{"created":"2023-07-27T06:29:55.968565+00:00","id":14741,"links":{},"metadata":{"_buckets":{"deposit":"6752b3e0-d379-4774-b5dc-085e0a4eafbf"},"_deposit":{"created_by":3,"id":"14741","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"14741"},"status":"published"},"_oai":{"id":"oai:kanazawa-u.repo.nii.ac.jp:00014741","sets":["1132:1133:1134"]},"author_link":["186","26293","26294"],"item_4_biblio_info_8":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2008-09-15","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"6","bibliographicPageEnd":"956","bibliographicPageStart":"953","bibliographicVolumeNumber":"22","bibliographic_titles":[{"bibliographic_title":"日本呼吸器外科学会 = The Japanese Association for Chest Surgery"}]}]},"item_4_description_21":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は66歳,女性.主訴はチアノーゼ.他疾患治療中にチアノーゼを指摘され当院紹介となった.胸部造影CT検査では右下肺静脈へ直接流入する右A^8に加え右S^6胸膜直下に拡張した動静脈を認めた.肺動脈造影検査では右A^8から左房へのシャント血流を認めた.肺血流シンチでは肺外臓器への核種分布が確認され,右左シャントの存在は明らかでありシャント率は42%と計算された.以上より多発肺動静脈瘻と診断し右下葉切除術を行った.術前に45.0mmHgであった動脈血酸素分圧が術後には90.6mmHgと著明なる改善を認めるなど術後経過は良好であり,19病日に退院した. The patient was a 66-year-old female. In the course of therapy for compression fracture, cyanosis was pointed out. Chest CT scan revealed abnormal vessels in the right S^6 sub-pleura and the direct connection between the right A^8 and right inferior pulmonary vein. Pulmonary angiography showed shunt flow into the atrium. Perfusion scintigraphy revealed extrapulmonary activity due to the right-to-left shunt and a high-level shunt ratio. The diagnosis of pulmonary arterio-venous fistula was made on the basis of these findings. A right lower lobectomy was performed via video-assisted thoracic surgery. Severe hypoxemia was improved after surgery. The postoperative course was uneventful, and the patient was discharged on the 19^<th> POD.","subitem_description_type":"Abstract"}]},"item_4_description_5":{"attribute_name":"提供者所属","attribute_value_mlt":[{"subitem_description":"金沢大学医薬保健研究域医学系","subitem_description_type":"Other"}]},"item_4_publisher_17":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"The Journal of the Japanese Association for Chest Surgery = 日本呼吸器外科学会雑誌"}]},"item_4_relation_12":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"10.2995/jacsurg.22.953","subitem_relation_type_select":"DOI"}}]},"item_4_relation_28":{"attribute_name":"関連URI","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"http://www.jacsurg.gr.jp/","subitem_relation_type_select":"URI"}},{"subitem_relation_type_id":{"subitem_relation_type_id_text":"http://ci.nii.ac.jp/naid/110006951798/en/","subitem_relation_type_select":"URI"}},{"subitem_relation_type_id":{"subitem_relation_type_id_text":"http://www.jstage.jst.go.jp/article/jacsurg/22/6/22_953/_article/-char/ja","subitem_relation_type_select":"URI"}}]},"item_4_rights_23":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"Copyright (c) 2008 日本呼吸器外科学会"}]},"item_4_source_id_11":{"attribute_name":"NCID","attribute_value_mlt":[{"subitem_source_identifier":"AN10467885","subitem_source_identifier_type":"NCID"}]},"item_4_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0919-0945","subitem_source_identifier_type":"ISSN"}]},"item_4_version_type_25":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"伊藤, 祥隆"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"中屋, 順哉"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小田, 誠"}],"nameIdentifiers":[{},{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-10-03"}],"displaytype":"detail","filename":"ME-PR-ODA-M-953.pdf","filesize":[{"value":"535.9 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"ME-PR-ODA-M-953.pdf","url":"https://kanazawa-u.repo.nii.ac.jp/record/14741/files/ME-PR-ODA-M-953.pdf"},"version_id":"6bb11821-a81b-40d6-aa9b-d590e98b0fd3"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"低酸素血症の著明な改善を得た肺動静脈瘻の1手術例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"低酸素血症の著明な改善を得た肺動静脈瘻の1手術例"},{"subitem_title":"A surgically treated case of marked hypoxemia caused by pulmonary arterio-venous fistula","subitem_title_language":"en"}]},"item_type_id":"4","owner":"3","path":["1134"],"pubdate":{"attribute_name":"公開日","attribute_value":"2017-10-03"},"publish_date":"2017-10-03","publish_status":"0","recid":"14741","relation_version_is_last":true,"title":["低酸素血症の著明な改善を得た肺動静脈瘻の1手術例"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2023-07-28T00:41:41.679883+00:00"}