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  1. C100 医学部/医学系研究科
  2. C100a 雑誌掲載論文
  3. 学術雑誌

The changes of aortic diameter after aortic repair with aortic tailoring technique for chronic type B aortic dissection

http://hdl.handle.net/2237/26501
http://hdl.handle.net/2237/26501
35b9c49c-17ce-4ca1-b505-65cc894f2e48
名前 / ファイル ライセンス アクション
Fig4.pdf Fig4.pdf ファイル公開:2017/12/01 (15.7 kB)
Fig3.pdf Fig3.pdf ファイル公開:2017/12/01 (1.4 MB)
Fig2.pdf Fig2.pdf ファイル公開:2017/12/01 (1.1 MB)
Fig1.pdf Fig1.pdf ファイル公開:2017/12/01 (697.1 kB)
Figure_legends.pdf Figure_legends.pdf ファイル公開:2017/12/01 (15.1 kB)
The_changes_of_aortic_diameter.pdf The_changes_of_aortic_diameter.pdf ファイル公開:2017/12/01 (97.9 kB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2017-05-24
タイトル
タイトル The changes of aortic diameter after aortic repair with aortic tailoring technique for chronic type B aortic dissection
言語 en
著者 Suenaga, Hiroto

× Suenaga, Hiroto

WEKO 71888

en Suenaga, Hiroto

Search repository
Usui, Akihiko

× Usui, Akihiko

WEKO 71889

en Usui, Akihiko

Search repository
Mutsuga, Masato

× Mutsuga, Masato

WEKO 71890

en Mutsuga, Masato

Search repository
Oshima, Hideki

× Oshima, Hideki

WEKO 71891

en Oshima, Hideki

Search repository
Abe, Tomonobu

× Abe, Tomonobu

WEKO 71892

en Abe, Tomonobu

Search repository
Narita, Yuji

× Narita, Yuji

WEKO 71893

en Narita, Yuji

Search repository
Fujimoto, Kazuro

× Fujimoto, Kazuro

WEKO 71894

en Fujimoto, Kazuro

Search repository
Tokuda, Yoshiyuki

× Tokuda, Yoshiyuki

WEKO 71895

en Tokuda, Yoshiyuki

Search repository
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
権利
言語 en
権利情報 This is a pre-copyedited, author-produced version of an article accepted for publication in [European Journal of Cardio-Thoracic Surgery] following peer review. The version of record [European Journal of Cardio-Thoracic Surgery. v.50, n.6, 2016, p.1118-1123 ] is available online at: https://doi.org/10.1093/ejcts/ezw240
キーワード
主題Scheme Other
主題 Aortic tailoring
キーワード
主題Scheme Other
主題 Chronic type B aortic dissection
キーワード
主題Scheme Other
主題 Paraplegia
抄録
内容記述 OBJECTIVES: Aortic repair with aortic tailoring of the false lumen can preserve the true lumen and intercostal arteries naturally. It is a useful surgical strategy to prevent paraplegia. However, aortic remodelling of tailored segments in a late phase after surgery is another concern. This study investigates the destiny of aortic remodelling of tailored aorta. METHODS: From June 2004 to April 2013, 21 consecutive patients underwent aortic tailoring operation for chronic type B aortic dissecting aneurysm. The mean age at operation was 60 ± 10 years (range, 43–77). The tailored aortic segments were followed by serial CT scanning with the mean follow-up period of 46 ± 32 months (range, 2–103). RESULTS: There were no operative deaths but paraplegia in 1, stroke in 1 and reversible renal failure in 2 patients. There were two late deaths: one due to pneumonia and the other due to aneurysmal rupture of the abdominal aorta. Eighteen patients revealed a completely thrombosed false lumen and no expansion of the tailored aorta, with it remaining less than 40 mm in diameter during follow-up. However, 3 cases were associated with a patent false lumen and 2 cases revealed aortic events. The aortic event-free rate at 5 years was 95 ± 5.1% in all patients and 66 ± 27% in patients in the patent false lumen group. CONCLUSIONS: Aortic tailoring is a useful surgical technique for chronic type B aortic dissection. Paraplegia and ischaemia of other visceral organs could less likely occur. Patients with a completely thrombosed false lumen revealed no aortic events; however, a patent false lumen was associated with a high risk of aortic events.
言語 en
内容記述タイプ Abstract
出版者
言語 en
出版者 Oxford University Press
言語
言語 eng
資源タイプ
資源タイプresource http://purl.org/coar/resource_type/c_6501
タイプ journal article
出版タイプ
出版タイプ AM
出版タイプResource http://purl.org/coar/version/c_ab4af688f83e57aa
DOI
関連タイプ isVersionOf
識別子タイプ DOI
関連識別子 https://doi.org/10.1093/ejcts/ezw240
ISSN
収録物識別子タイプ PISSN
収録物識別子 1010-7940
書誌情報 en : European Journal of Cardio-Thoracic Surgery

巻 50, 号 6, p. 1118-1123, 発行日 2016-12
著者版フラグ
値 author
URI
識別子 https://doi.org/10.1093/ejcts/ezw240
識別子タイプ DOI
URI
識別子 http://hdl.handle.net/2237/26501
識別子タイプ HDL
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