{"created":"2023-06-20T17:01:07.440802+00:00","id":20751,"links":{},"metadata":{"_buckets":{"deposit":"916cea3e-2e6a-4f4e-a881-7fc14473cba1"},"_deposit":{"created_by":3,"id":"20751","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"20751"},"status":"published"},"_oai":{"id":"oai:twinkle.repo.nii.ac.jp:00020751","sets":["140:1307:1308:2029:2039"]},"author_link":["294082","294091","294088","294087","294089","294090","294083","294084","294085","294086"],"item_10001_alternative_title_1":{"attribute_name":"別タイトル","attribute_value_mlt":[{"subitem_alternative_title":"Bentall術後の大動脈基部再置換術症例の検討と術式の工夫"}]},"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2008-12","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"12","bibliographicPageEnd":"518","bibliographicPageStart":"513","bibliographicVolumeNumber":"78","bibliographic_titles":[{"bibliographic_title":"東京女子医科大学雑誌"}]}]},"item_10001_creator_2":{"attribute_name":"著者名","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"MORIMOTO, Hironobu"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"AOMI, Shigeyuki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SAITO, Satoshi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"TOMIOKA, Hideyuki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"KUROSAWA, Hiromi"}],"nameIdentifiers":[{}]}]},"item_10001_date_25":{"attribute_name":"受付日付","attribute_value_mlt":[{"subitem_date_issued_datetime":"2010-08-10","subitem_date_issued_type":"Created"}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"大動脈基部再置換術は手技的にも複雑であり困難である.今回我々は弁付き人工血管置換術後における大動脈基部再置換術の手術成績と手技的工夫について検討した.対象は1997年1月～2007年7月までに当院で施行した大動脈基部再置換術10例である.平均年齢は38.7±15.5歳で7例が男性であった.初回手術で使用した人工弁は全て機械弁であった.初回手術時の冠動脈再建法は,Inclusion法が7例(70.0%),Graft Interposition法が2例(20.0%),Button法が1例(10.0%)であった.再手術の原因は仮性動脈瘤形成が8例(80.0%),人工弁感染が2例(20.0%)であった.また初回手術時に使用した機械弁を再手術時に5例温存可能であった.再手術の成績については,手術死亡を認めなかった.平均観察期間は28.4(6～77)ヵ月で,遠隔期死亡を2例に認め,原因は敗血症と胸腹部大動脈瘤破裂であった.観察期間中に血栓塞栓症,再手術,冠動脈イベント,冠動脈吻合部瘤は認めなかった.再手術後の5年生存率は75.0±15.8%であった.大動脈基部再置換術の早期遠隔成績は満足のいくものであった.冠動脈吻合部瘤で再手術となったものに関しては初回手術時の人工弁を温存することが可能であった.また,大動脈基部再置換術に関して,Button法が施行できない場合,Separate Interposition法は選択肢の一つとなりえると考えられた.","subitem_description_type":"Abstract"},{"subitem_description":"Redo aortic root replacement is technically challenging. We review our redo aortic root surgical results following composite valve graft replacement. Between January 1997 and July 2007,10 patients (mean age 38.7 ± 15.5 years, 70.0% men) underwent redo aortic root replacement. The coronary reconstruction techniques in the previous operation were the inclusion technique in 7 (70.0%), graft interposition in 2 (20.0%), and the coronary button technique in one (10.0%). The indications for reoperation were pseudoaneurysm formation in 8 patients (80.0%) and prosthetic valve endocarditis in 2 (20.0%). We could preserve the previous mechanical valve in 5 patients. There were no operative deaths. The mean follow-up was 28.4 months. There were 2 late deaths, one due to sepsis and the other due to thoracoabdominal aortic aneurysm rupture. During follow-up period, there were no thromboembolic events, reoperations, coronary events, or coronary pseudoaneurysms. The actuarial survival rate at 5 years was 75.0 ± 15.8%. Redo aortic root replacement can be performed with good early and late results. In cases of redo aortic root replacement, we consider coronary reconstruction using the separately interposition technique to be feasible as one of many modifications when the button technique is not able to performed.","subitem_description_type":"Abstract"}]},"item_10001_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"294087","nameIdentifierScheme":"WEKO"}],"names":[{"name":"森元, 博信"}]},{"nameIdentifiers":[{"nameIdentifier":"294088","nameIdentifierScheme":"WEKO"}],"names":[{"name":"青見, 茂之"}]},{"nameIdentifiers":[{"nameIdentifier":"294089","nameIdentifierScheme":"WEKO"}],"names":[{"name":"斎藤, 聡"}]},{"nameIdentifiers":[{"nameIdentifier":"294090","nameIdentifierScheme":"WEKO"}],"names":[{"name":"富岡, 秀行"}]},{"nameIdentifiers":[{"nameIdentifier":"294091","nameIdentifierScheme":"WEKO"}],"names":[{"name":"黒澤, 博身"}]}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"東京女子医科大学学会"}]},"item_10001_source_id_11":{"attribute_name":"NCID","attribute_value_mlt":[{"subitem_source_identifier":"AN00161368","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0040-9022","subitem_source_identifier_type":"ISSN"}]},"item_10001_subject_47":{"attribute_name":"著者キーワード","attribute_value_mlt":[{"subitem_subject":"aortic root","subitem_subject_scheme":"Other"},{"subitem_subject":"reoperation","subitem_subject_scheme":"Other"},{"subitem_subject":"endocarditis","subitem_subject_scheme":"Other"}]},"item_10001_text_35":{"attribute_name":"著者所属","attribute_value_mlt":[{"subitem_text_value":"Department of Cardiovascular Surgery, Tokyo Women's Medical University"},{"subitem_text_value":"Department of Cardiovascular Surgery, Tokyo Women's Medical University"},{"subitem_text_value":"Department of Cardiovascular Surgery, Tokyo Women's Medical University"},{"subitem_text_value":"Department of Cardiovascular Surgery, Tokyo Women's Medical University"},{"subitem_text_value":"Department of Cardiovascular Surgery, Tokyo Women's Medical University"},{"subitem_text_value":"東京女子医科大学病院心臓病センター心臓血管外科"},{"subitem_text_value":"東京女子医科大学病院心臓病センター心臓血管外科"},{"subitem_text_value":"東京女子医科大学病院心臓病センター心臓血管外科"},{"subitem_text_value":"東京女子医科大学病院心臓病センター心臓血管外科"},{"subitem_text_value":"東京女子医科大学病院心臓病センター心臓血管外科"}]},"item_10001_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_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-08-22"}],"displaytype":"detail","filename":"KJ00006015082.pdf","filesize":[{"value":"621.3 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"KJ00006015082.pdf","url":"https://twinkle.repo.nii.ac.jp/record/20751/files/KJ00006015082.pdf"},"version_id":"96894aab-a61e-45a8-9314-a9c138fb70e8"}]},"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":"Redo Aortic Root Surgery : Clinical Validation of Prosthetic Valve Preservation and Coronary Graft Interposition Technique","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Redo Aortic Root Surgery : Clinical Validation of Prosthetic Valve Preservation and Coronary Graft Interposition Technique"}]},"item_type_id":"10001","owner":"3","path":["2039"],"pubdate":{"attribute_name":"公開日","attribute_value":"2010-08-10"},"publish_date":"2010-08-10","publish_status":"0","recid":"20751","relation_version_is_last":true,"title":["Redo Aortic Root Surgery : Clinical Validation of Prosthetic Valve Preservation and Coronary Graft Interposition Technique"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2023-06-20T21:03:23.883971+00:00"}