Surgical Treatment of a Descending Aortic Aneurysm in a Patient With Noncirrhotic Portal Hypertension and a Portal Systemic Shunt
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概要
- 論文の詳細を見る
A 63-year-old male with atrial fibrillation and mild mitral valve regurgitation was referred to hospital because of a descending aortic aneurysm. During the evaluation, he developed an encephalopathy because of hyperammoniaemia. Further examination revealed a portal systemic shunt, perhaps caused by the noncirrhotic portal hypertension. The patient underwent successful replacement of the aneurysm after controlling the blood ammonia level by eliminating protein from the diet and removal of nitrogen from the gastrointestinal tract. Cardiovascular surgery in a patient with noncirrhotic portal hypertension and a portal systemic shunt has not been previously reported. Meticulous management of the perioperative blood ammonia concentration is essential.
- 社団法人日本循環器学会の論文
- 2002-11-20
著者
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AKASHI Hidetoshi
Department of Cardiovascular Surgery, Kurume University School of Medicine
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AOYAGI Shigeaki
Department of Cardiovascular Surgery, Kurume University School of Medicine
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TESHIMA HIDEKI
Department of Cardiovascular Surgery, Omura Municipal Hospital, Cardiovascular Center
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Aoyagi Shigeaki
Department Of Surgery Kurume University School Of Medicine
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HAYASHIDA Nobuhiko
Department of Surgery, Kurume University School of Medicine
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Akashi Hidetoshi
Department Of Cardiovascular Surgery Kurume University School Of Medicine
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Teshima Hideki
The Department Of Surgery Kurume University School Of Medicine
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Teshima Hideki
Department Of Cardiovascular Surgery Omura Municipal Hospital Cardiovascular Center
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Hayashida Nobuhiko
Department Of Surgery Kurume University School Of Medicine
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Hayashida Nobuhiko
Second Department Of Surgery Kurume University Hospital
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Aoyagi Shigeaki
Dept. Of Iind Surgery Kurume Unrverslty School Of Medicine
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Aoyagi Shigeaki
Division Of Cardiovascular Surgery Department Of Surgery Kurume University School Of Medicine
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Teshima Hideki
Department Of Cardiovascular Surgery Clinical Research Institute National Hospital Organization Kyushu Medical Center
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