潰瘍様突出像を伴う慢性解離性大動脈瘤に対するステントグラフト内挿術時にIsolated left vertebral arteryを再建した1例
胸部ステントグラフト内挿術時に，左椎骨動脈単独起始（Isolated left vertebral artery: ILVA）の閉鎖を余儀なくされる場合，ILVA再建の要否については統一した見解がない．症例は57歳女性．弓部大動脈にILVAのanomalyがあった．潰瘍様突出像を伴う血栓閉塞型Stanford B型急性大動脈解離に対し保存的降圧療法を行った．一年後に潰瘍様突出像の拡大と偽腔の拡大を認め胸部ステントグラフト内挿術の適応とした．ILVAの閉鎖が想定されたため，ILVA-左総頸動脈バイパス術，左総頸動脈-左腋窩動脈バイパス術を施行後に胸部ステントグラフト内挿術を施行した．術後経過は良...
Saved in:
| Published in | 日本心臓血管外科学会雑誌 Vol. 52; no. 1; pp. 59 - 61 |
|---|---|
| Main Authors | , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
特定非営利活動法人 日本心臓血管外科学会
15.01.2023
|
| Subjects | |
| Online Access | Get full text |
| ISSN | 0285-1474 1883-4108 |
| DOI | 10.4326/jjcvs.52.59 |
Cover
| Abstract | 胸部ステントグラフト内挿術時に，左椎骨動脈単独起始（Isolated left vertebral artery: ILVA）の閉鎖を余儀なくされる場合，ILVA再建の要否については統一した見解がない．症例は57歳女性．弓部大動脈にILVAのanomalyがあった．潰瘍様突出像を伴う血栓閉塞型Stanford B型急性大動脈解離に対し保存的降圧療法を行った．一年後に潰瘍様突出像の拡大と偽腔の拡大を認め胸部ステントグラフト内挿術の適応とした．ILVAの閉鎖が想定されたため，ILVA-左総頸動脈バイパス術，左総頸動脈-左腋窩動脈バイパス術を施行後に胸部ステントグラフト内挿術を施行した．術後経過は良好で合併症は認めなかった．ILVA再建は，脳梗塞，脊髄虚血の予防効果が期待され，解剖学的特性から手技が容易なため，積極的に再建した1例を報告する． |
|---|---|
| AbstractList | 胸部ステントグラフト内挿術時に，左椎骨動脈単独起始（Isolated left vertebral artery: ILVA）の閉鎖を余儀なくされる場合，ILVA再建の要否については統一した見解がない．症例は57歳女性．弓部大動脈にILVAのanomalyがあった．潰瘍様突出像を伴う血栓閉塞型Stanford B型急性大動脈解離に対し保存的降圧療法を行った．一年後に潰瘍様突出像の拡大と偽腔の拡大を認め胸部ステントグラフト内挿術の適応とした．ILVAの閉鎖が想定されたため，ILVA-左総頸動脈バイパス術，左総頸動脈-左腋窩動脈バイパス術を施行後に胸部ステントグラフト内挿術を施行した．術後経過は良好で合併症は認めなかった．ILVA再建は，脳梗塞，脊髄虚血の予防効果が期待され，解剖学的特性から手技が容易なため，積極的に再建した1例を報告する． |
| Author | 砂田, 将俊 伊藤, 卓也 前場, 覚 林, 拓人 鈴木, 文隆 |
| Author_xml | – sequence: 1 fullname: 前場, 覚 organization: 総合東京病院心臓血管外科 – sequence: 1 fullname: 鈴木, 文隆 organization: 総合東京病院心臓血管外科 – sequence: 1 fullname: 林, 拓人 organization: 総合東京病院心臓血管外科 – sequence: 1 fullname: 砂田, 将俊 organization: 総合東京病院心臓血管外科 – sequence: 1 fullname: 伊藤, 卓也 organization: 総合東京病院心臓血管外科 |
| BookMark | eNo9kM1Kw0AUhQdRsNaufIG-QOpMMkmTjSDFn0LBTfdhMploQ7SSFKE7k2gt1CIoxaoL8QeKurCgG_8fZkxa38JUxc25H5zDvZczBcY3qhsMgBkEc1gSlVnbplteThZzsjYGUkhVJQEjqI6DFBRVWUA4jydBxvMqBoSikkcQ4RQ4jd_6g2477nUHt3609xyFBzw4_Hx95H4j3r2Mt3vD3tXX2Qii617U6gx3moPuNffvovt37p_woMWDJx42ePjAwyYP-jy84WEn4aixG-9_DC-O4pMgyRe9qkNqzMw6zKplt5hbY4ZLnCxJwK0nR6NGO3p55v4x98_R53trGkxYxPFY5m-mQXlxoVxYFkorS8XCfEmwRYw1QTJMmCcWIdA0JcWkBkYEMUuUMcLQklSKIKPQUqhGFZYETawwSA3D0lQJwryUBnO_a22vRlaZvulW1olb15O_KtRh-k-tuizqaCSy9m_QNeLqNpG-AZmmoo0 |
| ContentType | Journal Article |
| Copyright | 2023 特定非営利活動法人 日本心臓血管外科学会 |
| Copyright_xml | – notice: 2023 特定非営利活動法人 日本心臓血管外科学会 |
| DOI | 10.4326/jjcvs.52.59 |
| DatabaseTitleList | |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Medicine |
| EISSN | 1883-4108 |
| EndPage | 61 |
| ExternalDocumentID | article_jjcvs_52_1_52_59_article_char_ja |
| GroupedDBID | ALMA_UNASSIGNED_HOLDINGS JSF KQ8 OK1 RJT |
| ID | FETCH-LOGICAL-j2449-3bd07afaa0dd36dcb41a1ef254140f38c10ec0f6c9c6e7afd46e0cbbf9830073 |
| ISSN | 0285-1474 |
| IngestDate | Wed Sep 03 06:31:16 EDT 2025 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 1 |
| Language | Japanese |
| LinkModel | OpenURL |
| MergedId | FETCHMERGED-LOGICAL-j2449-3bd07afaa0dd36dcb41a1ef254140f38c10ec0f6c9c6e7afd46e0cbbf9830073 |
| OpenAccessLink | https://www.jstage.jst.go.jp/article/jjcvs/52/1/52_59/_article/-char/ja |
| PageCount | 3 |
| ParticipantIDs | jstage_primary_article_jjcvs_52_1_52_59_article_char_ja |
| PublicationCentury | 2000 |
| PublicationDate | 2023/01/15 |
| PublicationDateYYYYMMDD | 2023-01-15 |
| PublicationDate_xml | – month: 01 year: 2023 text: 2023/01/15 day: 15 |
| PublicationDecade | 2020 |
| PublicationTitle | 日本心臓血管外科学会雑誌 |
| PublicationTitleAlternate | 日心外会誌 |
| PublicationYear | 2023 |
| Publisher | 特定非営利活動法人 日本心臓血管外科学会 |
| Publisher_xml | – name: 特定非営利活動法人 日本心臓血管外科学会 |
| References | 1) Adachi B. Das Arteriensystem der Japaner. 1st ed. Kyoto: Maruzen Co; 1928, pp 29-40. 7) Ullery BW, McGarvey M, Cheung AT et al. Vascular distribution of stroke and its relationship to perioperative mortality and neurologic outcome after thoracic endovascular aortic repair. J Vasc Surg 2012; 56: 1510-7. 4) Tanaka F, Kadohama T, Arai T et al. Thoracic endovascular repair for chronic aortic dissection with aberrant origin of the left vertebral artery; report of a case. J Jpn Thorac Surg 2020; 73: 1032-6. 6) Khoynezhad A, Donayre CE, Bui H et al. Risk factors of neurologic deficit after thoracic aortic endografting. Ann Thorac Surg 2007; 83: S882-9; discussion S890. 3) Ding H, Zhu Y, Wang H et al. Management of type B aortic dissection with an isolated left vertebral artery. J Vasc Surg 2019; 70: 1065-71. 10) AbuRahma AF, Mousa AY, Stone PA et al. Shunting during carotid endarterectomy. J Vasc Surg 2011; 54: 1502-10. 5) Piffaretti G, Gelpi G, Tadiello M et al. Transposition of the left vertebral artery during endovascular stent-graft repair of the aortic arch. J Thorac Cardiovasc Surg 2020; 159: 2189-98.e1. 2) Kimura K, Matsumoto T, Iwasa K et al. A case of aneurysm of the thoracic aorta with a singular region of origin in a vertebral artery. J Jpn Surg Assoc 2013; 74: 2737-40. 9) Melissano G, Tshomba Y, Bertoglio L et al. Analysis of stroke after TEVAR involving aortic arch. Eur J Vasc Endovasc Surg 2012; 43: 269-75. 8) Bradshaw R J, Ahanchi S S, Powell O et al. Left subclavian artery revascularization in zone 2 thoracic endovascular aortic repair is associated with lower stroke risk across all aortic diseases. J Vasc Surg 2017; 65: 1270-9. |
| References_xml | – reference: 6) Khoynezhad A, Donayre CE, Bui H et al. Risk factors of neurologic deficit after thoracic aortic endografting. Ann Thorac Surg 2007; 83: S882-9; discussion S890. – reference: 3) Ding H, Zhu Y, Wang H et al. Management of type B aortic dissection with an isolated left vertebral artery. J Vasc Surg 2019; 70: 1065-71. – reference: 4) Tanaka F, Kadohama T, Arai T et al. Thoracic endovascular repair for chronic aortic dissection with aberrant origin of the left vertebral artery; report of a case. J Jpn Thorac Surg 2020; 73: 1032-6. – reference: 8) Bradshaw R J, Ahanchi S S, Powell O et al. Left subclavian artery revascularization in zone 2 thoracic endovascular aortic repair is associated with lower stroke risk across all aortic diseases. J Vasc Surg 2017; 65: 1270-9. – reference: 9) Melissano G, Tshomba Y, Bertoglio L et al. Analysis of stroke after TEVAR involving aortic arch. Eur J Vasc Endovasc Surg 2012; 43: 269-75. – reference: 5) Piffaretti G, Gelpi G, Tadiello M et al. Transposition of the left vertebral artery during endovascular stent-graft repair of the aortic arch. J Thorac Cardiovasc Surg 2020; 159: 2189-98.e1. – reference: 1) Adachi B. Das Arteriensystem der Japaner. 1st ed. Kyoto: Maruzen Co; 1928, pp 29-40. – reference: 2) Kimura K, Matsumoto T, Iwasa K et al. A case of aneurysm of the thoracic aorta with a singular region of origin in a vertebral artery. J Jpn Surg Assoc 2013; 74: 2737-40. – reference: 10) AbuRahma AF, Mousa AY, Stone PA et al. Shunting during carotid endarterectomy. J Vasc Surg 2011; 54: 1502-10. – reference: 7) Ullery BW, McGarvey M, Cheung AT et al. Vascular distribution of stroke and its relationship to perioperative mortality and neurologic outcome after thoracic endovascular aortic repair. J Vasc Surg 2012; 56: 1510-7. |
| SSID | ssib002671014 ssib005879759 ssib002670241 ssib002223857 ssib023160781 ssib000936894 ssib058493921 ssj0069030 |
| Score | 2.332316 |
| Snippet | 胸部ステントグラフト内挿術時に，左椎骨動脈単独起始（Isolated left vertebral artery: ILVA）の閉鎖を余儀なくされる場合，ILVA再建の要否については統一した見... |
| SourceID | jstage |
| SourceType | Publisher |
| StartPage | 59 |
| SubjectTerms | 左椎骨動脈単独起始 椎骨動脈起始異常 胸部ステントグラフト内挿術 |
| Title | 潰瘍様突出像を伴う慢性解離性大動脈瘤に対するステントグラフト内挿術時にIsolated left vertebral arteryを再建した1例 |
| URI | https://www.jstage.jst.go.jp/article/jjcvs/52/1/52_59/_article/-char/ja |
| Volume | 52 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| ispartofPNX | 日本心臓血管外科学会雑誌, 2023/01/15, Vol.52(1), pp.59-61 |
| journalDatabaseRights | – providerCode: PRVAFT databaseName: Open Access Digital Library customDbUrl: eissn: 1883-4108 dateEnd: 99991231 omitProxy: true ssIdentifier: ssj0069030 issn: 0285-1474 databaseCode: KQ8 dateStart: 19750101 isFulltext: true titleUrlDefault: http://grweb.coalliance.org/oadl/oadl.html providerName: Colorado Alliance of Research Libraries |
| link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtV3NbxQ3FB-hICEuqC2gQmm1h_oUTZgP22Mf7eysaCuQKgWJ22pnduawigIqAYmeurskRApRpVZRQ3uoCkgR7aFIcIG29I8ZdhP-C96zPcmE9gCRuIzevnm2f-89j-e9WX943ufwENE-TaifUZb4VObSz6Dn-EzGZcBxNxCzbu3iJX7hMv3yCrty5OjxxqylG8vZXP7t_64rOYxXgQd-xVWy7-DZvUqBATT4F67gYbi-lY9JyoluEx2QNCFSENFGjjI0cJSCOJGkjEDCr5UhYiI6JIVrRGREUkr0PNHUcEIiOBYXjKjIEAFWlQq8qpikkkh98BZIUkcITSRDYQHBqXB4VF2z0ka4Q3TqOFI6GFDQEtpyYgPDEDquOaKWCRxH1cLY6J4Mw7KAHxGCXh0DHtqKkQMtQg01ni_AMz2MtheLcnkWD6XGf9AXZ80U11sNE9k620hobcxo8Sc10QmNHVPQpBnpmybBcAaNnCdq3lTRQaxopsTAMviE8Z9KkbY2ldxwQMZy2kRx5y2pnCfwljA-3vvQbdBKh1YF6Fl4gowYYFD7YhLNhX630IQV49guAMP6oVq-Lw93UtTGiaGzY4NHEd2oNsFG0cgAnKKzjDxDSlj8oL5qfmiKcJqdb5famqEBy4IK2BkYmsSp20YAwAGAmhs1hekDHLXQutEDOXYbJBy62ffniMZLNBLMD6k9CWqusC95AYMRjEGiGQWw6D-jnX2luw3rbXBoDw54M-ygsTkodTDIb16fY9FcXeTAPu5ulOgaqS6LuiFemOzWN3CZZXcAud7RCCIUPIbmq68bqZKMuTjwKQaCbdbcCjCBcDts_g6bMySYSGRja09I63hzny_IQ2Rstka0USyXQWy_Tzv72bXNqOn5hp4Qtw8gi61nwJqgfOED74TLplvK6vahd2TQ-8g7dtHNFzrp_Tz95_HO1sZ0e2vn9-HkzvPJ-Ptq9MPLv59Ww9Xpyv3pd9u72w9e_YLE5OH2ZH1z9_baztbDavjH5M8X1fBeNVqvRs-q8Wo1flKN16rR42r8qBpvAj1ZXZne_Xf3tx-n90YgX48nLRxPWnvjScuOJ9DoZHVj8tfzavhTNfw1fPli_ZS30EkX5i_47jQafwApkPTjrB8kvbLXC_r9mPfzjIa9sCgjRkMalLHIw6DIg5LnMucFCPYpL4I8y0opYpwPcdqbWbq6VHzstSIeQcGsyEQS0jLDEztEkoRMSMFKyOjOeIk1avea3XGo-7Z95-yhS37iHd9_5s95M8vf3Cg-hXRrOfvM9MPX_7E8Wg |
| linkProvider | Colorado Alliance of Research Libraries |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=%E6%BD%B0%E7%98%8D%E6%A7%98%E7%AA%81%E5%87%BA%E5%83%8F%E3%82%92%E4%BC%B4%E3%81%86%E6%85%A2%E6%80%A7%E8%A7%A3%E9%9B%A2%E6%80%A7%E5%A4%A7%E5%8B%95%E8%84%88%E7%98%A4%E3%81%AB%E5%AF%BE%E3%81%99%E3%82%8B%E3%82%B9%E3%83%86%E3%83%B3%E3%83%88%E3%82%B0%E3%83%A9%E3%83%95%E3%83%88%E5%86%85%E6%8C%BF%E8%A1%93%E6%99%82%E3%81%ABIsolated+left+vertebral+artery%E3%82%92%E5%86%8D%E5%BB%BA%E3%81%97%E3%81%9F1%E4%BE%8B&rft.jtitle=%E6%97%A5%E6%9C%AC%E5%BF%83%E8%87%93%E8%A1%80%E7%AE%A1%E5%A4%96%E7%A7%91%E5%AD%A6%E4%BC%9A%E9%9B%91%E8%AA%8C&rft.au=%E5%89%8D%E5%A0%B4%2C+%E8%A6%9A&rft.au=%E9%88%B4%E6%9C%A8%2C+%E6%96%87%E9%9A%86&rft.au=%E6%9E%97%2C+%E6%8B%93%E4%BA%BA&rft.au=%E7%A0%82%E7%94%B0%2C+%E5%B0%86%E4%BF%8A&rft.date=2023-01-15&rft.pub=%E7%89%B9%E5%AE%9A%E9%9D%9E%E5%96%B6%E5%88%A9%E6%B4%BB%E5%8B%95%E6%B3%95%E4%BA%BA+%E6%97%A5%E6%9C%AC%E5%BF%83%E8%87%93%E8%A1%80%E7%AE%A1%E5%A4%96%E7%A7%91%E5%AD%A6%E4%BC%9A&rft.issn=0285-1474&rft.eissn=1883-4108&rft.volume=52&rft.issue=1&rft.spage=59&rft.epage=61&rft_id=info:doi/10.4326%2Fjjcvs.52.59&rft.externalDocID=article_jjcvs_52_1_52_59_article_char_ja |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0285-1474&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0285-1474&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0285-1474&client=summon |