海外マルファン情報

米国マルファン症候群患者団体The Marfan Foundationからの情報を中心に、マルファン症候群や関連疾患についての海外情報を翻訳して発信します。

Entries from 2023-01-01 to 1 year

分娩について(2022_AHA/ACC大動脈疾患ガイドライン)

AHA/ACC Aortic Disease Guidelines: Delivery 0:00-3:43 Hello, my name is Mary Shepard from the University of Kentucky and it is my pleasure to be here today to talk with you about delivery and people who have aortic disease. ケンタッキー大…

妊娠について(2022_ACC大動脈疾患ガイドライン) 〜薬物治療〜

ACC Aortic Disease Guidelines: Pregnancy 5:53-6:34 To end some words about medication during pregnancy, so it is recommended that women take beta blockers throughout pregnancy and as contra-indicated this should be based on a shared decisi…

妊娠について(2022_ACC大動脈疾患ガイドライン) 〜心血管疾患カウンセリング〜

ACC Aortic Disease Guidelines: Pregnancy 4:02-5:52 Regarding cardiovascular counseling so as I mentioned this is important for, the for, the ladies, it, they should be informed that the risk for aortic dissection increases during pregnancy…

妊娠について(2022_ACC大動脈疾患ガイドライン) 〜遺伝カウンセリング〜

ACC Aortic Disease Guidelines: Pregnancy 0:00-4:02 Hello, my name is Julie De Backer. I am a cardiologist and clinical geneticist working at the Ghent University Hospital in Belgium and it is my pleasure to present to you today the topic o…

多世代マルファン家系のメリット

2023年12月12日 The Marfan Foundation デブラ・シーンさんは、娘、患者、母親、祖母の立場でマルファン症候群と向き合ってきました。マルファン症候群を知るきっかけとなったのは、年を重ねた父親の大動脈に見つかった複数の病変でした。これにより父親にマ…

遺伝性胸部大動脈疾患小児向け運動ガイドライン 〜ガイドライン案〜

Pediatric Activity Guidelines - HTAAD 5:01-8:43 So in general when we are restricting individuals from activity that is to help them to avoid an aortic event or perhaps disease progression we know aortic dissection is a very rare event. In…

遺伝性胸部大動脈疾患小児向け運動ガイドライン 〜運動ガイドラインの紹介〜

Pediatric Activity Guidelines - HTAAD 1:30-5:00 Why should we be active? Originally the goal was survival so, you know, several decades ago really the main goal was trying to get people to be able to live long because the mortality rates w…

遺伝性胸部大動脈疾患小児向け運動ガイドライン 〜全米における運動不足による肥満率〜

Pediatric Activity Guidelines - HTAAD 0:00-1:29 Hi, I'm Dr. Glenn Ianucci, a pediatric cardiologist at children's health care of Atlanta and director of the aorta and vascular clinic there and on behalf of the GenTAC alliance I'll be prese…

大動脈疾患小児における薬物治療 〜大動脈拡張速度に関するシミュレーション〜

Medical Therapy in the Pediatric Patient 4:53-7:40 So in many cases families will say, "Well, if my aorta is not enlarged now or not substantially enlarge now then why do I need to take medication?" So when approaching this discussion with…

大動脈疾患小児における薬物治療 〜臨床試験の歴史〜

Medical Therapy in the Pediatric Patient 0:00-4:53 Hi, I'm Dr. Glenn Iannucci. I'm a pediatric cardiologist at Children's Healthcare of Atlanta and director of the aorta and vascular program and on behalf of the GenTAC alliance I'll be pre…

小児循環器の観点で見る2022 ACC/AHA大動脈疾患ガイドライン 〜遺伝子検査の頻度〜

Pediatric Take on 2022 Adult Guidelines for Diagnosis and Treatment of Aortic Disease 7:22-8:20 Another point that was highlighted in the 2022 guidelines was that we should try to remember the family, so aortic disease is a progressive con…

小児循環器の観点で見る2022 ACC/AHA大動脈疾患ガイドライン 〜大動脈手術をどこで受けるか〜

Pediatric Take on 2022 Adult Guidelines for Diagnosis and Treatment of Aortic Disease 5:50-7:22 One of the other points that was highlighted in the 2022 guidelines were the recommendation that patients with stable aortic disease be referre…

小児循環器の観点で見る2022 ACC/AHA大動脈疾患ガイドライン 〜大動脈手術のしきい値に関する注意〜

Pediatric Take on 2022 Adult Guidelines for Diagnosis and Treatment of Aortic Disease 5:10-5:49 Because some degree of growth of the aorta is normal for children we must use caution when reviewing the 2022 AHA guidelines that point out tha…

小児循環器の観点で見る2022 ACC/AHA大動脈疾患ガイドライン 〜大動脈の拡張速度〜

Pediatric Take on 2022 Adult Guidelines for Diagnosis and Treatment of Aortic Disease 3:36-5:03 So as children are growing one of the questions that often comes up is "Is my aortic growth physiologic or pathologic?" and by physiologic grow…

小児循環器の観点で見る2022 ACC/AHA大動脈疾患ガイドライン 〜小児の成長曲線〜

Pediatric Take on 2022 Adult Guidelines for Diagnosis and Treatment of Aortic Disease 2:27-3:35 Children grow, is something we know well looking at the growth chart for infants. So on the pink growth chart, there you can see, there's very …

小児循環器の観点で見る2022 ACC/AHA大動脈疾患ガイドライン 〜小児科における大動脈疾患の診断〜

Pediatric Take on 2022 Adult Guidelines for Diagnosis and Treatment of Aortic Disease 0:00-2:25 Hi, I'm Dr. Glenn Iannucci. I'm a Pediatric Cardiologist at Children's Healthcare of Atlanta with Emory University and I run our aorta and Vasc…

マルファン症候群であることをクラスメイトに打ち明けるべきか?

Should I tell people that I have Marfan syndrome? Often children with Marfan syndrome feel the need to try to hide their condition. They don't want to admit to anyone else that they are different even though often it's quite obvious that t…

LDSでの大腿動脈からのカテーテル挿入について

Vascular Surgery 19:52-21:09 Q: Does Loeys-Dietz change if you go through the femoral artery or open embolization due to more fragile tissue? LDSでは組織が脆弱ということなので、大腿動脈からコイル塞栓術を行う場合、処置に違いはあるのでしょう…

動脈瘤・解離の管理 ~総腸骨動脈瘤・外腸骨動脈解離~

Vascular Surgery 17:35-18:51 Common iliac artery aneurysms you heard I've said it's if we're going to see it in, in people with Marfan syndrome we will see frequently common iliac artery aneurysms and then again very frequently we'll see t…

動脈瘤・解離の管理 ~腹腔動脈・肝動脈・脾動脈・上腸間膜動脈の動脈瘤・解離~

Vascular Surgery 16:38-17:34 The Celiac artery aneurysms and dissections again frequently these are present in our population and most of them can be managed medically and on rare circumstances we do embolization for those, next slide. 腹…

動脈瘤・解離の管理 ~頚動脈瘤・鎖骨下動脈瘤~

Vascular Surgery 15:09-16:34 There are circumstances in which there are aneurysms like I said and these require an open repair and like I said in extreme circumstances is a case of a woman who had embolization of her carotid artery, so tha…

動脈瘤・解離の管理 ~抗血小板療法と抗凝固療法のランダム化比較試験(頚動脈解離・椎骨動脈解離)~

Vascular Surgery 14:42-15:07 This is important in terms of data. The question always comes up if we want to use aspirin or anti-platelet therapy versus anticoagulation that's coumadin in carotid artery dissections or vertebral artery disse…

動脈瘤・解離の管理 ~頸動脈海綿静脈洞瘻、頭蓋外頚動脈・椎骨動脈解離~

Vascular Surgery 13:21-14:40 So I'm going to run through quickly. These are again the arterial tree, if you will from top to bottom so we're just going to go through and give you examples of how they're managed, next slide. では、動脈全体…

動脈瘤・解離の管理 ~カテーテル挿入部位の処置~

Vascular Surgery 12:15-13:18 And this is just a comment on access sites because as I said you go through the femoral artery when we do these and so we have to be careful with the way we close the femoral artery so that we don't have pseudo…

動脈瘤・解離の管理 ~コイル塞栓術とステント術~

Vascular Surgery 10:10-13:18 So when we talk about endovascular repair you've heard two terms. You've heard embolization and you've heard stenting but basically these are what we call minimally invasive procedures. We perform them through …

動脈瘤・解離の管理 ~内科的管理~

Vascular Surgery 9:44-10:07 Medical management. Just touching on that very briefly that if there's hypertension we want to treat it. If somebody smokes they need to quit smoking because smoking is one of the most detrimental things you can…

動脈瘤・解離の管理 ~動脈全体の画像検査~

Vascular Surgery 8:50-9:42 I do follow people with vascular surveillance. You heard about that from Dr. Young who talked about the surveillance for the aortic root. Similarly for the rest of the vasculature I like to get a baseline CT scan…

動脈瘤・解離の管理 ~腹部大動脈瘤・内臓動脈瘤の修復サイズ~

Vascular Surgery 7:06-8:49 So aortic aneurysms, this is specifically for abdominal aortic aneurysms, not, not ascending you've heard a lot about the ascending and root aneurysm thresholds but this is for abdominal aortic aneurysms and you …

学校生活に関する座談会

How can parents advocate for their child in school? When I was talking with the teenagers at the conference for two years straight two years in a row, the thing with PE was such a big issue for girls and boys. It was almost across the boar…

動脈瘤・解離の管理 ~治療法~

Vascular Surgery 5:24-7:04 So in terms of repair principles we do know that most aneurysms and dissections can be managed non-operatively and I think this is a very important concept to make because when people hear that they have a dissec…