{"created":"2023-07-25T10:25:15.492790+00:00","id":5489,"links":{},"metadata":{"_buckets":{"deposit":"5c1e9504-f579-48cb-85a3-bebf029cc7e8"},"_deposit":{"created_by":15,"id":"5489","owners":[15],"pid":{"revision_id":0,"type":"depid","value":"5489"},"status":"published"},"_oai":{"id":"oai:air.repo.nii.ac.jp:00005489","sets":["611:939:940"]},"author_link":["15457","15459","15460","15469","15470","15463","15465","15466","15467","15471"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2020","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"63","bibliographicPageStart":"57","bibliographicVolumeNumber":"31","bibliographic_titles":[{"bibliographic_title":"静脈学"}]}]},"item_10001_description_5":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"心臓腫瘍は稀な疾患であり，悪性であれば予後不良である．発生部位ごとに特異的な合併症を生じ，右心系発生例では腫瘍肺塞栓が致命的となる．外科的介入後も腫瘍自体の予後や生存期間を改善できない症例も存在するが，突然死の予防や心不全の改善から，ADLの向上が得られ自宅退院が期待できる症例もある．転移性腫瘍や肝臓癌・腎臓癌の限局的な進展例は，切除による生存期間の延長・予後改善が見込まれる．今回われわれは人工心肺補助下で外科的介入を行った5例の右心系悪性腫瘍を経験した．そのうち2例は早期に失ったが，3例は比較的長期生存を得られ，自宅退院も可能であった．腫瘍形態によっては術後化学療法が奏功する例もあった．最終的に全例死亡したが，外科的介入は突然死を予防しかつ診断を行うことで補助療法による生存期間の延長を見込むことができたと考える．また術後早期の肺および肺循環障害はDIC,MOFへ進展させ救命を妨げるリスクであると考える．","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"Cardiac tumors are rare, and if malignant, the prognosis is often poor. Specific complications occur depending on the site, and pulmonary tumor embolism is most fatal when the tumor site is in the right heart. Although, surgical intervention does not necessarily improve the prognosis of the tumor itself or survival, surgery can prevent sudden death and improve heart failure symptoms, which in turn is expected to improve the activities of daily living (ADL) and maintain the quality of life (QOL) by allowing hospital discharge. In cases of metastatic tumors or tumors due to progression of liver or kidney cancer, resection of the tumor not only improves ADL and QOL but may also prolong survival and improve prognosis. This study presents five cases of right cardiac malignant tumors in which surgical intervention using cardiopulmonary bypass was performed. In two cases, the patients died early but in the remaining three, relatively longer survival was observed. The patients were discharged and returned home but died later. Postoperative adjuvant chemotherapy may be effective in such cases depending on the tumor morphology. We conclude that surgical intervention was able to prevent sudden death, and a diagnosis followed by adjuvant chemotherapy might extend the survival. On the other hand, early postoperative lung and pulmonary circulatory disorders may be at risk of progressing to DIC and MOF and impairing survival.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"日本静脈学会 "}]},"item_10001_relation_25":{"attribute_name":"関連情報","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.7134/phlebol.20-8","subitem_relation_type_select":"DOI"}}]},"item_10001_rights_15":{"attribute_name":"権利情報","attribute_value_mlt":[{"subitem_rights":"この記事はクリエイティブ・コモンズ [表示 - 非営利 - 改変禁止 4.0 国際]ライセンスの下に提供されています"}]},"item_10001_version_type_20":{"attribute_name":"出版タイプ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_1724099666130":{"attribute_name":"収録物識別子","attribute_value_mlt":[{"subitem_source_identifier":"2186-5523","subitem_source_identifier_type":"ISSN"}]},"item_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_creator":{"attribute_name":"作成者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"桐生, 健太郎","creatorNameLang":"ja"}],"nameIdentifiers":[{"nameIdentifier":"15457","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"角浜, 孝行","creatorNameLang":"ja"}],"nameIdentifiers":[{"nameIdentifier":"15459","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"田中, 郁信","creatorNameLang":"ja"}],"nameIdentifiers":[{"nameIdentifier":"15460","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"高木 , 大地","creatorNameLang":"ja"}],"nameIdentifiers":[{"nameIdentifier":"15469","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"山本 , 浩史","creatorNameLang":"ja"}],"nameIdentifiers":[{"nameIdentifier":"15470","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Kiryu, Kentaro","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"15463","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Kadohama, Takayuki","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"15465","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Tanaka, Fuminobu","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"15466","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Takagi, Daichi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"15467","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Yamamoto, Hiroshi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"15471","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-11-12"}],"displaytype":"detail","filename":"iA_2021_27.pdf","filesize":[{"value":"2.6 MB"}],"format":"application/pdf","licensefree":"CC  BY NC-ND 4.0","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"iA_2021_27","url":"https://air.repo.nii.ac.jp/record/5489/files/iA_2021_27.pdf"},"version_id":"0b943655-7b49-4e61-9601-137d4bbc3158"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"右心系悪性腫瘍","subitem_subject_scheme":"Other"},{"subitem_subject":"腫瘍肺塞栓症","subitem_subject_scheme":"Other"},{"subitem_subject":"原発性悪性心臓腫瘍","subitem_subject_scheme":"Other"},{"subitem_subject":"転移性悪性心臓腫瘍","subitem_subject_scheme":"Other"},{"subitem_subject":"right cardiac malignant tumor","subitem_subject_scheme":"Other"},{"subitem_subject":"tumor pulmonary embolism","subitem_subject_scheme":"Other"},{"subitem_subject":"primary malignant heart tumor","subitem_subject_scheme":"Other"},{"subitem_subject":"metastatic malignant heart tumor","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":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"心臓悪性腫瘍に対する外科治療の意義：右心系悪性腫瘍5例の検討","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"心臓悪性腫瘍に対する外科治療の意義：右心系悪性腫瘍5例の検討","subitem_title_language":"ja"},{"subitem_title":"Significance of Surgical Therapy for Right Heart Malignant Tumors: A 5-case Report","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"15","path":["940"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2021-11-12"},"publish_date":"2021-11-12","publish_status":"0","recid":"5489","relation_version_is_last":true,"title":["心臓悪性腫瘍に対する外科治療の意義：右心系悪性腫瘍5例の検討"],"weko_creator_id":"15","weko_shared_id":-1},"updated":"2024-08-24T22:35:43.876968+00:00"}