TWO CASES OF SPONTANEOUS DISSECTION OF THE ABDOMINAL AORTA
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- KOBAYASHI Akira
- First Department of Surgery, Shinshu University School of Medicine
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- ISHIDA Kimitaka
- First Department of Surgery, Shinshu University School of Medicine
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- NISHIMAKI Keiji
- First Department of Surgery, Shinshu University School of Medicine
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- KAWASAKI Seiji
- First Department of Surgery, Shinshu University School of Medicine
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- TSUZUKI Shigetoshi
- Department of Surgery, Maruko Central Hospital
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- KOBAYASHI Takao
- Department of Surgery, Maruko Central Hospital
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- MAKUUCHI Masatoshi
- First Department of Surgery, Shinshu University School of Medicine
Bibliographic Information
- Other Title
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- 腹部限局性解離性大動脈瘤の2治験例
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Abstract
We experienced two cases of spontaneous abdominal aortic dissection indepenent of trauma or catheter operation. Case 1 had a chronic dissection without symptoms. Enlargement of the aorta was pointed out in follow up CT films. The case 2 had an acute dissection presented as an acute back pain. Both cases were infrarenal aortic dissection with reentry located in the right superficial femoral artery and in the left internal iliac artery, respectively. In these two cases enhanced CT scan supplied useful information for the diagnosis of aortic dissection and also provided anatomical data as the sites of entry and reentry and the extent of dissection. Replacement was carried out and the recovery was uneventful in both cases. In this institution surgical treatment is indicated for cases with rupture, progression of the dissection, enlargement of the cases with rupture, progression of the dissection, enlargement of the aneurysm and visceral or limb ischemia. And we also recommend surgery for asymptomatic cases of chronic dissections.
Journal
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- The journal of the Japanese Practical Surgeon Society
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The journal of the Japanese Practical Surgeon Society 56 (6), 1146-1150, 1995
Japan Surgical Association
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Keywords
Details
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- CRID
- 1390282680291020928
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- NII Article ID
- 130003599649
- 10008513833
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- NII Book ID
- AN00198696
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- ISSN
- 21892075
- 03869776
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed