{"_buckets": {"deposit": "f5661257-93a6-423a-8089-f2912fb453b2"}, "_deposit": {"id": "2016086", "owners": [1], "pid": {"revision_id": 0, "type": "depid", "value": "2016086"}, "status": "published"}, "_oai": {"id": "oai:u-ryukyu.repo.nii.ac.jp:02016086", "sets": ["1642838210080", "1642838412624"]}, "author_link": [], "item_1617186331708": {"attribute_name": "Title", "attribute_value_mlt": [{"subitem_1551255647225": "[症例報告]Staged surgical management of abdominal aortic aneurysm with Klebsiella pneumoniae infection : A case report", "subitem_1551255648112": "ja"}]}, "item_1617186419668": {"attribute_name": "Creator", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "Kusaba, Akira", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Koja, Kageharu", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Sunagawa, Kazuya", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Kamada, Yoshihiko", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Kuda, Tomoharu", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Sakuda, Hitosi", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Tamaki, Masato", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Tamashiro, Mamoru", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Matsubara, Shinobu", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Nakao, Kiyoshi", "creatorNameLang": "en"}]}]}, "item_1617186476635": {"attribute_name": "Access Rights", "attribute_value_mlt": [{"subitem_1522299639480": "open access", "subitem_1600958577026": "http://purl.org/coar/access_right/c_abf2"}]}, "item_1617186499011": {"attribute_name": "Rights", "attribute_value_mlt": [{"subitem_1522650717957": "ja", "subitem_1522651041219": "琉球医学会"}]}, "item_1617186609386": {"attribute_name": "Subject", "attribute_value_mlt": [{"subitem_1522299896455": "en", "subitem_1522300014469": "Other", "subitem_1523261968819": "infected aortic aneurysm"}, {"subitem_1522299896455": "en", "subitem_1522300014469": "Other", "subitem_1523261968819": "abdominal aorta"}, {"subitem_1522299896455": "en", "subitem_1522300014469": "Other", "subitem_1523261968819": "staged arterial reconstruction"}, {"subitem_1522299896455": "en", "subitem_1522300014469": "Other", "subitem_1523261968819": "Klebsiella pneumoniae"}]}, "item_1617186626617": {"attribute_name": "Description", "attribute_value_mlt": [{"subitem_description": "A 65-year-old Japanese man with an infected saccular aneurysm in the terminal abdominal aorta and septicemia with a high fever over 41℃ related to a liver abscess was successfully treated by an initial aneurysmectomy with axillo-bifemoral prosthetic bypass and by a secondary anatomical aorto-bifemoral prosthetic bypass. A preoperative blood culture grew Klebsiella pneumoniae. An abdominal CT scan and aortography revealed a protrusive saccular aneurysm in the terminal abdominal aorta, associated with compressive thrombosis of the inferior vena cava (IVC) and left common iliac vein. Aneurysmectomy with thorough debridement of the retroperitoneal tissues was initially performed. The aortic stump was oversewn and arterial circulation was restored to the bilateral lower extremities by an axillo-bifemoral prosthetic bypass graft. The occluded ilio-caval venous trunk was reconstructed simultaneously by thrombectomy. After continuous oral administration of antibiotic for 5 months, the arterial continuity was secondarily reverted in the anatomical route using an aorto-bifemoral prosthetic bypass. Thus, we are able to recommend staged surgical management of infected abdominal aortic aneurysms for the prevention of postoperative graft infection and delayed blowout of the sewn aortic stump.", "subitem_description_type": "Other"}, {"subitem_description": "論文", "subitem_description_type": "Other"}]}, "item_1617186643794": {"attribute_name": "Publisher", "attribute_value_mlt": [{"subitem_1522300295150": "ja", "subitem_1522300316516": "琉球医学会"}, {"subitem_1522300295150": "en", "subitem_1522300316516": "Ryukyu Medical Association"}]}, "item_1617186702042": {"attribute_name": "Language", "attribute_value_mlt": [{"subitem_1551255818386": "eng"}]}, "item_1617186920753": {"attribute_name": "Source Identifier", "attribute_value_mlt": [{"subitem_1522646500366": "ISSN", "subitem_1522646572813": "1346888X"}, {"subitem_1522646500366": "ISSN", "subitem_1522646572813": "0289-1530"}, {"subitem_1522646500366": "NCID", "subitem_1522646572813": "AN10369445"}]}, "item_1617186941041": {"attribute_name": "Source Title", "attribute_value_mlt": [{"subitem_1522650068558": "ja", "subitem_1522650091861": "琉球医学会誌 = Ryukyu Medical Journal"}]}, "item_1617187056579": {"attribute_name": "Bibliographic Information", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "1997", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "2", "bibliographicPageEnd": "108", "bibliographicPageStart": "105", "bibliographicVolumeNumber": "17"}]}, "item_1617258105262": {"attribute_name": "Resource Type", "attribute_value_mlt": [{"resourcetype": "journal article", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_1617265215918": {"attribute_name": "Version Type", "attribute_value_mlt": [{"subitem_1522305645492": "VoR", "subitem_1600292170262": "http://purl.org/coar/version/c_970fb48d4fbd8a85"}]}, "item_1617605131499": {"attribute_name": "File", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_access", "download_preview_message": "", "file_order": 0, "filename": "v17p105.pdf", "future_date_message": "", "is_thumbnail": false, "mimetype": "", "size": 0, "url": {"objectType": "fulltext", "url": "https://u-ryukyu.repo.nii.ac.jp/record/2016086/files/v17p105.pdf"}, "version_id": "8ca1a57c-bbf8-41f3-bfc9-f44212a81f15"}]}, "item_title": "[症例報告]Staged surgical management of abdominal aortic aneurysm with Klebsiella pneumoniae infection : A case report", "item_type_id": "15", "owner": "1", "path": ["1642838210080", "1642838412624"], "permalink_uri": "http://hdl.handle.net/20.500.12000/0002016086", "pubdate": {"attribute_name": "PubDate", "attribute_value": "2010-07-02"}, "publish_date": "2010-07-02", "publish_status": "0", "recid": "2016086", "relation": {}, "relation_version_is_last": true, "title": ["[症例報告]Staged surgical management of abdominal aortic aneurysm with Klebsiella pneumoniae infection : A case report"], "weko_shared_id": -1}