case 5 67 anterior communicating artery aneurysm history ... 5.pdfcase 5 67歳、 性67y,female...
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Case 5 67歳、⼥性 67y, Female
病名Diagnosis
前交通動脈瘤Anterior communicating artery aneurysm
現病歴History
2019年に僧帽弁閉鎖不全症の術前精査⽬的に撮像された頭部MRIで、偶発的に前交通動脈瘤を指摘された。Anterior communication artery aneurysm was diagnosed by MRI for preoperative examination of mitral regurgitation in 2019
既往歴Past History
僧帽弁閉鎖不全症、気管⽀喘息、⾼⾎圧Mitral regurgitation, bronchial asthma, hypertension
内服薬Medication
アムロジピン、アジルバ、パルミコートAmlodipine, Azilsartan, BudesonideASA100 , CLP75 (10⽇前から開始)Aspirin 100mg and Clopidogrel 75mg started 10 days prior to procedure
家族歴Family History
SAH・脳動脈瘤なしNo family history of SAH/aneurysm
19mm
Rt.ICAG Rt.ICAG Matas test
Anterior communicating artery aneurysmDome: 4.8*3.1mm, Neck: 1.9mm, Height: 4.2mmLt. A2: 2.0mm, Rt A1: 2.0mm
Working angle＊Chin upした状態で撮影
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