{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,29]],"date-time":"2022-03-29T06:09:04Z","timestamp":1648534144447},"reference-count":0,"publisher":"Akademiai Kiado Zrt.","issue":"7","license":[{"start":{"date-parts":[[2020,2,1]],"date-time":"2020-02-01T00:00:00Z","timestamp":1580515200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:title>Absztrakt: <\/jats:title>\n        <jats:p>A thoracoabdominalis aortaaneurysm\u00e1k kezel\u00e9se az \u00e9rseb\u00e9szet egyik legnagyobb\n                    kih\u00edv\u00e1sa. S\u00fcrg\u0151s esetekben ezen komplex aneurysm\u00e1k endovascularis ell\u00e1t\u00e1s\u00e1nak\n                    lehet\u0151s\u00e9gei limit\u00e1ltak. Az \u00f3ri\u00e1s m\u00e9ret\u0171 (10 cm-t meghalad\u00f3) thoracoabdominalis\n                    aortaaneurysma rendk\u00edv\u00fcl ritka jelens\u00e9g, ell\u00e1t\u00e1sa mindig betegspecifikus, egyedi\n                    kezel\u00e9st ig\u00e9nyel. A tervezett kezel\u00e9s alacsonyabb morbidit\u00e1si ar\u00e1nnyal j\u00e1r,\n                    k\u00fcl\u00f6n\u00f6sen a gerincvel\u0151-s\u00e9r\u00fcl\u00e9s tekintet\u00e9ben. Eset\u00fcnkben egy 19,2 cm maxim\u00e1lis\n                    \u00e1tm\u00e9r\u0151j\u0171, Crawford V t\u00edpus\u00fa thoracoabdominalis aortaaneurysma sikeres kezel\u00e9s\u00e9t\n                    mutatjuk be. A f\u00e9rfi beteget el\u0151sz\u00f6r akutan, nyitottan oper\u00e1ltuk tartott ruptura\n                    miatt, majd k\u00e9s\u0151bb halasztott id\u0151pontban endovascularisan folytattuk ell\u00e1t\u00e1s\u00e1t.\n                    A 64 \u00e9ves f\u00e9rfi beteget mellkasi \u00e9s hasi panaszok miatt vett\u00fck fel\n                        int\u00e9zet\u00fcnkbe<jats:sup>(1)<\/jats:sup> stabil hemodinamikai param\u00e9terekkel.\n                    Kontrasztanyagos CT-angiogr\u00e1fi\u00e1s vizsg\u00e1lat igazolta a 19,2 cm legnagyobb\n                    \u00e1tm\u00e9r\u0151j\u0171, t\u00f6bbsz\u00f6r\u00f6s thoracoabdominalis aortaaneurysm\u00e1j\u00e1t, kompresszi\u00f3s\n                    jelekkel, haemothoraxszal \u00e9s az als\u00f3 szakasz tartott ruptur\u00e1j\u00e1val. Az anat\u00f3mia,\n                    az extr\u00e9m m\u00e9ret, a kompresszi\u00f3s t\u00fcnetek \u00e9s a haemothorax miatt a nyitott m\u0171t\u00e9ti\n                    megold\u00e1st v\u00e1lasztottuk, \u00e9s intraoperat\u00edvan d\u00f6nt\u00f6tt\u00fcnk v\u00e9g\u00fcl a k\u00e9tszakaszos\n                    ell\u00e1t\u00e1s mellett. Els\u0151 l\u00e9p\u00e9sben a ruptur\u00e1lt szakasz ell\u00e1t\u00e1s\u00e1ra egy aortoaorticus\n                    Dacron interpositumot implant\u00e1ltunk \u00fagy, hogy a visceralis szakaszt egy ferde\n                    \u2019patch\u2019 seg\u00edts\u00e9g\u00e9vel rekonsru\u00e1ltuk, majd a m\u00e1sodik l\u00e9p\u00e9sben v\u00e9gezt\u00fck el a\n                    mellkasi sztentgraft be\u00fcltet\u00e9s\u00e9t. Az egy\u00e9ves kontrollon a beteg panaszmentes\n                    volt, \u2019endoleak\u2019 nem \u00e1br\u00e1zol\u00f3dott. Az \u00f3ri\u00e1s aortaaneurysm\u00e1k ritka klinikai\n                    entit\u00e1sok, f\u0151leg a thoracoabdominalis r\u00e9gi\u00f3ban. A kompresszi\u00f3s t\u00fcnetek, a\n                    haemothorax \u00e9s a jelent\u0151s anat\u00f3miai v\u00e1ltoz\u00e1sok miatt az endovascularis\n                    beavatkoz\u00e1s kivitelezhet\u0151s\u00e9ge er\u0151sen k\u00e9rd\u00e9ses. Ruptura eset\u00e9n azonnali ell\u00e1t\u00e1suk\n                    jelenleg szinte csak nyitottan v\u00e9gezhet\u0151. A t\u00f6bbl\u00e9pcs\u0151s beavatkoz\u00e1s cs\u00f6kkentheti\n                    a gerincvel\u0151-k\u00e1rosod\u00e1s vesz\u00e9ly\u00e9t, ez\u00e9rt megfelel\u0151 anat\u00f3mia eset\u00e9n megfontoland\u00f3\n                    ennek a ritka betegs\u00e9gnek a kezel\u00e9s\u00e9ben. Orv Hetil. 2020; 161(7): 269\u2013274.<\/jats:p>","DOI":"10.1556\/650.2020.31676","type":"journal-article","created":{"date-parts":[[2020,2,9]],"date-time":"2020-02-09T07:43:11Z","timestamp":1581234191000},"page":"269-274","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":0,"title":["Ruptur\u00e1lt \u00f3ri\u00e1s thoracoabdominalis aortaaneurysma sikeres kezel\u00e9se k\u00e9t l\u00e9p\u00e9sben"],"prefix":"10.1556","volume":"161","author":[{"given":"M\u00e1rton","family":"Berczeli","sequence":"first","affiliation":[{"name":"1 \u00c9rseb\u00e9szeti \u00e9s Endovaszkul\u00e1ris Tansz\u00e9k, Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi KarBudapest, V\u00e1rosmajor u. 68., 1122"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zolt\u00e1n","family":"Ol\u00e1h","sequence":"additional","affiliation":[{"name":"1 \u00c9rseb\u00e9szeti \u00e9s Endovaszkul\u00e1ris Tansz\u00e9k, Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi KarBudapest, V\u00e1rosmajor u. 68., 1122"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lilla","family":"Szatai","sequence":"additional","affiliation":[{"name":"1 \u00c9rseb\u00e9szeti \u00e9s Endovaszkul\u00e1ris Tansz\u00e9k, Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi KarBudapest, V\u00e1rosmajor u. 68., 1122"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e1szl\u00f3","family":"Dar\u00f3czi","sequence":"additional","affiliation":[{"name":"2 Sz\u00edvseb\u00e9szeti Tansz\u00e9ki Csoport, Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi KarBudapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P\u00e9ter","family":"S\u00f3tonyi","sequence":"additional","affiliation":[{"name":"1 \u00c9rseb\u00e9szeti \u00e9s Endovaszkul\u00e1ris Tansz\u00e9k, Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi KarBudapest, V\u00e1rosmajor u. 68., 1122"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","container-title":["Orvosi Hetilap"],"original-title":[],"link":[{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/161\/7\/article-p269.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/650\/161\/7\/article-p269.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,11]],"date-time":"2021-10-11T01:12:50Z","timestamp":1633914770000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/161\/7\/article-p269.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2]]},"references-count":0,"journal-issue":{"issue":"7"},"URL":"https:\/\/doi.org\/10.1556\/650.2020.31676","relation":{},"ISSN":["0030-6002","1788-6120"],"issn-type":[{"value":"0030-6002","type":"print"},{"value":"1788-6120","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,2]]}}}