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Intestinal angina in a patient with hypertrophic obstructive cardiomyopathy: a case report
http://hdl.handle.net/2297/46530
http://hdl.handle.net/2297/4653042403c58-967e-412f-afee-b0ab0c372ba3
名前 / ファイル | ライセンス | アクション |
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HO-PR-HAMAOKA-T-1.pdf (356.3 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2017-10-05 | |||||
タイトル | ||||||
タイトル | Intestinal angina in a patient with hypertrophic obstructive cardiomyopathy: a case report | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
Hamaoka, Takuto
× Hamaoka, Takuto× Omi, Wataru× Sekiguti, Yoshiteru× Takata, Shigeo× Kaneko, Shuichi× Inoue, Oto× Takashima, Shinichiro× Murai, Hisayoshi× Usui, Soichiro× Kato, Takeshi× Furusho, Hiroshi× Takamura, Masayuki |
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書誌情報 |
Journal of Medical Case Reports 巻 10, 号 1, p. 1-5, 発行日 2016-09-29 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 1752-1947 | |||||
DOI | ||||||
関連タイプ | isIdenticalTo | |||||
識別子タイプ | DOI | |||||
関連識別子 | 10.1186/s13256-016-1055-8 | |||||
出版者 | ||||||
出版者 | BioMed Central Ltd. | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Background: Intestinal angina is characterized by recurrent postprandial abdominal pain and anorexia. Commonly, these symptoms are caused by severe stenosis of at least two vessels among the celiac and mesenteric arteries. However, intestinal perfusion is affected not only by the degree of arterial stenosis but also by systemic perfusion. We experienced a unique case of intestinal angina caused by relatively mild stenosis of the abdominal arteries complicated with hypertrophic obstructive cardiomyopathy. Case presentation: We report an 86-year old Japanese man with hypertrophic obstructive cardiomyopathy and advanced atrioventricular block who was diagnosed with intestinal angina. Computed tomography showed mild stenosis of the celiac artery and severe stenosis of the inferior mesenteric artery, and these lesions were relatively mild compared with other reports. A dual-chamber pacemaker with right ventricular apical pacing was implanted to improve the obstruction of the left ventricular outflow tract. After implantation, the patient's abdominal symptoms diminished markedly, and improvement of the left ventricular outflow tract obstruction was observed. Conclusions: Although intestinal angina is generally defined by severe stenosis of at least two vessels among the celiac and mesenteric arteries, the present case suggests that hemodynamic changes can greatly affect intestinal perfusion and induce intestinal angina in the presence of mild stenosis of the celiac and mesenteric arteries. © 2016 The Author(s). | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 |