A Case of One-Stage Surgical Treatment for Chronic Mesenteric Ischemia Associated with Severe Aortic Valve Regurgitation and Stenosis
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- Kanamoto Ryo
- Department of Surgery, Kurume University School of Medicine
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- Shojima Takahiro
- Department of Surgery, Kurume University School of Medicine
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- Sakurai Kanako
- Department of Surgery, Kurume University School of Medicine
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- Amako Mau
- Department of Surgery, Kurume University School of Medicine
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- Otsuka Hiroyuki
- Department of Surgery, Kurume University School of Medicine
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- Tobinaga Satoru
- Department of Surgery, Kurume University School of Medicine
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- Onitsuka Seiji
- Department of Surgery, Kurume University School of Medicine
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- Hiromatsu Shinichi
- Department of Surgery, Kurume University School of Medicine
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- Akashi Hidetoshi
- Department of Surgery, Kurume University School of Medicine
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- Tanaka Hiroyuki
- Department of Surgery, Kurume University School of Medicine
Bibliographic Information
- Other Title
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- 重症大動脈弁閉鎖不全症兼狭窄症に合併した慢性腸間膜動脈閉塞症に対する一期的手術の1例
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Abstract
<p>We report a case of chronic mesenteric ischemia associated with severe aortic valve regurgitation and stenosis (ASR). The patient was a 76-year-old man who had been given a diagnosis of ASR in his 40s. He gradually developed heart failure and chronic kidney disorder due to deterioration of ASR. He had started hemodialysis 1 year before admission and had complained of abdominal pain after meals and weight loss during that period. He was admitted to the Department of Cardiology in our hospital for evaluation of ASR. Severe ASR with low output syndrome (C. I. 2.00 L/min/m2) were confirmed by cardiac catheter examination. In addition, abdominal angiography revealed total occlusion of the superior mesenteric artery (SMA) and severe stenosis of the celiac artery (CA). We considered that low cardiac output due to severe ASR had exacerbated the mesenteric ischemia. We performed AVR and abdominal aorta-SMA bypass at the same time to prevent acute mesenteric ischemia in the perioperative period. The combination of valvular disease and CMI is very rare. This is the first report in Japan of simultaneous valve replacement and mesenteric artery revascularization.</p>
Journal
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- Japanese Journal of Cardiovascular Surgery
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Japanese Journal of Cardiovascular Surgery 46 (6), 334-338, 2017
The Japanese Society for Cardiovascular Surgery
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Keywords
Details 詳細情報について
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- CRID
- 1390001204708460672
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- NII Article ID
- 130006230487
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- ISSN
- 18834108
- 02851474
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed