腎動脈直下にて大動脈離断を行なった破裂性腹部大動脈瘤の一例
書誌事項
- タイトル別名
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- A CASE OF RUPTURED ABDOMINAL AORTIC ANEURYSM TREATED BY INTERRUPTION OF THE ABDOMINAL AORTA
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A case of ruptured abdominal aortic aneurysm treated by interruption of the abdominal aorta is reportod.<BR>A 58-year-old man complained of severe abdominal and back pain and pulsatile abdominal tumor. His lower extremities had been amputated bilaterally at the age of 29 years, because of thromboangitis obliterans. Preoperative enhanced CT confirmed reptured abdominal aortic aneurysm.<BR>On surgery, a large aneurysm located between the renal arteries and aortic bifurcation, penetrating into the retroperitoneal cavity. In addition, bilateral external iliac and left internal iliac arteries were occluded. Therefore, the abdominal aorta was transected and closed just below the renal arteries, and the right internal iliac artery was ligated. In spite of the acute interruption of the blood flow to lower extremities, the patient recovered completely after the operation.<BR>This type of operation for adbominal aortic aneurysm is very rare only available to patients with severe arteriosclerosis obliterans and/or thromboangitis obliterans in their lower extremities.
収録刊行物
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- 北関東医学
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北関東医学 36 (1), 101-105, 1986
北関東医学会
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詳細情報 詳細情報について
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- CRID
- 1390001205332201984
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- NII論文ID
- 130003690075
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- ISSN
- 18836135
- 00231908
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- データソース種別
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- JaLC
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- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可