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Spontaneous thrombosis of a giant aneurysm complicated with the coronary-to-pulmonary artery fistula : a case report
https://tokushima-u.repo.nii.ac.jp/records/2012028
https://tokushima-u.repo.nii.ac.jp/records/20120285ce8bf59-3808-4b22-9a20-ded19a3d0e05
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ehjcr_8_5_ytae227.pdf (864 KB)
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| Item type | 文献 / Documents(1) | |||||||||||||||||||||||||||||
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| 公開日 | 2024-05-21 | |||||||||||||||||||||||||||||
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| アクセス権 | open access | |||||||||||||||||||||||||||||
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| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||||||||||||||||||||
| 資源タイプ | journal article | |||||||||||||||||||||||||||||
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| 関連識別子 | https://doi.org/10.1093/ehjcr/ytae227 | |||||||||||||||||||||||||||||
| 関連名称 | 10.1093/ehjcr/ytae227 | |||||||||||||||||||||||||||||
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| 出版タイプ | VoR | |||||||||||||||||||||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||||||||||||||||||||||
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| タイトル | Spontaneous thrombosis of a giant aneurysm complicated with the coronary-to-pulmonary artery fistula : a case report | |||||||||||||||||||||||||||||
| タイトル別表記 | ||||||||||||||||||||||||||||||
| その他のタイトル | Spontaneous thrombosis of a giant aneurysm | |||||||||||||||||||||||||||||
| 著者 |
髙橋, 智紀
× 髙橋, 智紀
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1517
× 若槻, 哲三
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1159
× 伊勢, 孝之
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540
× 佐田, 政隆
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309
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| 内容記述 | Background A coronary-to-pulmonary artery fistula (CPAF) with a giant aneurysm is a rare clinical occurrence. The rupture of an aneurysm leads to a fatal outcome, thus prompting the incorporation of prophylactic measures, which have encompassed surgical resections or endovascular embolization procedures. The indications for these treatment strategies are controversial, and little has been elucidated regarding the salient characteristics underpinning the selection of a therapeutic strategy. We report a case of a giant aneurysm associated with CPAFs that was thrombosed before interventional treatment. Case summary A 43-year-old woman, who had previously undergone a right adrenalectomy for primary aldosteronism, was referred for an abnormal heart silhouette on a chest X-ray, which had not been seen three years earlier. Contrast-enhanced computed tomography and coronary angiography (CAG) revealed a giant aneurysm on the anterior aspect of the heart associated with two CPAFs. Because of the risk of rupture of the aneurysm, surgical resection was recommended; however, the patient requested endovascular therapy. On the day of intervention, CAG showed spontaneous occlusion of the feeding vessel to the aneurysm, and the aneurysm showed minimal contrast agent, suggesting spontaneous thrombosis. Because of possible recanalization of the aneurysm, coil embolization was performed, without complications. The patient remained asymptomatic, and the aneurysm was completely embolized at the one-year follow-up. Discussion The case shows that minimally invasive endovascular treatment is feasible instead of surgical resection for giant aneurysms associated with CPAFs, depending on their morphological characteristics. This perspective may offer novel insights into treatment strategies for CPAF. |
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| 主題 | Coronary-to-pulmonary artery fistulas | |||||||||||||||||||||||||||||
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| 主題 | Coronary anomalies | |||||||||||||||||||||||||||||
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| 主題 | Coil embolization | |||||||||||||||||||||||||||||
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| 主題 | Case report | |||||||||||||||||||||||||||||
| 書誌情報 |
en : European Heart Journal: Case Reports 巻 8, 号 5, p. ytae227, 発行日 2024-04-26 |
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| 収録物識別子タイプ | ISSN | |||||||||||||||||||||||||||||
| 収録物識別子 | 25142119 | |||||||||||||||||||||||||||||
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| 出版者 | Oxford University Press | |||||||||||||||||||||||||||||
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| 出版者 | European Society of Cardiology | |||||||||||||||||||||||||||||
| 権利情報 | ||||||||||||||||||||||||||||||
| 権利情報 | This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. | |||||||||||||||||||||||||||||
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| 識別子 | 408203 | |||||||||||||||||||||||||||||
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| 言語 | eng | |||||||||||||||||||||||||||||
