{"created":"2023-05-15T09:07:52.787456+00:00","id":15303,"links":{},"metadata":{"_buckets":{"deposit":"cb4e6874-b5e2-466f-8d08-b6de407105af"},"_deposit":{"created_by":15,"id":"15303","owners":[15],"pid":{"revision_id":0,"type":"depid","value":"15303"},"status":"published"},"_oai":{"id":"oai:sapmed.repo.nii.ac.jp:00015303","sets":["1658:1659:1752"]},"author_link":["28236","28237","28238","28239","28240","28241","28242","28243","28244","28227","28228","28229","28230","28231","28232","28233","28234","28235"],"item_7_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1979-08-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"4","bibliographicPageEnd":"414","bibliographicPageStart":"408","bibliographicVolumeNumber":"48","bibliographic_titles":[{"bibliographic_title":"札幌医学雑誌 = The Sapporo medical journal"},{"bibliographic_title":"The Sapporo medical journal","bibliographic_titleLang":"en"}]}]},"item_7_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"This report is concerned with an analysis of our experience with 17 patients with atypical coarctation of the aorta. The majority of the patients were young female with clinical signs of severe hypertension in the upper half body. The coarctated segments were located in the ascending aorta and aortic arch in 2 patients, the middle or distal portion of the descending thoracic aorta in 4, the thoraco-abdominal aorta in 10 and the abdominal aorta in 1. A half of the patients had an associated cardiovascular anomaly. Surgical techniques used for atypical coarctation of the aorta varied with location, nature and extent of the lesion and with the associated anomalies, namely long thoraco-abdominal bypass graft in 8 patients, patch graft in 4, thormboendarterectomy in 1, removal of the constricting band in 1 and miscellaneous for the associated anomaly in 3. One patient died of low output syndrome following aortic valve replacement. Sixteen patients, who survived the operation were followed-up from 3 months to 14 years with an average of 5 years. During the follow-up periods, two patients died three and a half years and four years and two months respectively. One patient was lost to followup. Eleven of fourteen patients （79%）, who had the reconstructive surgery for atypical coarctation, had decreased blood pressure in the upper half body and increased blood pressure in the lower half body. Two patients with associated renal stenosis had persistent hypertension following the operation and another two patients had recurrent hypertension. Left ventricular strain by electrocardiogram and cardiothoracic ratio by chest K-ray were improved by normalization of the blood pressure in the late postoperative period. Our experience indicates that atypical coarctation of diffuse type can be treated satisfactorily by long bypass and of localized type by patch graft. If there were associated renal stenosis or aortic insufficiency, renal revascularization or aortic valve replacement is also necessary to normalize the blood pressure and to decrease the left ventricular strain.","subitem_description_type":"Abstract"}]},"item_7_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"28236","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Teruhisa, Kazui"}]},{"nameIdentifiers":[{"nameIdentifier":"28237","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Osamu, Yamada"}]},{"nameIdentifiers":[{"nameIdentifier":"28238","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Katsushi, Asano"}]},{"nameIdentifiers":[{"nameIdentifier":"28239","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Makoto, Yamagishi"}]},{"nameIdentifiers":[{"nameIdentifier":"28240","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Fumiyuki, Okamoto"}]},{"nameIdentifiers":[{"nameIdentifier":"28241","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Takemi, Ohno"}]},{"nameIdentifiers":[{"nameIdentifier":"28242","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Nobuharu, Horie"}]},{"nameIdentifiers":[{"nameIdentifier":"28243","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Kenji, Sugiki"}]},{"nameIdentifiers":[{"nameIdentifier":"28244","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Nobuyuki, Tanaka"}]}]},"item_7_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.15114/smj.48.408","subitem_identifier_reg_type":"JaLC"}]},"item_7_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"札幌医科大学医学部"}]},"item_7_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0036-472X","subitem_source_identifier_type":"ISSN"}]},"item_7_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_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"数井, 暉久"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"山田, 修"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"浅野, 勝士"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"山岸, 真理"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"岡本, 史之"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"大野, 猛三"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"堀江, 信治"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"杉木, 健司"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"田中, 信行"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-08-23"}],"displaytype":"detail","filename":"n0036472X484408.pdf","filesize":[{"value":"3.1 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"n0036472X484408.pdf","url":"https://sapmed.repo.nii.ac.jp/record/15303/files/n0036472X484408.pdf"},"version_id":"09828e84-34f2-4c25-8620-26e73834561b"}]},"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":"異型大動脈縮窄症の外科治療とその問題点","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"異型大動脈縮窄症の外科治療とその問題点","subitem_title_language":"ja"},{"subitem_title":"Surgical Treatment of Atypical Coarctation of the Aorta and its Problems","subitem_title_language":"en"}]},"item_type_id":"7","owner":"15","path":["1752"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2019-08-23"},"publish_date":"2019-08-23","publish_status":"0","recid":"15303","relation_version_is_last":true,"title":["異型大動脈縮窄症の外科治療とその問題点"],"weko_creator_id":"15","weko_shared_id":-1},"updated":"2023-12-13T02:31:30.100267+00:00"}