{"created":"2023-05-18T10:09:27.986751+00:00","id":873,"links":{},"metadata":{"_buckets":{"deposit":"3cd06ec0-1d00-4835-a90f-afb54948c570"},"_deposit":{"created_by":5,"id":"873","owners":[5],"pid":{"revision_id":0,"type":"depid","value":"873"},"status":"published"},"_oai":{"id":"oai:yamanashi.repo.nii.ac.jp:00000873","sets":["63:98:115"]},"author_link":["5068","5069","5070","5071"],"item_2_alternative_title_1":{"attribute_name":"タイトル(別表記)","attribute_value_mlt":[{"subitem_alternative_title":"Cardiac surgery in the elederly","subitem_alternative_title_language":"en"}]},"item_2_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1986","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"25","bibliographicPageStart":"19","bibliographicVolumeNumber":"3","bibliographic_titles":[{"bibliographic_title":"山梨医科大学紀要","bibliographic_titleLang":"ja"},{"bibliographic_title":"Bulletin of Yamanashi Medical University","bibliographic_titleLang":"en"}]}]},"item_2_creator_2":{"attribute_name":"著者名","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"松川, 哲之助","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"橋本, 良一","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"吉井, 新平","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"上野, 明","creatorNameLang":"ja"}]}]},"item_2_description_5":{"attribute_name":"内容","attribute_value_mlt":[{"subitem_description":"Cardiac surgery in elderly patients presents a special challenge at least in Japan. Fifteen patients over the age of 55 years underwent cardiac operations at the Yamanashi Medical College Hospital during the past two years. The age was ranged from 55 to 72 year old. In seven surgically treated valvular patients, there were 4 aortic valve replacements, 2 mitral valve replacements and one open mitral commissurotomy, and then in eight non-valvular patients, 3 coronary revascularizations, 3 repairs of aortic dissections, repairs of one atrial septal defect and one post-infarction ventricular septal perforation. The operative mortality was 8 percent in 12 elective cases and 67 percent in three emergency cases, an overall mortality of 2o percent. Concerning the cause of valvular lesions in the elderly, typical rheumatic disease has been decreasing, and non-rheumatic valvular lesion is increasing; for instance, atheroscleratic and degenerative or floppy va1ve, infectious endocarditis and ischemic valvular dysfunction. Our data suggest that any necessary cardiac surgery may be performed electively with low risk and a high likelihood of satisfactory rehabilitation in the elderly age group. The major determinants of mortality are the urgency of the intervention and associated coronary artery disease.","subitem_description_language":"en","subitem_description_type":"Other"}]},"item_2_full_name_24":{"attribute_name":"著者名(別表記)","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"5068","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Matsushita, Tetsunosuke","nameLang":"en"}]},{"nameIdentifiers":[{"nameIdentifier":"5069","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Hashimoto, Ryuichi","nameLang":"en"}]},{"nameIdentifiers":[{"nameIdentifier":"5070","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Yoshii, Shinpei","nameLang":"en"}]},{"nameIdentifiers":[{"nameIdentifier":"5071","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Ueno, Akira","nameLang":"en"}]}]},"item_2_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.34429/00000866","subitem_identifier_reg_type":"JaLC"}]},"item_2_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"山梨医科大学","subitem_publisher_language":"ja"}]},"item_2_source_id_11":{"attribute_name":"NCID","attribute_value_mlt":[{"subitem_source_identifier":"AN10032951","subitem_source_identifier_type":"NCID"}]},"item_2_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0910-5069","subitem_source_identifier_type":"ISSN"}]},"item_2_text_4":{"attribute_name":"タイトルヨミ","attribute_value_mlt":[{"subitem_text_language":"ja-Kana","subitem_text_value":"コウレイカ シャカイ ニオケル シンゾウ シュジュツ トクニ シンゾウ ベンマクショウ ノ ドウコウ"}]},"item_2_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-02-27"}],"displaytype":"detail","filename":"KJ00000561004.pdf","filesize":[{"value":"791.2 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"KJ00000561004.pdf","objectType":"fulltext","url":"https://yamanashi.repo.nii.ac.jp/record/873/files/KJ00000561004.pdf"},"version_id":"cad4afdf-d5ea-4d01-9441-6dc3d0f1cabf"}]},"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":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"高齢化社会における心臓手術 : とくに心臓弁膜症の動向","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"高齢化社会における心臓手術 : とくに心臓弁膜症の動向","subitem_title_language":"ja"}]},"item_type_id":"2","owner":"5","path":["115"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2014-08-14"},"publish_date":"2014-08-14","publish_status":"0","recid":"873","relation_version_is_last":true,"title":["高齢化社会における心臓手術 : とくに心臓弁膜症の動向"],"weko_creator_id":"5","weko_shared_id":-1},"updated":"2023-10-11T06:55:06.916031+00:00"}