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<meta name="description" content="シリーズの最後を締めくくる第4弾は小児心臓外科がテーマ．小児心臓外科の対症となる先天性心疾患は多種多様であり，疾患別の診断法と手術適応が必要になる．一方，術前術後管理用や手術法については，いくつかの基本的管理法や手術手技の集積であり，各々を協調的かつ統合的に構築していくことで完遂される．本書では，そうした診断法や管理法，基本的手術手技の「コツ」や「落とし穴」をわかりやすく解説し，レジデントからベテ">

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		<h1 class="catchCopy">心臓外科医の長年にわたる試行錯誤，経験の積み重ねから得られた貴重な知恵を，サイエンスに裏打ちされたアートとして次の世代に伝える好評のシリーズ！</h1>
		

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					監修：髙本眞一（三井記念病院院長）
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					編集：角　秀秋（福岡市立こども病院心臓血管外科部長）
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		<div class="headers"><h3 class="current content">内容</h3><h3 class="indexes">主要目次</h3></div><section class="current content">シリーズの最後を締めくくる第4弾は小児心臓外科がテーマ．小児心臓外科の対症となる先天性心疾患は多種多様であり，疾患別の診断法と手術適応が必要になる．一方，術前術後管理用や手術法については，いくつかの基本的管理法や手術手技の集積であり，各々を協調的かつ統合的に構築していくことで完遂される．本書では，そうした診断法や管理法，基本的手術手技の「コツ」や「落とし穴」をわかりやすく解説し，レジデントからベテランに至るまで，読者が各々のレベルと興味に合わせた情報を得られる内容とした．</section><section class="indexes">I　小児心臓血管外科の潮流<br>II　総 論 <br>　〔1〕心臓の発生と形態，正常心の解剖<br>　〔2〕小児心臓外科における診断法と術前管理<br>　　　1．診断法<br>　　　2．術前管理<br>　〔3〕手術適応と至適時期<br>　〔4〕小児人工心肺法<br>　　　1．新生児・乳児開心術のセットアップ<br>　　　2．無輸血開心術の適応と限界<br>　　　3．開心補助手段 <br>　〔5〕小児心臓外科術中術後管理<br>　　　1．術中麻酔管理<br>　　　2．小児心臓血管外科における術後管理の実際(1)<br>　　　3．小児心臓血管外科における術後管理の実際(2)<br>　〔6〕基本的手術手技のKnack &amp; Pitfalls<br>　　　1．開胸法と閉胸法<br>　　　2．体肺動脈短絡手術<br>　　　3．肺動脈絞扼術 川?志保理<br>　　　4．動脈管結紮および切離手術<br>　〔7〕小児心臓外科特有の長期予後<br>　　　1．複雑心奇形の長期予後（不整脈を中心に） <br>　　　2．成人になった心奇形術後患者の管理<br>III　各 論<br>　〔1〕心室中隔欠損<br>　　　1．外科解剖と手術適応，手術成績と遠隔成績<br>　　　2．心室中隔欠損閉鎖法（結節縫合を中心に）<br>　　　3．心室中隔欠損閉鎖法（連続縫合を中心に） <br>　〔2〕心房中隔欠損<br>　　　1．外科解剖と手術適応，手術成績と遠隔成績<br>　　　2．心房中隔欠損閉鎖法（正中開胸法と右側開胸法）<br>　〔3〕Fallot四徴<br>　　　1．外科解剖と手術適応，手術成績と遠隔成績<br>　　　2．Fallot四徴：経右房経肺動脈到達法<br>　　　3．Fallot四徴：conotruncal repair変法<br>　〔4〕部分および完全型房室中隔欠損<br>　　　1．外科解剖と手術適応，手術成績と遠隔成績<br>　　　2．房室中隔欠損の根治手術<br>　〔5〕総肺静脈還流異常<br>　〔6〕大動脈縮窄・大動脈弓離断複合<br>　　　1．外科解剖と手術適応，手術成績と遠隔成績<br>　　　2．大動脈再建法と根治術式<br>　〔7〕総動脈幹遺残<br>　　　1．外科解剖と手術適応，手術成績と遠隔成績 <br>　　　2．総動脈幹遺残の根治手術<br>　〔8〕左心低形成症候群<br>　　　1．外科解剖と手術適応，手術成績と遠隔成績<br>　　　2．Norwood一期手術<br>　〔9〕単心室<br>　　　1．外科解剖と手術適応，手術成績と遠隔成績<br>　　　2．Glenn手術<br>　　　3．Fontan手術（TCPC法）<br>　〔10〕完全大血管転位<br>　　　1．外科解剖と手術適応，手術成績と遠隔成績 <br>　　　2．心房内血流転換（Senning／Mustard）<br>　　　3．大血管血流転換（Jatene）<br>　　　4．心室内血流転換（Rastelli／REV）<br>　〔11〕修正大血管転位<br>　　　1．外科解剖と手術適応，手術成績と遠隔成績<br>　　　2．修正大血管転位の機能的根治手術<br>　　　3．double switch手術<br>　〔12〕両大血管右室起始<br>　　　1．外科解剖と手術適応，手術成績と遠隔成績<br>　　　2．両大血管右室起始：大動脈弁下型の手術<br>　　　3．両大血管右室起始：遠位型の手術<br>　　　4．両大血管右室起始：肺動脈弁下型（Taussig?Bing奇形）の手術<br>　　　5．両大血管右室起始：SDL型の手術<br>　〔13〕純型肺動脈閉鎖<br>　　　1．外科解剖と手術適応，手術成績と遠隔成績<br>　　　2．右室流出路再建術（Brock手術，RV overhaul法など）<br>　　　3．one and a half ventricular repair<br>　〔14〕主要大動脈肺動脈側副動脈<br>　　　1．外科解剖と手術適応，手術成績と遠隔成績<br>　　　2．unifocalization法<br>　　　3．主要大動脈肺動脈側副動脈を有する心室中隔欠損＋肺動脈閉鎖：根治手術<br>　〔15〕Ebstein奇形<br>　　　1．外科解剖と手術適応，手術成績と遠隔成績<br>　　　2．重症Ebstein奇形に対するRV exclusion法<br>　　　3．Carpentier手術，Danielson手術<br>索引</section></article>
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