Global Myocardial Ischemia as a Complication of an Acute Type A Aortic Dissection : Rapid Diagnosis of a Case by Transesophageal Echocardiography
スポンサーリンク
概要
- 論文の詳細を見る
A 36-year-old female was admitted for severe chest pain followed by prefound shock. Electrocardiography showed severe ST segment depression (0.5-0.7mV) in all leads except aV_R and aV_L. Echocardiography revealed an intimal flap in the ascending aorta and coexisting grade 3 aortic regurgitation. She was immediately intubated and transferred to the intensive care unit. Transesophageal echocardiography (TEE) demonstrated an initimal tear at 2cm above the sinotubular junction, and the ostium of the left main trunk was oppressed by the initimal flap during diastole. Emergency graft replacement of the ascending aorta and aortic hemiarch concomitant with aortic valve resuspension was performed successfully. The ECG changes reversed to normal immediately after the opration. The patient was extubated 2 days postoperatively and discharged from the hospital 14 days postoperatively. TEE is useful for the rapid evaluation of coronary malperfusion as a complication of acute aortic dissection, especially in patients with hemodynamic instability.
- 社団法人日本循環器学会の論文
- 2000-06-20
著者
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KYO Shunei
Department of Cardiothoracic Surgery, The University of Tokyo
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ASANO Haruhiko
Department of Hematology and Oncology, Nagoya University Graduate School of Medicine
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Tanabe Hiroaki
Department of Cardiovascular Surgery, The Cardiovascular Institute Hospital
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Tanabe Hiroaki
Department Of Cardiovascular Surgery Saitama Medical School
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Matsumura makoto
Saitama Medical School
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Matsumura Makoto
Department of Cardiology, Saitama Medical University International Medical Center
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Kyo Shunei
Department Of Cardiovascular Surgery Saitama Medical University
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Kyo Shunei
Department Of Cardiac Surgery Saitama Medical School
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Ohuchi Hiroshi
Department Of Cardiovascular Surgery Saitama Medical School
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Asano Haruhiko
Department Of Cardiovascular Surgery Saitama Medical School
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Omoto Ryozo
Saitama Medical School
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Imanaka Kazuhito
Department of Cardiovascular Surgery, Kawagoe Medical Center, Saitama Medical University
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YOKOTE YUJI
Department of Pediatric Cardiology and Cardiovascular Surgery, Saitama Heart Institute, Saitama Medi
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MATSUMURA Makoto
the Cardiovascular Surgery, Heart Center, Saitama Medical School
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Ishikawa Masamichi
Department Of Pediatric Cardiac Surgery Saitama University International Medical Center
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Muramatsu Toshiki
Department of Surgery, Saitama Medical School
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Omoto Ryuzo
Department of Surgery, Saitama Medical School
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Yokota Yuji
Saitama Medical School
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Kyo Shunei
Fujiyoshida Municipal hospital
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Matsumura Makoto
The Cardiovascular Surgery Heart Center Saitama Medical School
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Matsumura Makoto
Department Of Cardiology Saitama Medical University International Medical Center
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Iwazaki Mika
Department Of Pediatric Cardiac Surgery Saitama International Medical Center Saitama Medical Univers
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Imanaka Kazuhito
Department Of Cardiovascular Surgery Kawagoe Medical Center Saitama Medical University
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Muramatsu Toshiki
Department Of Surgery Saitama Medical School
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Imanaka Kazuhito
Department Of Cardiothoracic Surgery The University Of Tokyo
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Yokote Yuji
The Department Of Surgery Saitama Medical School
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Omoto Ryozo
The Department Of Surgery Saitama Medical School
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Kyo Shunei
Department Of Cardiovascular Surgery Saitama Medical School
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Asano Haruhiko
Department Of Biomedical Sciences Chubu University
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Ishikawa Masamichi
Department Of Pediatric Cardiac Surgery Saitama International Medical Center Saitama Medical Univers
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Ohuchi Hiroshi
Department Of Cardiovascular Surgery
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Ohuchi Hiroshi
Department Of Cardiovascular Surgery Saitama Medical Center Saitama Medical School
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Omoto Ryuzo
The Department Of Surgery Saitama Medical School
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Kyo Shunei
Department Of Pediatrics And Pediatric Cardiology And Cardiovascular Surgery Saitama Medical School
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Muramatsu Toshiki
Department Of Pediatric Cardiology International Medical Center Saitama Medical University
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Iwazaki Mika
Department Of Pediatric Cardiac Surgery Saitama International Medical Center Saitama Medical Univers
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Ishikawa Masamichi
Department of Environmental Chemistry and Engineering, Tokyo Institute of Technology
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