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'(Freestyle生体弁)を用い,modifled': [5], 'sub-coronary法にて大動脈弁置換術(AVR)を施行された.術直後より心不全が続いていたが,手術5年後に心臓カテーテル検査で大動脈弁収縮期圧較差が115mmHgである弁輪部狭窄が顕在化し心不全症状が再悪化したため,今回当科にて弁輪拡大術を併用したATS': [6], 'AP': [7], '18mmによるAVRを施行した.術中所見として,Freestyle生体弁がオーバーサイジングsub-coronary法で縫着されたことが弁輪部狭窄の原因に関与している可能性が示唆された.': [8]}, 'cited_by_api_url': 'https://api.openalex.org/works?filter=cites:W2095548186', 'counts_by_year': [], 'updated_date': '2024-12-13T22:12:45.826308', 'created_date': '2016-06-24'}