Spontaneous aortic dissection limited to sinus of Valsalva involving the left main coronary artery and overt acute coronary syndrome—A case report—
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- Andou Kaoru
- Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine
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- Miyamoto Takuya
- Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine
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- Kumagai You
- Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine
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- Hashimoto Naoaki
- Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine
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- Ishigaki Daisuke
- Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine
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- Yamaura Gensai
- Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine
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- Otaki Yoichiro
- Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine
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- Wanezaki Masahiro
- Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine
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- Funayama Akira
- Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine
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- Sasaki Shintaro
- Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine
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- Iwayama Tadateru
- Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine
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- Nishiyama Satoshi
- Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine
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- Arimoto Takanori
- Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine
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- Takahashi Hiroki
- Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine
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- Shishido Tetsuro
- Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine
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- Watanabe Tetsu
- Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine
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- Kubota Isao
- Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine
Bibliographic Information
- Other Title
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- Valsalva洞限局急性大動脈解離が左主幹部を巻き込み急性冠症候群を併発した1例
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Abstract
<p> 症例は57歳, 男性. 胸背部痛を主訴に当院へ搬送された. 来院時, 血圧60mmHg台の心原性ショックで肺水腫を呈していた. 心電図は左脚ブロック. 心エコーでは全周性の壁運動低下を認めた. 胸部CTと冠動脈造影の結果, 左冠尖に限局した大動脈解離による心原性ショックと診断し, 緊急手術を行った. 術中所見では左主幹部から2mm頭側のValsalva洞に限局した大動脈解離を認めた. Bentall手術を施行したが, ポンプ失調による多臓器不全にて第15病日に死亡した. Valsalva洞に限局した大動脈解離は非常に稀ではあるが, 致死的となる. 救命の鍵は的確な診断および迅速な外科的治療により心筋虚血時間をなるべく短くすることである. 手術までのbridgeとしての冠血流維持も重要であり, 文献的考察を含め報告する.</p>
Journal
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- Shinzo
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Shinzo 47 (SUPPL.1), S1_123-S1_126, 2015
Japan Heart Foundation
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Details 詳細情報について
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- CRID
- 1390001204050577536
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- NII Article ID
- 130005433972
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- ISSN
- 21863016
- 05864488
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed