Intestinal angina in a patient with hypertrophic obstructive cardiomyopathy: a case report

Intestinal angina in a patient with hypertrophic obstructive cardiomyopathy: a case report

フォーマット:

論文

責任表示:

Hamaoka, Takuto ; Omi, Wataru ; Sekiguti, Yoshiteru ; Takata, Shigeo ; Kaneko, Shuichi ; Inoue, Oto ; Takashima, Shinichiro ; Murai, Hisayoshi ; Usui, Soichiro ; Kato, Takeshi ; Furusho, Hiroshi ; Takamura, Masayuki

言語:

英語

出版情報:

BioMed Central Ltd., 2016-09-29

著者名:

Takashima, Shinichiro

掲載情報:

Journal of Medical Case Reports

ISSN:

1752-1947

巻:

10

通号:

1

開始ページ:

1

終了ページ:

5

バージョン:

publisher

概要:

Background: Intestinal angina is characterized by recurrent postprandial abdominal pain and anorexia. Commonly, these symptoms are caused by severe stenosis of at least two vessels among the celiac and mesenteric arteries. However, intestinal perfusion is affected not only by the degree of arterial stenosis but also by systemic perfusion. We experienced a unique case of intestinal angina caused by relatively mild stenosis of the abdominal arteries … complicated with hypertrophic obstructive cardiomyopathy. Case presentation: We report an 86-year old Japanese man with hypertrophic obstructive cardiomyopathy and advanced atrioventricular block who was diagnosed with intestinal angina. Computed tomography showed mild stenosis of the celiac artery and severe stenosis of the inferior mesenteric artery, and these lesions were relatively mild compared with other reports. A dual-chamber pacemaker with right ventricular apical pacing was implanted to improve the obstruction of the left ventricular outflow tract. After implantation, the patient's abdominal symptoms diminished markedly, and improvement of the left ventricular outflow tract obstruction was observed. Conclusions: Although intestinal angina is generally defined by severe stenosis of at least two vessels among the celiac and mesenteric arteries, the present case suggests that hemodynamic changes can greatly affect intestinal perfusion and induce intestinal angina in the presence of mild stenosis of the celiac and mesenteric arteries. © 2016 The Author(s). 続きを見る

URL:

http://hdl.handle.net/2297/46530

タイトル・著者・出版者が同じ資料

詳細

主題:	Advanced atrioventricular block; Case report; Hypertrophic obstructive cardiomyopathy; Intestinal angina
受理日:	2016-09-29

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2 論文 Augmented single-unit muscle sympathetic nerve activity in heart failure with chronic atrial fibrillation Ikeda, Tatsunori, Murai, Hisayoshi, Kaneko, Shuichi, Usui, Soichiro, Kobayashi, Daisuke, Nakano, Manabu, Ikeda, Keiko, … The Physiological Society / Wiley-Blackwell	8 論文 Separated right and left ventricular excitation during right ventricular septal pacing in a patient with narrow QRS wave: A case report Yaegashi, Takanori, Furusho, Hiroshi, Chikata, Akio, Usui, Soichiro, Kaneko, Shuichi, Yamagishi, Masakazu, Takamura, … BioMed Central
3 論文 Altered gene expression in T-cell receptor signalling in peripheral blood leucocytes in acute coronary syndrome predicts secondary coronary events Takashima, Shin-ichiro, Usui, Soichiro, Kurokawa, Keisuke, Kitano, Teppei, Kato, Takeshi, Murai, Hisayoshi, Furusho, … BMJ Publishing Group	9 論文 S1P 3-mediated cardiac fibrosis in sphingosine kinase 1 transgenic mice involves reactive oxygen species Takuwa, Noriko, Ohkura, Sei-Ichiro, Takashima, Shin-ichiro, Ohtani, Keisuke, Okamoto, Yasuo, Tanaka, Tamotsu, Hirano, … Oxford University Press (OUP)
4 論文 Altered Interaction Between Plasminogen Activator Inhibitor Type 1 Activity and Sympathetic Nerve Activity With Aging Otowa, Kanichi, Takamura, Masayuki, Murai, Hisayoshi, Maruyama, Michiro, Nakano, Manabu, Ikeda, Tatsunori, Kobayashi, …	10 論文 Myocyte-specific enhancer factor 2c triggers transdifferentiation of adipose tissue-derived stromal cells into spontaneously beating cardiomyocyte-like cells Takashima, Shinichiro, Usui, Soichiro, Inoue, Oto, Goten, Chiaki, Yamaguchi, Kosei, Takeda, Yusuke, Cui, Shihe, Sakai, … Nature Research
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