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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. 79(1)

Accessory left gastric artery aneurysms in granulomatosis with polyangiitis : a case report and literature review

https://doi.org/10.18999/nagjms.79.1.75
https://doi.org/10.18999/nagjms.79.1.75
95b7cbc1-66d0-4c5d-89e5-fa1ec19eab2c
名前 / ファイル ライセンス アクション
32_Tomosugi.pdf 32_Tomosugi.pdf (5.4 MB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2017-02-23
タイトル
タイトル Accessory left gastric artery aneurysms in granulomatosis with polyangiitis : a case report and literature review
著者 Tomosugi, Toshihide

× Tomosugi, Toshihide

WEKO 69508

Tomosugi, Toshihide

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Takahashi, Takuji

× Takahashi, Takuji

WEKO 69509

Takahashi, Takuji

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Kawase, Yoshihisa

× Kawase, Yoshihisa

WEKO 69510

Kawase, Yoshihisa

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Yoshida, Koichi

× Yoshida, Koichi

WEKO 69511

Yoshida, Koichi

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Hayashi, Shogo

× Hayashi, Shogo

WEKO 69512

Hayashi, Shogo

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Sugiyama, Takefumi

× Sugiyama, Takefumi

WEKO 69513

Sugiyama, Takefumi

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Shimizu, Mitsuya

× Shimizu, Mitsuya

WEKO 69514

Shimizu, Mitsuya

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Shoka, Michita

× Shoka, Michita

WEKO 69515

Shoka, Michita

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Sawaki, Kohichi

× Sawaki, Kohichi

WEKO 69516

Sawaki, Kohichi

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Onishi, Eiji

× Onishi, Eiji

WEKO 69517

Onishi, Eiji

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Hayashi, Naomi

× Hayashi, Naomi

WEKO 69518

Hayashi, Naomi

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Matsushita, Hidenobu

× Matsushita, Hidenobu

WEKO 69519

Matsushita, Hidenobu

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Okochi, Osamu

× Okochi, Osamu

WEKO 69520

Okochi, Osamu

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キーワード
主題Scheme Other
主題 granulomatosis with polyangiitis
キーワード
主題Scheme Other
主題 aneurysm
キーワード
主題Scheme Other
主題 accessory left gastric artery
抄録
内容記述 Aneurysm formation is a potential complication of granulomatosis with polyangiitis (GPA), previously known as Wegener’s granulomatosis. It is a very rare complication, but immediate diagnosis and therapy should be performed because an aneurysm can be life-threatening if it ruptures. An accessory left gastric artery (ALGA) is also a rare variant gastric artery that may obtain its blood supply from the left hepatic artery and left gastric artery. We herein describe a 57-year-old Japanese man who was diagnosed with GPA complicated by aneurysm rupture in an ALGA. Emergency surgery was performed after failure of arterial coil embolization to interrupt blood flow in the ALGA. The patient underwent partial resection of the lesser omentum, which contained all aneurysms. During partial resection of the lesser omentum, both the left gastric artery and ALGA were ligated because they were thought to be feeders of the aneurysms. Postoperative recovery was uneventful; no bleeding or recurrence of the aneurysms occurred. Immediate diagnosis and therapy should be performed for patients with GPA with symptoms of vascular ischemia or aortitis. Endovascular intervention is the first-choice therapy especially for hemodynamically stable patients with ruptured aneurysms or aneurysms located on variant arteries, which may have multiple blood supplies. In the present case, although endovascular treatment failed, the approach described herein was helpful during open surgery.
内容記述タイプ Abstract
出版者
出版者 Nagoya University Graduate School of Medicine, 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.79.1.75
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 79, 号 1, p. 75-83, 発行日 2017-02
著者版フラグ
値 publisher
URI
識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/791.html
識別子タイプ URI
URI
識別子 http://hdl.handle.net/2237/25624
識別子タイプ HDL
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