大動脈弁形成術のすべて

出版社： 文光堂
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発行日： 2015-11-13
分野： 臨床医学：外科  >  心臓/血管外科
ISBN： 9784830623417
電子書籍版： 2015-11-13 （第1版第1刷）
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日本胸部外科学会の統計でも明らかなように，本邦ではまだまだ大動脈弁形成術が普及していない．これは本術式に対するわが国の心臓外科医の経験・知識不足がある．それを補うべく，大動脈弁の解剖や病態生理から実際の方法や成績までを解説し，その後で悩むであろう症例を提示し解説することで，より理解を深められるよう工夫した．本書は，大動脈弁形成術の理解度と精度を上げ，手術適応を拡げることにより，負担を減らすという大きな福音を患者さんにもたらす1冊である．

目次

  • 大動脈弁形成術のすべて

    ―目次―

    第I章　総論
    　1．大動脈弁の解剖，形態学的特徴
    　2．大動脈弁のエコー計測
    　3．大動脈弁のCT 計測
    　4．大動脈弁形成術の適応と禁忌

    第II章　各論
    　1．大動脈弁形成術の変遷，方法，成績
    　2．reimplantation 法の変遷，方法，成績
    　3．remodeling法の変遷，方法，成績
    　4．annuloplastyの種類，成績
    　5．connective tissue disease に対する
    　　　弁形成術− vs. 弁置換，基部置換−
    　6．急性A 型大動脈解離に対する弁温存基部置換術
    　7．小児に対する弁形成術
    　8．大動脈弁狭窄症に対する自己心膜を用いた大動脈弁再建術
    　　　　−尾崎法−

    第III章　症例検討−この症例ならどうする？−
    　1．geometric heightが低い症例をどうするか？
    　2．狭窄のある2 尖弁をどうするか？
    　3．Valsalva洞のborderline dilatationに対して
    　　　どう対処すべきか？
    　4．perforation，fenestrationにどう対処するか？
    　5．複合弁膜症における中等度大動脈弁逆流にどう対処するか？
    　6．partial remodelingはどのようなときに可能か？
    　7．Valsalva洞動脈瘤破裂に伴う大動脈弁逆流に対する弁形成術
    　8．心室中隔欠損に伴う大動脈弁逆流に対する弁形成術
    　9．感染性心内膜炎に伴う大動脈弁逆流に対する弁形成術
    　10．外傷性大動脈弁逆流に対する弁形成術
    　11．allograftの大動脈弁逆流にどう対処するか？

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本参考文献は電子書籍掲載内容を元にしております。

第I章 総論

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第II章 各論

P.34 掲載の参考文献
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P.58 掲載の参考文献
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P.64 掲載の参考文献
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3) David, TE : Aortic root aneurysms : remodeling or composite replacement? Ann Thorac Surg 1997 ; 64 : 1564-1568
 
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P.75 掲載の参考文献
1) Aicher, D et al : Early results with annular support in reconstruction of the bicuspid aortic valve. J Thorac Cardiovasc Surg 2013 ; 145 : S30-S34
 
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第III章 症例検討 - この症例ならどうする ? -

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循環器内科医が大動脈弁形成術に期待すること

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