大動脈解離術後遠隔期に人工血管高度屈曲による溶血性貧血をきたした1例
大動脈解離術後遠隔期に人工血管高度屈曲による溶血性貧血をきたした1例を報告する．症例62歳，女性．10年前に急性大動脈解離を発症し，弓部大動脈人工血管置換術を施行されている．数カ月前から労作時呼吸困難が出現，2カ月前に溶血性貧血を指摘された．数回輸血を行ったが効果は一時的で，諸検査から人工血管屈曲による溶血が疑われたため再手術適応となった．中等度以上の大動脈弁閉鎖不全と左鎖骨下動脈閉塞も合併していたため，手術は屈曲部の人工血管をトリミング，再縫合とともに，大動脈弁置換術と左鎖骨下動脈再建も併施した．術後経過良好で，溶血所見も消失した．...
Saved in:
| Published in | 日本心臓血管外科学会雑誌 Vol. 44; no. 5; pp. 275 - 278 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
特定非営利活動法人 日本心臓血管外科学会
2015
|
| Subjects | |
| Online Access | Get full text |
| ISSN | 0285-1474 1883-4108 |
| DOI | 10.4326/jjcvs.44.275 |
Cover
| Abstract | 大動脈解離術後遠隔期に人工血管高度屈曲による溶血性貧血をきたした1例を報告する．症例62歳，女性．10年前に急性大動脈解離を発症し，弓部大動脈人工血管置換術を施行されている．数カ月前から労作時呼吸困難が出現，2カ月前に溶血性貧血を指摘された．数回輸血を行ったが効果は一時的で，諸検査から人工血管屈曲による溶血が疑われたため再手術適応となった．中等度以上の大動脈弁閉鎖不全と左鎖骨下動脈閉塞も合併していたため，手術は屈曲部の人工血管をトリミング，再縫合とともに，大動脈弁置換術と左鎖骨下動脈再建も併施した．術後経過良好で，溶血所見も消失した． |
|---|---|
| AbstractList | 大動脈解離術後遠隔期に人工血管高度屈曲による溶血性貧血をきたした1例を報告する．症例62歳，女性．10年前に急性大動脈解離を発症し，弓部大動脈人工血管置換術を施行されている．数カ月前から労作時呼吸困難が出現，2カ月前に溶血性貧血を指摘された．数回輸血を行ったが効果は一時的で，諸検査から人工血管屈曲による溶血が疑われたため再手術適応となった．中等度以上の大動脈弁閉鎖不全と左鎖骨下動脈閉塞も合併していたため，手術は屈曲部の人工血管をトリミング，再縫合とともに，大動脈弁置換術と左鎖骨下動脈再建も併施した．術後経過良好で，溶血所見も消失した． |
| Author | 森下, 靖雄 上野, 正裕 山本, 啓介 井ノ上, 博法 |
| Author_xml | – sequence: 1 fullname: 井ノ上, 博法 organization: 天陽会中央病院心臓血管外科 – sequence: 1 fullname: 上野, 正裕 organization: 天陽会中央病院心臓血管外科 – sequence: 1 fullname: 山本, 啓介 organization: 天陽会中央病院心臓血管外科 – sequence: 1 fullname: 森下, 靖雄 organization: 天陽会中央病院心臓血管外科 |
| BookMark | eNo9kEtLw0AcxBepYK29-TVS97_Z3aQnkeILCl70HLZ5aEOtkhTBW1M8FFovPlCsoPWVQ0GwB4Uc-mXSxORbGB94mRn4MXOYeZRrHjRNhBYBl6hM-JJt60duidISUdgMyoOqyhIFrOZQHhOVSUAVOoeKrluvYUy4AhhoHhnRkx_1LpOTbuI_poOHZHgeTfqpd5_eXMS3d6E3mgZB9PGcDNufr8N0dB0FL9FbNx6MMxR2umGnFwfvGY3bfjL2sxB2zkLvNPSy7lWmMJ30FtCsJRquWfzzAtpZW92ubEjVrfXNykpVsglVsERMwIwbWGZlBmBRzigBuWwJwoyaKQRwRkxmcWGB4Cqv6cwwOBg6Z1aZMgvkAlr-3bXdltg1tUOnvi-cY004rbreMLWfizRKNfYt2U__RN8TjmYL-QsTKYao |
| ContentType | Journal Article |
| Copyright | 2015 特定非営利活動法人 日本心臓血管外科学会 |
| Copyright_xml | – notice: 2015 特定非営利活動法人 日本心臓血管外科学会 |
| DOI | 10.4326/jjcvs.44.275 |
| DatabaseTitleList | |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Medicine |
| EISSN | 1883-4108 |
| EndPage | 278 |
| ExternalDocumentID | article_jjcvs_44_5_44_275_article_char_ja |
| GroupedDBID | ALMA_UNASSIGNED_HOLDINGS JSF KQ8 OK1 RJT |
| ID | FETCH-LOGICAL-j2470-2e1056d0359511f46542139fa25dbeaa1652e5f6af1a686bc5dd61dc65f945f13 |
| ISSN | 0285-1474 |
| IngestDate | Wed Sep 03 06:30:08 EDT 2025 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 5 |
| Language | Japanese |
| LinkModel | OpenURL |
| MergedId | FETCHMERGED-LOGICAL-j2470-2e1056d0359511f46542139fa25dbeaa1652e5f6af1a686bc5dd61dc65f945f13 |
| OpenAccessLink | https://www.jstage.jst.go.jp/article/jjcvs/44/5/44_275/_article/-char/ja |
| PageCount | 4 |
| ParticipantIDs | jstage_primary_article_jjcvs_44_5_44_275_article_char_ja |
| PublicationCentury | 2000 |
| PublicationDate | 20150000 |
| PublicationDateYYYYMMDD | 2015-01-01 |
| PublicationDate_xml | – year: 2015 text: 20150000 |
| PublicationDecade | 2010 |
| PublicationTitle | 日本心臓血管外科学会雑誌 |
| PublicationTitleAlternate | 日心外会誌 |
| PublicationYear | 2015 |
| Publisher | 特定非営利活動法人 日本心臓血管外科学会 |
| Publisher_xml | – name: 特定非営利活動法人 日本心臓血管外科学会 |
| References | 1) Sayed, H.N., Dacie, J.V., Handley, P.A. et al. : Hemolytic anemia of mechanical origin after open heart surgery. Thorax 16 : 356, 1961. 5) Matsuura, K., Ogino, H., Minatoya, K. et al. : Aortic stenosis caused by the felt strip used in repair for acute aortic dissection. Interact. Cardiovasc. Thorac. Surg. 3 : 41-43, 2004. 13) Aoyagi, S., Fukunaga, S., Tayama, E. et al. : Benefits of a β-blocker for intractable hemolysis due to paraprosthetic leakage. Asian Cardiovasc. Thorac. Ann. 15 : 441-443, 2007. 15) Sundaram, B., Quint, L.E., Patel, H.J. et al. : CT findings following thoracic aortic surgery. Radiographics 27 : 1583-1594, 2007. 3) Nakamura, Y., Ogino, H., Matsuda, H. et al. : Hemolytic anemia after operation for aortic dissection using Teflon felt strips. Ann. Thorac. Surg. 85 : 1784-1787, 2008. 10) Sato, M., Nakayama, Y., Kawasaki, H. et al. : A case of aortic pseudoaneurysm at the site of proximal anastomosis causing hemolytic anemia postoperatively for an ascending aortic replacement for acute aortic dissection. Jpn. J. Cardiovasc. Surg. 43 : 23-26, 2014. 2) Lam, B.K., Cosgroove, D.M., Bhudia, S.K. et al. : Hemolysis after mitral valve repair : mechanism and treatment. Ann. Thorac. Surg. 77 : 191-195, 2004. 12) Okita, Y., Miki, S., Kusuhara, K. et al. : Propranolol for intractable hemolysis after open heart opeartion. Ann. Thorac. Surg. 52 : 1158-1160, 1991. 9) Izumi, S., Tano, K., Horike, K. et al. : Repeat surgery for hemolysis 6 years after replacement of the ascending aorta for acute aortic dissection. Jpn. J. Thorac. Cardiovasc. Surg. 51 : 459-461, 2003. 7) Tokunaga, C., Enomoto, Y., Kanemoto, S. et al. : Hemolytic anemia associated with a Teflon felt strip on a proximal anastomotic site for aortic replacement in a patient with aortic dissection. Jpn. J. Cardiovasc. Surg. 40 : 181-183, 2011. 14) Etz, C.D., Homann, T., Silovitz, D. et al. : Vascular graft replacement of the ascending and descending aorta : do Dacron grafts grow?. Ann. Thorac. Surg. 84 : 1206-1213, 2007. 6) Sekine, Y., Yamamoto, S., Fujikawa, T. et al. : Haemolytic anemia resulting from the surgical repair of acute type A aortic dissection. Interact. Cardiovasc. Thorac. Surg. 18 : 230-233, 2014. 11) Stanger, O., Hammerer, M. and Dtz, L. : Severe non-valve related hemolytic anemia following aortic root replacement. Interact. Cardiovasc. Thorac. Surg. 11 : 832-834, 2010. 4) Shingu, Y., Aoki, H., Ebuoka, N. et al. : A surgical case for hemolytic anemia after ascending and total arch replacement. Ann. Thorac. Cardiovasc. Surg. 11 : 416-418, 2005. 8) Fujita, H., Takeuchi, S., Okimoto, M. et al. : A case of hemolytic anemia associated with an inverted inner felt strip on a proximal anastomotic site for replacement of the ascending aorta for acute aortic dissection. Jpn. J. Cardiovasc. Surg. 42 : 293-296, 2013. |
| References_xml | – reference: 14) Etz, C.D., Homann, T., Silovitz, D. et al. : Vascular graft replacement of the ascending and descending aorta : do Dacron grafts grow?. Ann. Thorac. Surg. 84 : 1206-1213, 2007. – reference: 1) Sayed, H.N., Dacie, J.V., Handley, P.A. et al. : Hemolytic anemia of mechanical origin after open heart surgery. Thorax 16 : 356, 1961. – reference: 5) Matsuura, K., Ogino, H., Minatoya, K. et al. : Aortic stenosis caused by the felt strip used in repair for acute aortic dissection. Interact. Cardiovasc. Thorac. Surg. 3 : 41-43, 2004. – reference: 10) Sato, M., Nakayama, Y., Kawasaki, H. et al. : A case of aortic pseudoaneurysm at the site of proximal anastomosis causing hemolytic anemia postoperatively for an ascending aortic replacement for acute aortic dissection. Jpn. J. Cardiovasc. Surg. 43 : 23-26, 2014. – reference: 6) Sekine, Y., Yamamoto, S., Fujikawa, T. et al. : Haemolytic anemia resulting from the surgical repair of acute type A aortic dissection. Interact. Cardiovasc. Thorac. Surg. 18 : 230-233, 2014. – reference: 11) Stanger, O., Hammerer, M. and Dtz, L. : Severe non-valve related hemolytic anemia following aortic root replacement. Interact. Cardiovasc. Thorac. Surg. 11 : 832-834, 2010. – reference: 12) Okita, Y., Miki, S., Kusuhara, K. et al. : Propranolol for intractable hemolysis after open heart opeartion. Ann. Thorac. Surg. 52 : 1158-1160, 1991. – reference: 2) Lam, B.K., Cosgroove, D.M., Bhudia, S.K. et al. : Hemolysis after mitral valve repair : mechanism and treatment. Ann. Thorac. Surg. 77 : 191-195, 2004. – reference: 4) Shingu, Y., Aoki, H., Ebuoka, N. et al. : A surgical case for hemolytic anemia after ascending and total arch replacement. Ann. Thorac. Cardiovasc. Surg. 11 : 416-418, 2005. – reference: 9) Izumi, S., Tano, K., Horike, K. et al. : Repeat surgery for hemolysis 6 years after replacement of the ascending aorta for acute aortic dissection. Jpn. J. Thorac. Cardiovasc. Surg. 51 : 459-461, 2003. – reference: 15) Sundaram, B., Quint, L.E., Patel, H.J. et al. : CT findings following thoracic aortic surgery. Radiographics 27 : 1583-1594, 2007. – reference: 13) Aoyagi, S., Fukunaga, S., Tayama, E. et al. : Benefits of a β-blocker for intractable hemolysis due to paraprosthetic leakage. Asian Cardiovasc. Thorac. Ann. 15 : 441-443, 2007. – reference: 3) Nakamura, Y., Ogino, H., Matsuda, H. et al. : Hemolytic anemia after operation for aortic dissection using Teflon felt strips. Ann. Thorac. Surg. 85 : 1784-1787, 2008. – reference: 8) Fujita, H., Takeuchi, S., Okimoto, M. et al. : A case of hemolytic anemia associated with an inverted inner felt strip on a proximal anastomotic site for replacement of the ascending aorta for acute aortic dissection. Jpn. J. Cardiovasc. Surg. 42 : 293-296, 2013. – reference: 7) Tokunaga, C., Enomoto, Y., Kanemoto, S. et al. : Hemolytic anemia associated with a Teflon felt strip on a proximal anastomotic site for aortic replacement in a patient with aortic dissection. Jpn. J. Cardiovasc. Surg. 40 : 181-183, 2011. |
| SSID | ssib002671014 ssib005879759 ssib002670241 ssib002223857 ssib023160781 ssib000936894 ssib058493921 ssj0069030 |
| Score | 1.9798983 |
| Snippet | ... |
| SourceID | jstage |
| SourceType | Publisher |
| StartPage | 275 |
| SubjectTerms | 人工血管屈曲 急性大動脈解離 溶血性貧血 |
| Title | 大動脈解離術後遠隔期に人工血管高度屈曲による溶血性貧血をきたした1例 |
| URI | https://www.jstage.jst.go.jp/article/jjcvs/44/5/44_275/_article/-char/ja |
| Volume | 44 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| ispartofPNX | 日本心臓血管外科学会雑誌, 2015/09/15, Vol.44(5), pp.275-278 |
| link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtR3LahRBcAgRxIv4xDc52CeZdXv6Md3Hmd0JQYkgJJDbMrMze9hDFE08eMoGD4HoxQeKETS-9hAQzEFhwfzMZtfNX1hdPTtO1IMGhKWp6a6q7qrq2a4auqsd57IWIkkSxl2_maQub_qJq2iVuZmAxVanSSvBuwFnb8iZeX5tQSxMTH4r7VpaXkoqzft_PFdyEKtCHdjVnJL9B8sWTKECYLAvlGBhKP_KxiQSJOAk8A2gQqIFiRRR4B4qA0B9wEikiQ5J4GENJZoZ5DAiqmaaFCVBFXECojmJJNE1oqdJxLApJBEnYWB-hgoYipyPAip4jAwM5ICpFeIEJJAIUByGNL2HXokhAB42WSA0OKYLWeIsTWnkUobWAnkTUukxQ1XPgWLM2i9qKI4eRA3LPjiOyUqC0gY1HO40UQzV56OOfhcSda0l1gCOramjtNBLzWjQ6to0AXkAKh7P51yNxkDM9KMirIHeAjPJ0X515AC6YMTeCFoQIpoxlm8IEV9i13ac-_FR8_ArhMv5Q99GLmAXjhWC-NIwCIrxhBYfBKmjsCiRvV9v_HXInozFN9koQ2kSalRGNNYBkEbYp0SzCmPuQKNw2P_P6ZqLW0yzK__POqU1z1PCpdxe3FTJ7JqsFHM5raryom2ThuZ_TqK8AtuLeHJnzrP3Q_3qJ3CGN5u22817dyucVwqifZnX8_e6gWgNzhvCFIDbGLeYk5GNNoRnhzzfp2ZH8fWbpehGM6n2fT0B_1iUs_f54CHT8jMtb2oQytelbJwQiclyai4IHTTDbIbW8ZS6yuwn5VyH9pyPkfVqWVLwtdsQeY53raIjPXfMOZpHwFOBFe64M9GOTziHZ_M9PieddPC-O1h_NnqwNuq-29t4O9p8Mth5uNd5s_fy6fDV635na7fXG3z9MNpc-f5pc2_rxaD3cfB5bbixDU391bX-6vqw9wVahyvd0XYXgP7q437nUb8DtM-hpLs766ec-elorjbj5nfBuG2P-1XXyyAQlKlJOAohYstkgfQgeG3FnkiTLI6pFF4mWjJu0VgqmTRFmkqaNqVoaS5alJ12JhdvLWZnnCkfVKlkzGgcZzzWWiVV2Uz8RMVJzCBgPusoq5_GbZvwp_HXE-HcwUnPO0fM-2u_7l5wJpfuLGcXId5ZSi7hrPoBca4PSg |
| linkProvider | Colorado Alliance of Research Libraries |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=%E5%A4%A7%E5%8B%95%E8%84%88%E8%A7%A3%E9%9B%A2%E8%A1%93%E5%BE%8C%E9%81%A0%E9%9A%94%E6%9C%9F%E3%81%AB%E4%BA%BA%E5%B7%A5%E8%A1%80%E7%AE%A1%E9%AB%98%E5%BA%A6%E5%B1%88%E6%9B%B2%E3%81%AB%E3%82%88%E3%82%8B%E6%BA%B6%E8%A1%80%E6%80%A7%E8%B2%A7%E8%A1%80%E3%82%92%E3%81%8D%E3%81%9F%E3%81%97%E3%81%9F1%E4%BE%8B&rft.jtitle=%E6%97%A5%E6%9C%AC%E5%BF%83%E8%87%93%E8%A1%80%E7%AE%A1%E5%A4%96%E7%A7%91%E5%AD%A6%E4%BC%9A%E9%9B%91%E8%AA%8C&rft.au=%E4%BA%95%E3%83%8E%E4%B8%8A%2C+%E5%8D%9A%E6%B3%95&rft.au=%E4%B8%8A%E9%87%8E%2C+%E6%AD%A3%E8%A3%95&rft.au=%E5%B1%B1%E6%9C%AC%2C+%E5%95%93%E4%BB%8B&rft.au=%E6%A3%AE%E4%B8%8B%2C+%E9%9D%96%E9%9B%84&rft.date=2015&rft.pub=%E7%89%B9%E5%AE%9A%E9%9D%9E%E5%96%B6%E5%88%A9%E6%B4%BB%E5%8B%95%E6%B3%95%E4%BA%BA+%E6%97%A5%E6%9C%AC%E5%BF%83%E8%87%93%E8%A1%80%E7%AE%A1%E5%A4%96%E7%A7%91%E5%AD%A6%E4%BC%9A&rft.issn=0285-1474&rft.eissn=1883-4108&rft.volume=44&rft.issue=5&rft.spage=275&rft.epage=278&rft_id=info:doi/10.4326%2Fjjcvs.44.275&rft.externalDocID=article_jjcvs_44_5_44_275_article_char_ja |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0285-1474&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0285-1474&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0285-1474&client=summon |