shiley弁の円盤破損による人工弁機能不全に対する再弁置換術の１例"],"weko_creator_id":"18","weko_shared_id":18},"updated":"2023-06-20T22:05:07.052737+00:00"}