雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

The Japanese Journal of Thoracic Surgery Volume 71, Issue 5 （May 2018）

胸部外科 71巻5号（2018年5月発行）

Japanese English

症例

きわめて高度な漏斗胸を伴った心房中隔欠損症に対して心房中隔欠損閉鎖と胸肋挙上術を同時に施行した1例 Concomitant Atrial Septal Defect Closure and Repair of Pectus Excavatum in a 50-year-old Patient；Report of a Case 田村敦 ¹ , 木下肇 ¹ , 数野圭 ¹ , 佐藤博重 ¹ , 村田聖一郎 ¹ , 飯田浩司 ² Atsushi Tamura ¹ , Hajime Kinoshita ¹ , Kei Kazuno ¹ , Hiroshige Sato ¹ , Seiichiro Murata ¹ , Hiroshi Iida ² ¹板橋中央総合病院心臓血管外科 ²葉山ハートセンター心臓血管外科 ¹Department of Cardiovascular Surgery, Itabashi Chuo Medical Center キーワード：心房中隔欠損 , 漏斗胸 , 同時手術 , 胸肋挙上術 Keyword: atrial septal defect , pectus excavatum , combine repair , sterno-costal elevation pp.380-383

発行日 2018年5月1日 Published Date 2018/5/1

DOI https://doi.org/10.15106/j_kyobu71_380

PDF(378KB)

有料閲覧

Abstract 文献概要
1ページ目 Look Inside
参考文献 Reference

はじめに　高度な漏斗胸患者では胸骨正中切開が困難となる．われわれは，高度漏斗胸を伴う心房中隔欠損症（ASD）の1例を経験したので報告する．

We report a case of atrial septal defect （ASD） with severe pectus excavatum. A 50-year-old female had a stroke due to paradoxical embolism from deep vein thrombosis thorough ASD. Her preoperative computed tomography（CT） revealed a severe pectus excavatum （Haller CT index 28.6）. The patient underwent ASD closure and repair of the pectus excavatum concomitantly. Median full sternotomy was performed for ASD closure. And we adopted sterno-costal elevation for pectus excavatum repair. Cartilages of the 3rd to the 7th rib were segmentally resected and the remainders were re-sutured to the sternum. The operation was performed uneventfully. The postoperative echocardiogram revealed no residual shunt. And the deformity of the anterior chest wall was remarkably lessen.