{"created":"2023-05-15T09:04:45.194614+00:00","id":5892,"links":{},"metadata":{"_buckets":{"deposit":"a6e1f3b7-1c87-4d57-bb09-ec2dca26f27d"},"_deposit":{"created_by":11,"id":"5892","owners":[11],"pid":{"revision_id":0,"type":"depid","value":"5892"},"status":"published"},"_oai":{"id":"oai:hirosaki.repo.nii.ac.jp:00005892","sets":["557:561:981"]},"author_link":["20443","14521","11403","11879","19746","11029"],"item_3_biblio_info_8":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2020-03-02","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2-4","bibliographicPageEnd":"108","bibliographicPageStart":"99","bibliographicVolumeNumber":"70","bibliographic_titles":[{"bibliographic_title":"弘前医学"}]}]},"item_3_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Background: Combined aortic valve replacement（ AVR） and coronary artery bypass grafting（ABG）is mostly performed for patients with aortic stenosis（ AS） and coronary artery disease（ AD）.\nObjectives: We aim to clarify that combined operation of AVR and CABG with adequate perioperative ardiac protection does not increase operative and postoperative risk.\nMethods: A total of 217 patients who underwent AVR for aortic stenosis alone or combined AVR and CABG from 1/2002 to 12/2015 were recruited. The aortic valve alone group （group A） had 164 patients, with an average age of 71.6± 8.1 years. The combined operation group （group C） consisted of 54 patients, with an average age of 73.5±8.5 years. Aortic valve area and pressure gradient showed no significant differences between the two groups. In group C, an average of 2±0.8 vessels had CAD. Cold crystalloid cardioplegia according to left ventricular mass ± a terminal hot shot was used for all patients. Distal graft anastomosis was done after cardiac arrest and cardioplegia （1.5-fold normal） was injected additionally from the graft with severe proximal obstruction of the right coronary artery.\nResults: Group C included more patients with diabetes mellitus （DM, 43.4% vs. 26.8%） and low left ventricular ejection fraction（ LVEF<50%, 33.96% vs. 16.46%） than group A. On the other hand, the incidence of atrial fibrillation（ AF, .77% vs. 13.41%） was significantly less in group C than in group A. Although cardiac arrest time was longer in group C,postoperative CPK-MB was not significantly elevated, except in 4 patients. Postoperative data showed no significant differences between the two groups.\nConclusions: In our department, satisfactory clinical outcomes were obtained with combined operation AVR and CABG. Sufficient myocardial protection had an important effect on clinical outcomes.","subitem_description_type":"Abstract"}]},"item_3_publisher_35":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"弘前大学大学院医学研究科"}]},"item_3_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00211444","subitem_source_identifier_type":"NCID"}]},"item_3_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0439-1721","subitem_source_identifier_type":"ISSN"}]},"item_3_text_4":{"attribute_name":"著者所属","attribute_value_mlt":[{"subitem_text_value":"Department of Thoracic and Cardiovascular Surgery, Hirosaki University Graduate School of Medicine"}]},"item_3_version_type_18":{"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":"Yu, Zaiqiang"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Daitoku, Kazuyuki"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"Yang, Wei"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Kondo, Norihiro"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Minakawa, Masahito"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"Fukuda, Ikuo"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-03-06"}],"displaytype":"detail","filename":"Hirosaki Med J 70-2-4_99.pdf","filesize":[{"value":"707.5 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"Hirosaki Med J 70-2-4_99","url":"https://hirosaki.repo.nii.ac.jp/record/5892/files/Hirosaki Med J 70-2-4_99.pdf"},"version_id":"8c1cb64d-1b01-4e6e-9a91-01ea834aa3ed"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"aortic stenosis","subitem_subject_scheme":"Other"},{"subitem_subject":"aortic valve replacement","subitem_subject_scheme":"Other"},{"subitem_subject":"coronary artery disease","subitem_subject_scheme":"Other"},{"subitem_subject":"coronary artery bypass grafting","subitem_subject_scheme":"Other"},{"subitem_subject":"combined operation","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"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":"Outcome of concomitant surgical treatment in patients with coronary artery disease and severe aortic stenosis: A single-center study","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Outcome of concomitant surgical treatment in patients with coronary artery disease and severe aortic stenosis: A single-center study"}]},"item_type_id":"3","owner":"11","path":["981"],"pubdate":{"attribute_name":"公開日","attribute_value":"2020-03-06"},"publish_date":"2020-03-06","publish_status":"0","recid":"5892","relation_version_is_last":true,"title":["Outcome of concomitant surgical treatment in patients with coronary artery disease and severe aortic stenosis: A single-center study"],"weko_creator_id":"11","weko_shared_id":-1},"updated":"2023-05-15T10:17:40.134349+00:00"}