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研究关键词congenital heart disease・Fontan circulation・pediatric cardiac surgery・circulatory assist devices・postoperative monitoring・pediatric cardiovascular care

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• Nakae Koji, Ueno Kentaro, Moriyama Mizuki, Baba Yusei, Kawano Yoshifumi . 新生児の無症候性脳静脈洞血栓症に対する低分子量heparin(Low-molecular-weight heparin for asymptomatic cerebral sinovenous thrombosis in2024 · 記述言語： 英語 出版者・発行元： John Wiley & Sons Australia, Ltd 低分子量heparin(LMWH)が奏効した脳静脈洞血栓症(CSVT)の新生児(女児、14日齢)について検討した。女児は妊娠38週0日に出生し、胎児機能不全と診断された。出生体重は2024g、アプガースコアは7/9であった。頭部超音波検査で上衣下嚢胞が疑われたためMRI検査を施行したところ、横静脈洞や右側小脳半球に血栓が認められた。新生児CSVTと診断し、抗凝固療法としてLMWH(150IU/kg/日)を6週間投与した。投与中の定期的な脳超音波検査では、脳室周囲および脳室内の出血は認めなかった。LMWH投与後のMRI検査では横静脈洞血栓の消失を認め、MRVでは同部位に正常な静脈血流を認めた。抗凝固療法の施行後、女児は神経学的異常もなく正常に発育した。
• 下園 翼, 櫨木 大祐, 塩川 直宏, 高橋 宣宏, 中江 広治, 川村 順平, 森田 康子, 上野 健太郎, 河野 嘉文2022 · 記述言語： 日本語 出版者・発行元： (株)総合医学社
• Takahashi Yoshihiro, Ueno Kentaro, Shiokawa Naohiro, Nakae Koji, Kawamura Junpei, Morita Yasuko, Hazeki Daisuke, Okamoto Yasuhiro2022 · 記述言語： 英語 出版者・発行元： (一社)日本心臓病学会
• Takahashi Y., Ueno K., Shiokawa N., Nakae K., Kawamura J., Morita Y., Hazeki D., Okamoto Y. . Successful coil embolization for pediatric internal mammary artery aneurysm after the Fontan proce2022 · 記述言語： 英語 出版者・発行元： Journal of Cardiology Cases We herein describe the first pediatric case of an internal mammary artery (IMA) aneurysm caused by a median sternotomy. He was a 2-year-old with tricuspid atresia who underwent an extracardiac conduit Fontan procedure. On the 36th postoperative day, an asymptomatic left IMA aneurysm was detected via contrast computed tomography, which was successfully treated with coil embolization. The patient had no underlying disease such as vasculitis, connective tissue disease, or other hereditary diseases, and there were no episodes of infection or hypertension before or after the onset of the IMA aneurysm. Because the left IMA ran medially to the periphery and was in a vulnerable position during median sternotomy, we considered the IMA aneurysm was caused by the median sternotomy. We pediatric cardiologists should be aware that IMA aneurysms can occur in pediatric cardiac surgery, and we should be proactive in performing postoperative imaging studies in cases where the preoperative internal thoracic artery runs medially toward the periphery. Learning objective: Internal mammary artery (IMA) aneurysm is a rare vascular disease, especially in children. One-third of adult IMA aneurysms have been reported to be caused by sternotomy, but not in children. We report the first pediatric case of an IMA aneurysm caused by sternotomy. We should recognize that there is a potential risk of IMA aneurysms in pediatric cardiac surgery as well. DOI： 10.1016/j.jccase.2022.05.016 Scopus PubMed

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