ザ・ベスト・トリートメント!　心臓弁膜症

出版社： 文光堂
著者：
発行日： 2017-03-01
分野： 臨床医学：内科  >  循環器一般
ISBN： 9784830619342
電子書籍版： 2017-03-01 （第1版第1刷）
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ガイドラインの遵守を呼びかけるテキストが多い中で，本書ではガイドラインのエッセンスを読み取り，それをどのように臨床に活かしたらよいのか，ガイドラインの深読みと活用術をまとめた．また，今後どの方向に向かってガイドラインは変わっていくのかといった，ガイドラインの先読みもしている．まさにこれは目の前の患者に対して“the best treatment”を提供したいという臨床医の率直な気持ちを形にしたものである．

目次

  • ザ・ベスト・トリートメント！　心臓弁膜症

    ―目次―

    I　僧帽弁閉鎖不全症（MR）のThe Best Treatment
    　1． MR患者の臨床経過を理解しよう
    　2． 手術適応となる重症MR をどのように診断する？
    　　　　─ 一次性MRと二次性MRで異なる重症度診断 ─
    　3． primary MRの手術適応と術式
    　4． secondary MRの手術はいつどのように施行する？
    　Controversy どの程度の低心機能症例まで
    　　　　　　　　secondary MRの手術をするか？
    　Topics 経カテーテル僧帽弁閉鎖不全症治療の位置付け

    II 大動脈弁狭窄症（AS）のThe Best Treatment
    　1． 重度AS の生命予後はいわれているほど悪いのか？
    　2． 重症ASを診断する
    　3． ASの手術はいつどのように施行する？
    　Controversy バルーン大動脈弁形成術の役割とは？
    　Topics ASに対する人工弁置換術以外の治療方法
    　Topics 大動脈二尖弁と大動脈疾患の関係

    III　大動脈弁閉鎖不全症（AR）のThe Best Treatment
    　1． 重症ARの生命予後はそんなに悪いのか？
    　2． 重症ARの診断はどうする？
    　3． ARの手術はいつどのように施行する？
    　4． para-valvular leakの診断と手術適応

    IV 三尖弁閉鎖不全症（TR）のThe Best Treatment
    　1． 手術の判定に必要なTRの重症度評価とは？
    　2． 他の心臓手術に合わせて行うTRの手術適応と術式

    V　感染性心内膜炎（IE）のThe Best Treatment
    　1． IEの手術適応　─ その決め手となる所見は？ ─
    　2． IEの外科治療
    　3． 術後の抗菌薬管理はどうする？
    　　　Controversy 脳卒中を起こした症例において
    　　　　　　　　　　早期手術versus 待機手術

この書籍の参考文献

参考文献のリンクは、リンク先の都合等により正しく表示されない場合がありますので、あらかじめご了承下さい。

本参考文献は電子書籍掲載内容を元にしております。

I 僧帽弁閉鎖不全症 ( MR ) のThe Best Treatment

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2) Nair, RU et al : Left ventricular volume reduction without ventriculectomy. Ann Thorac Surg 2001 ; 71 : 2046-2049
 
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4) Mihaljevic, T et al : Impact of mitral valve annuloplasty combined with revascularization in patients with functional ischemic mitral regurgitation. J Am Coll Cardiol 2007 ; 49 : 2191-2201
 
5) Penicka, M et al : Predictors of improvement of unrepaired moderate ischemic mitral regurgitation in patients undergoing elective isolated coronary artery bypass graft surgery. Circulation 2009 ; 120 : 1474-1481
 
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17) Nappi, F et al : Papillary Muscle Approximation Versus Restrictive Annuloplasty Alone for Severe Ischemic Mitral Regurgitation. J Am Coll Cardiol 2016 ; 67 : 2334-2346
 
P.44 掲載の参考文献
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P.48 掲載の参考文献
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II 大動脈弁狭窄症 ( AS ) のThe Best Treatment

P.55 掲載の参考文献
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11) Smith, CR et al : Transcatheter versus surgical aortic-valve replacement in high-risk patients. N Engl J Med 2011 ; 364 : 2187-2198
 
12) Leon, MB et al : Transcatheter or Surgical Aortic-Valve Replacement in Intermediate-Risk Patients. N Engl J Med 2016 ; 374 : 1609-1620
 
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10) Leon, MB et al : Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery. N Engl J Med 2010 ; 363 : 1597-1607
 
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P.79 掲載の参考文献
1) Nishimura, RA et al : 2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease : a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation 2014 ; 129 : e521-e643
 
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10) 尾崎重之 : 大動脈弁狭窄症に対する自己心膜を用いた大動脈弁再建術-尾崎法-. 大動脈弁形成術のすべて, 文光堂, 東京, 2015, 101-105
 
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III 大動脈弁閉鎖不全症 ( AR ) のThe Best Treatment

P.89 掲載の参考文献
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IV 三尖弁閉鎖不全症 ( TR ) のThe Best Treatment

P.118 掲載の参考文献
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1) Nishimura, RA et al : 2014 AHA/ACC guideline for the management of patients with valvular heart disease : a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 2014 ; 63 : e57-e185
 
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V 感染性心内膜炎 ( IE ) のThe Best Treatment

P.137 掲載の参考文献
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2) Kang, DH et al : Early surgery versus conventional treatment for infective endocarditis. N Engl J Med 2012 ; 366 : 2466-2473
 
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5) Okita, Y et al : Optimal timing of surgery for active infective endocarditis with cerebral complications : a Japanese multicentre study. Eur J Cardiothorac Surg 2016 ; 50 : 374-382
 

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