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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 74(1-2)

REPAIR OF CAROTID BLOW-OUT USING A CAROTID SHEATH IN A PATIENT WITH RECURRENT THYROID CANCER

https://doi.org/10.18999/nagjms.74.1-2.193
https://doi.org/10.18999/nagjms.74.1-2.193
ebdbe9bc-7dda-4b5f-9880-323c87085410
名前 / ファイル ライセンス アクション
21_Oyama.pdf 21_Oyama.pdf (9.6 MB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2012-03-01
タイトル
タイトル REPAIR OF CAROTID BLOW-OUT USING A CAROTID SHEATH IN A PATIENT WITH RECURRENT THYROID CANCER
著者 OYAMA, HIROFUMI

× OYAMA, HIROFUMI

WEKO 43990

OYAMA, HIROFUMI

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KITO, AKIRA

× KITO, AKIRA

WEKO 43991

KITO, AKIRA

Search repository
MAKI, HIDEKI

× MAKI, HIDEKI

WEKO 43992

MAKI, HIDEKI

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HATTORI, KENICHI

× HATTORI, KENICHI

WEKO 43993

HATTORI, KENICHI

Search repository
NODA, TOMOYUKI

× NODA, TOMOYUKI

WEKO 43994

NODA, TOMOYUKI

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WADA, KENTARO

× WADA, KENTARO

WEKO 43995

WADA, KENTARO

Search repository
キーワード
主題Scheme Other
主題 Carotid blow-out
キーワード
主題Scheme Other
主題 Carotid sheath
キーワード
主題Scheme Other
主題 Fibrin glue
キーワード
主題Scheme Other
主題 Thyroid cancer
キーワード
主題Scheme Other
主題 Papillary carcinoma
抄録
内容記述 The patient had thyroid cancer and underwent subtotal thyroidectomy. Local recurrence occurred on both sides 5 years and 6 months later. The sterno-hyoid muscle and sterno-thyroid muscle were severed and the tumor around the cricoid cartilage was removed. The tumor extended into the space between the right common carotid artery and internal jugular vein and was located under the right common carotid artery and vagus nerve on the lateral side. The carotid sheath was peeled off of the carotid artery quite easily. The right common carotid artery ruptured abruptly at the distal side during this procedure. The right common carotid artery had two layers, which were very fragile, so the direct suture or repair with a graft was impossible. The carotid artery could not be trapped with ligation because the cerebral vascular supply was not examined preoperatively. This portion was repaired using the remaining carotid sheath. However, re-bleeding occurred at the proximal portion of the previous laceration spontaneously. Fibrin glue with oxidized cellulose was initially used to seal the second small hole in this lesion. The second ruptured section was repaired using the remaining sterno-thyroid and sterno-hyoid muscles. The proximal portion of the right common carotid artery was reinforced with the harvested external jugular vein. These procedures resulted in hemostasis. Three-dimensional CT angiography showed irregular stenosis just after the operation, but it recovered 11 days later. No cerebral infarction occurred after the operation and the patient’s general condition was good.
内容記述タイプ Abstract
出版者
出版者 Nagoya University School of Medicine
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
ID登録
ID登録 10.18999/nagjms.74.1-2.193
ID登録タイプ JaLC
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0027-7622
書誌情報 Nagoya Journal of Medical Science

巻 74, 号 1-2, p. 193-198, 発行日 2012-02
著者版フラグ
値 publisher
URI
識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/7412/7412.html
識別子タイプ URI
URI
識別子 http://hdl.handle.net/2237/16038
識別子タイプ HDL
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