Language：Japanese   Publisher：医学図書出版(株)  

症例は38歳女性。特記すべき既往なし。突然の左上肢巧緻運動障害と心窩部痛,呼吸困難を認めた。4日後左下肢知覚障害および不全麻痺が出現し脳神経外科受診。頭部MRIで右大脳半球,左後頭葉に散在性脳梗塞を認め,心原性脳塞栓が疑われ循環器内科紹介となった。入院時の心電図は104bpmと洞頻脈,aVLとV5～V6誘導に小さなQ波,IIIとaVF誘導に陰性T波を認めたが非特異的所見であった。血液生化学検査で心筋逸脱酵素(CK/CK-MB)は正常範囲内だが,高感度トロポニンT0.682ng/mL,NT-proBNP395pg/mLと上昇し何らかの心筋障害が示唆された。経胸壁心臓超音波で左室駆出率は72%と保たれていたが全周性に心嚢液貯留を認め,急性心筋炎を強く疑った。受診3週間前にSARS-CoV-2 mRNAワクチン(COVID-19ワクチンモデルナ筋注)の2回目の接種が完了し,時系列からCOVID-19ワクチン関連心筋炎が考えられた。画像および病理所見より考察する。(著者抄録)

researchmap

Language：English   Publishing type：Research paper (scientific journal)  

A case of a giant popliteal venous aneurysm that caused massive pulmonary thromboembolism with an arteriovenous fistula draining into the adjacent proximal femoral vein is reported herein. Deep veins in the lower leg were occluded by thrombi. The inlet and outlet orifice inside the aneurysm was closed and aneurysmorraphy was performed. The fistula was retained on the estimation that it would maintain the blood flow and prevent thrombus formation inside the femoral vein. The aneurysm was shrunk, the femoral vein was patent, and the fistula was not observed 1 year later, although it still existed 1 week after the operation.

DOI： 10.3400/avd.cr.22-00044

PubMed

researchmap

Language：English   Publishing type：Research paper (scientific journal)  

DOI： 10.1093/eurheartj/ehaa729

PubMed

researchmap

Language：Japanese   Publisher：(一社)日本内分泌学会  

researchmap

Language：Japanese   Publisher：(一社)日本内分泌学会  

researchmap

Event date： 2025.5

Language：Japanese   Presentation type：Oral presentation (general)  

researchmap

Event date： 2025.5

Language：Japanese   Presentation type：Oral presentation (general)  

researchmap

Event date： 2023.5

Language：Japanese   Presentation type：Oral presentation (general)  

researchmap

Event date： 2023.3

Presentation type：Oral presentation (general)  

researchmap

Event date： 2023.2

Language：Japanese   Presentation type：Oral presentation (general)  

researchmap

researchmap

researchmap