{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1390282679685454720.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.4326/jjcvs.40.144"}},{"identifier":{"@type":"NAID","@value":"130004548325"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2011231416"}}],"resourceType":"学術雑誌論文(journal article)","dc:title":[{"@language":"en","@value":"Surgical Treatment for Kommerell Diverticulm"},{"@language":"ja","@value":"Ｋｏｍｍｅｒｅｌｌ憩室に対する外科治療経験"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"We report 3 surgical cases of aortic graft replacement with reconstruction of an aberrant subclavian artery (ASA) for Kommerell diverticulum (KD) and ASA. Cases 1 and 2 both had a right aortic arch, KD and a left ASA. In these 2 cases, we performed distal aortic arch replacement and <i>in-situ </i>reconstruction of the left ASA via a right thoracotomy. Case 3 had an aortic arch aneurysm, KD and a right ASA. In this patient, we chose median sternotomy and total aortic arch replacement, using 2 pieces of artificial grafts with 1 and 4 branches, respectively. The right ASA was reconstructed by end-to-side anastomosis between the right axillary artery and the side branch of the graft with 1 branch. In all 3 cases, cardiopulmonary bypass and deep hypothermia with a rectal temperature under 18°C were used in aortic graft replacement. In addition to deep hypothermia, either antegrade or retrograde cerebral perfusion was introduced, depending on the surgical situation, to provide additional brain protection. Selective ASA perfusion was performed in all patients during aortic graft replacement. In Case 1, aortic anastomosis was achieved while clamping, and cerebral perfusion was maintained via a cannula for aortic return at the ascending aorta. In Cases 2 and 3, aortic anastomosis was performed under deep hypothermic circulatory arrest, using retrograde and antegrade cerebral perfusion respectively in Cases 2 and 3. The postoperative course was uneventful in all 3 patients."},{"@language":"ja","@value":"Kommerell憩室（KD）と鎖骨下動脈起始異常（ASA）に対してKD切除とASA再建を3例に行った．2例は，右側大動脈弓のKDに対して，右第4肋間後側方開胸で遠位弓部から下行大動脈まで人工血管置換を行い，KD切除後，食道背側を走行する左ASAに人工血管側枝を端端吻合する解剖学的再建を行った．残る1例は，左側大動脈弓のKDに弓部大動脈瘤を合併した症例で，胸骨正中切開施行後，全弓部大動脈人工血管置換と右ASAに対して右腋窩動脈に人工血管側枝を端側吻合する非解剖学的再建を行った．全症例において，体外循環使用，直腸温18度の深低体温下に大動脈吻合を行った．全例合併症なく，軽快退院となった．"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1030285133777280000","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"10411373"},{"@type":"NRID","@value":"1000010411373"},{"@type":"NRID","@value":"9000312723814"},{"@type":"NRID","@value":"9000258234605"},{"@type":"NRID","@value":"9000405872015"},{"@type":"NRID","@value":"9000257997693"},{"@type":"NRID","@value":"9000257997708"}],"foaf:name":[{"@language":"en","@value":"Mieno Shigetoshi"},{"@language":"ja","@value":"三重野 繁敏"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Thoracic and Cardiovascular Surgery, Osaka Medical College Hospital"},{"@language":"ja","@value":"大阪医科大学附属病院心臓血管外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1420001326218046720","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"20277156"},{"@type":"NRID","@value":"1000020277156"},{"@type":"NRID","@value":"9000003949909"},{"@type":"NRID","@value":"9000004133056"},{"@type":"NRID","@value":"9000286627492"},{"@type":"NRID","@value":"9000258234606"},{"@type":"NRID","@value":"9000003908696"},{"@type":"NRID","@value":"9000253217261"},{"@type":"NRID","@value":"9000243904828"},{"@type":"NRID","@value":"9000258234973"},{"@type":"NRID","@value":"9000016269384"},{"@type":"NRID","@value":"9000242095629"},{"@type":"NRID","@value":"9000253457220"},{"@type":"NRID","@value":"9000257997679"},{"@type":"NRID","@value":"9000021745538"},{"@type":"NRID","@value":"9000253215187"},{"@type":"NRID","@value":"9000258234191"},{"@type":"NRID","@value":"9000256877558"},{"@type":"NRID","@value":"9000253457894"}],"foaf:name":[{"@language":"en","@value":"Ozawa Hideki"},{"@language":"ja","@value":"小澤 英樹"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Thoracic and Cardiovascular Surgery, Osaka Medical College Hospital"},{"@language":"ja","@value":"大阪医科大学附属病院心臓血管外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410853647363323779","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000258234607"}],"foaf:name":[{"@language":"en","@value":"Daimon Masahiro"},{"@language":"ja","@value":"大門 雅広"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Thoracic and Cardiovascular Surgery, Osaka Medical College Hospital"},{"@language":"ja","@value":"大阪医科大学附属病院心臓血管外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410853647363323777","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000258234608"}],"foaf:name":[{"@language":"en","@value":"Sasaki Tomoyasu"},{"@language":"ja","@value":"佐々木 智康"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Thoracic and Cardiovascular Surgery, Osaka Medical College Hospital"},{"@language":"ja","@value":"大阪医科大学附属病院心臓血管外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410853647363323781","@type":"Researcher","foaf:name":[{"@language":"en","@value":"Woo Eiki"},{"@language":"ja","@value":"禹 英喜"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Thoracic and Cardiovascular Surgery, Osaka Medical College Hospital"},{"@language":"ja","@value":"大阪医科大学附属病院心臓血管外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410853647363323780","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000258234610"}],"foaf:name":[{"@language":"en","@value":"Katsumata Takahiro"},{"@language":"ja","@value":"勝間田 敬弘"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Thoracic and Cardiovascular Surgery, Osaka Medical College Hospital"},{"@language":"ja","@value":"大阪医科大学附属病院心臓血管外科"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"02851474"},{"@type":"EISSN","@value":"18834108"}],"prism:publicationName":[{"@language":"en","@value":"Japanese Journal of Cardiovascular Surgery"},{"@language":"ja","@value":"日本心臓血管外科学会雑誌"},{"@language":"en","@value":"Nihon Shinzo Kekkan Geka Gakkai zasshi"},{"@language":"en","@value":"Japanese Journal of Cardiovascular Surgery Official Publication of the Japanese Society for Cardiovascular Surgery"},{"@language":"en","@value":"J. J. C. V. S."},{"@language":"ja","@value":"日心外会誌"},{"@language":"en","@value":"J.J.C.V.S"}],"dc:publisher":[{"@language":"en","@value":"The Japanese Society for Cardiovascular Surgery"},{"@language":"ja","@value":"特定非営利活動法人 日本心臓血管外科学会"}],"prism:publicationDate":"2011","prism:volume":"40","prism:number":"3","prism:startingPage":"144","prism:endingPage":"149"},"reviewed":"false","url":[{"@id":"https://search.jamas.or.jp/link/ui/2011231416"}],"availableAt":"2011","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=aortic%20surgery","dc:title":"aortic surgery"},{"@id":"https://cir.nii.ac.jp/all?q=Kommerell%20diverticulum","dc:title":"Kommerell diverticulum"},{"@id":"https://cir.nii.ac.jp/all?q=aberrant%20subclavian%20artery","dc:title":"aberrant subclavian artery"},{"@id":"https://cir.nii.ac.jp/all?q=Kommerell%E6%86%A9%E5%AE%A4","dc:title":"Kommerell憩室"},{"@id":"https://cir.nii.ac.jp/all?q=%E9%8E%96%E9%AA%A8%E4%B8%8B%E5%8B%95%E8%84%88%E8%B5%B7%E5%A7%8B%E7%95%B0%E5%B8%B8","dc:title":"鎖骨下動脈起始異常"},{"@id":"https://cir.nii.ac.jp/all?q=%E5%8F%B3%E5%81%B4%E5%A4%A7%E5%8B%95%E8%84%88%E5%BC%93","dc:title":"右側大動脈弓"},{"@id":"https://cir.nii.ac.jp/all?q=%E8%83%B8%E9%83%A8%E4%B8%8B%E8%A1%8C%E5%A4%A7%E5%8B%95%E8%84%88%E4%BA%BA%E5%B7%A5%E8%A1%80%E7%AE%A1%E7%BD%AE%E6%8F%9B","dc:title":"胸部下行大動脈人工血管置換"}],"project":[{"@id":"https://cir.nii.ac.jp/crid/1040000782098340096","@type":"Project","projectIdentifier":[{"@type":"KAKEN","@value":"21791337"},{"@type":"JGN","@value":"JP21791337"},{"@type":"URI","@value":"https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-21791337/"}],"notation":[{"@language":"ja","@value":"大動脈術後の脳障害関連遺伝子スクリーニングと指標となる脳障害血清タンパクの検索"},{"@language":"en","@value":"Gene expression profiles associated with neurocognitive decline after aortic surgery under deep hypothermic circulatory arrest."}]}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1360574094274107776","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Surgical treatment of an aneurysm in the right aortic arch with aberrant left subclavian artery"}]},{"@id":"https://cir.nii.ac.jp/crid/1360855569468672384","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Kommerell's diverticulum and right-sided aortic arch: a cohort study and review of the literature"}]},{"@id":"https://cir.nii.ac.jp/crid/1362825893773939200","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Minimizing Cerebral Embolism in Resection of Distal Aortic Arch Aneurysm Through a Left Thoracotomy"}]},{"@id":"https://cir.nii.ac.jp/crid/1363107368491546880","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Surgical treatment for Kommerell’s diverticulum"}]},{"@id":"https://cir.nii.ac.jp/crid/1363951793934326656","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Aberrant subclavian artery and Kommerell aneurysm: Surgical treatment with a standard approach"}]},{"@id":"https://cir.nii.ac.jp/crid/1390001205275478912","@type":"Article","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Endovascular Repair for Kommerell’s Diverticulum and Right-Sided Aortic Arch"}]},{"@id":"https://cir.nii.ac.jp/crid/1390282679681396224","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Aortic Arch Replacement for Thoracic Aortic Aneurysm Combined with Aberrant Right Subclavian Artery: Two Case Reports"},{"@value":"右鎖骨下動脈起始異常を伴った胸部大動脈瘤に対する弓部大動脈全置換術の経験"}]},{"@id":"https://cir.nii.ac.jp/crid/1390282681298047616","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"The retroesophageal right subclavian artery – A case report and review –"}]},{"@id":"https://cir.nii.ac.jp/crid/1390282763118213504","@type":"Article","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"A Case Report after Two Years of Total Debranching and Endovascular Repair for Kommerell Diverticulum"},{"@language":"ja","@value":"Kommerell 憩室に対して全弓部分枝バイパス下ステントグラフト内挿術を施行し術後2年が経過した1症例"}]}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:0037017943"},{"@type":"CROSSREF","@value":"10.4326/jjcvs.40.144"},{"@type":"CIA","@value":"130004548325"},{"@type":"KAKEN","@value":"PRODUCT-13121337"},{"@type":"CROSSREF","@value":"10.4326/jjcvs.48.202_references_DOI_DDcHlT2DC0ZyzoLPYCXpi1v0BIc"},{"@type":"CROSSREF","@value":"10.3400/avd.cr.16-00045_references_DOI_DDcHlT2DC0ZyzoLPYCXpi1v0BIc"},{"@type":"CROSSREF","@value":"10.2535/ofaj.94.75_references_DOI_DDcHlT2DC0ZyzoLPYCXpi1v0BIc"}]}