{"_buckets": {"deposit": "931d1aa0-88ce-4b1e-b028-0a255d286177"}, "_deposit": {"created_by": 21, "id": "5201", "owners": [21], "pid": {"revision_id": 0, "type": "depid", "value": "5201"}, "status": "published"}, "_oai": {"id": "oai:asahi-u.repo.nii.ac.jp:00005201", "sets": ["345"]}, "author_link": ["5367", "8745", "6533", "6027", "8604", "8589", "1770", "6515", "8602", "1765", "6656", "8606"], "item_10002_biblio_info_77": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2008-06-20", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "1", "bibliographicPageEnd": "28", "bibliographicPageStart": "26", "bibliographicVolumeNumber": "35", "bibliographic_titles": [{"bibliographic_title": "岐阜歯科学会雑誌"}, {"bibliographic_title": "The journal of Gifu Dental Society", "bibliographic_titleLang": "en"}]}]}, "item_10002_description_80": {"attribute_name": "抄録", "attribute_value_mlt": [{"subitem_description": "横行結腸癌に対し左結腸部分切除術が必要とされた患者の術前経食道心エコー図検査にて左房内血栓が判明し、どちらの治療を先行させるべきか苦慮した症例を経験した。患者本人の強い希望、悪性腫瘍進行の危惧および血栓の非可動性などの理由により予定手術を先行させた。血栓拍出による内頸動脈系塞栓に即時に対応するため、術中は経食道心エコーにより左房内血栓をモニタリングし、脳神経外科医がカテーテルによる緊急血行再建術のため待機した。麻酔および手術経過は順調で、覚醒後も血栓遊離による体循環系の塞栓を疑わせる所見はなかった。術後の左房内血栓に対するワルファリン療法が長期に及んでおり、本症例における悪性腫瘍手術先行の判断は患者に良好な予後をもたらしたと考えられる。", "subitem_description_type": "Abstract"}]}, "item_10002_description_81": {"attribute_name": "内容記述", "attribute_value_mlt": [{"subitem_description": "A77-year-old man was scheduled for left colectomy under general anesthesia. A preoperative transesophagealechocardiogram(TEE )demonstrated a fixed, \"mountain-type\" thrombus within the left atrial appendage. Although itwas difficult to decide whether to perform, the colectomy or the anticoagulant therapy first, the left colectomy was firstperformed under general anesthesia, because of the strong wishes of the patient, apprehension about cancer progressionand the low embolic risk of \"mountain-type\" thrombus. During the operation, the thrombus was continuously observedwith TEE and neurosurgeons were available in case of emergency endovascular treatment. The perioperativehemodynamics were stable without acute ischemic stroke. The three-hour anesthetic management was completed successfully.After the operation, long-term anticoagulation therapy was needed. Therefore, operating on the cancer beforeanticoagulant therapy might have been the correct choice in this case.", "subitem_description_type": "Other"}]}, "item_10002_full_name_75": {"attribute_name": "著者別名", "attribute_value_mlt": [{"nameIdentifiers": [{"nameIdentifier": "6027", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "MIZOGAMI, MAKI"}]}, {"nameIdentifiers": [{"nameIdentifier": "6533", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "KURASHIGE, SYUHEI"}]}, {"nameIdentifiers": [{"nameIdentifier": "6515", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "UENO, TAKAHIRO"}]}, {"nameIdentifiers": [{"nameIdentifier": "8606", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "KONO, TAKASHI"}]}, {"nameIdentifiers": [{"nameIdentifier": "6656", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "FUJIWARA, SHIGEKI"}]}, {"nameIdentifiers": [{"nameIdentifier": "5367", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "TAKAKURA, KO"}]}]}, "item_10002_radio_89": 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"en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "Transesophageal echocardiography", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "Warfarin", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}]}, "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": "departmental bulletin paper", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "術前の経食道心エコー図検査にて左房内血栓が判明した麻酔症例", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "術前の経食道心エコー図検査にて左房内血栓が判明した麻酔症例"}, {"subitem_title": "Anesthetic Management for Left Colectomy in a Patient with a Left Atrial Thrombus Detected by Preoperative Transesophageal Echocardiogram", "subitem_title_language": "en"}]}, "item_type_id": "10002", "owner": "21", "path": ["345"], "permalink_uri": 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