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4 左室形成術 : 特に小児の拡張型心筋症に対する経験から(シンポジウム 心不全治療の最近のトピックス,第600回新潟医学会次第)
http://hdl.handle.net/10191/2775
http://hdl.handle.net/10191/27758e58639c-4265-4e45-8a85-486da752e096
名前 / ファイル | ライセンス | アクション |
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2007-05-10 | |||||
タイトル | ||||||
タイトル | 4 左室形成術 : 特に小児の拡張型心筋症に対する経験から(シンポジウム 心不全治療の最近のトピックス,第600回新潟医学会次第) | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | 4 左室形成術 : 特に小児の拡張型心筋症に対する経験から(シンポジウム 心不全治療の最近のトピックス,第600回新潟医学会次第) | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | dilated cardiomyopathy in pediatric patients | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | partial left ventriculectomy | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Batista's operation | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | heart transplantation | |||||
資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | departmental bulletin paper | |||||
その他のタイトル | ||||||
その他のタイトル | 4 Partial left ventriculectomy for end-stage dilated cardiomyopathy in pediatric patients (Topics on Heart Failure Therapy) | |||||
著者 |
吉井, 新平
× 吉井, 新平 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | The purpose of this study is to define the role and the indications of partial left ventriculectomy(PLV) in children with end-stage dilated cardiomyopathy(DCM). Clinical data were collected by retrospective chart review of children with DCM who were treated from 1997 to 2000. Four patients underwent PLV, two patients are well 48 and 65 months postoperatively, one infant survived 6 months and then successfully underwent heart transplantation, and the other child died of hemoptysis 2 weeks postoperatively. Factors affecting outcome were preoperative status, in particular whether surgery was performed emergently or electively. Based on our experience performing PLV in four patients, we identified several factors that determine the appropriateness of PLV in children with DCM. We feel most strongly that New York Heart Association class III or F, patients who are hospitalized for heart failure and require heroic doses of cathecholamines should undergo PLV before mechanical ventilation is needed. Less absolute criteria include a CTR≧70%, LVEDd(%)≧170%, EF≧20%, and BNP≧1000pg/mL. In conclusion, PLV is indicated for selected children with end-stage DCM, and is most appropriate when medical therapy is not effective and heart transplantation is unavailable. | |||||
書誌情報 |
新潟医学会雑誌 en : 新潟医学会雑誌 巻 119, 号 2, p. 76-82, 発行日 2005-02 |
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出版者 | ||||||
出版者 | 新潟医学会 | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 00290440 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN00182415 | |||||
著者版フラグ | ||||||
値 | publisher |